Based on public Medicaid payment data.
Daniel Wong Lopez-Tan
Medicaid Provider in Elm Grove, WI
Type
Individual Provider
Address
850 Elm Grove Rd
Elm Grove, WI 531222527
Phone
2628798014
NPI
1932156205
Procedures
2
Total Claims
889
Patients Served
833
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 |
|---|---|---|---|
| Nursing Facility Care | $11.41 | 837 | 806 |
| Non-Emergency Medical Transportation | $0.00 | 52 | 27 |
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