Based on public Medicaid payment data.
Donovan C Polack
Medicaid Provider in Florissant, MO
Type
Individual Provider
Address
1265 Graham Rd Ste 1
Florissant, MO 630318018
Phone
3147411600
NPI
1659324465
Procedures
2
Total Claims
1K
Patients Served
906
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 |
|---|---|---|---|
| Dialysis | $61.49 | 793 | 682 |
| Office Visit | $45.81 | 251 | 224 |
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