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Based on public Medicaid payment data.

Evan Douglas Peterson

Medicaid Provider in Des Moines, IA

Type

Individual Provider

Address

6520 Se 14Th St

Des Moines, IA 503201846

Phone

5159531500

NPI

1003330036

Procedures

3

Total Claims

248

Patients Served

245

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
Blood Work & Lab Tests $3.91 153 151
Office Visit $28.66 82 81
Vaccines & Immunizations $9.17 13 13

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