Based on public Medicaid payment data.
Shopko Stores Operating Co Llc
Medicaid Provider in Delavan, WI
Type
Organization
Address
1450 E Geneva St
Delavan, WI 531152025
Phone
2627280062
NPI
1568418911
Procedures
1
Total Claims
29
Patients Served
17
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Vaccines & Immunizations | $9.65 | 29 | 17 |
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