Based on public Medicaid payment data.
Ellisa Krumm
Medicaid Provider in Fort Worth, TX
Type
Individual Provider
Address
1500 S Main St
Fort Worth, TX 761044917
Phone
8177021204
NPI
1124105457
Procedures
3
Total Claims
511
Patients Served
452
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 |
|---|---|---|---|
| Office Visit | $62.20 | 481 | 423 |
| Circumcision | $75.96 | 17 | 17 |
| Vaccines & Immunizations | $0.00 | 13 | 12 |
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