Based on public Medicaid payment data.
Cassandra Klakken Viramontes
Medicaid Provider in Grand Coulee, WA
Type
Individual Provider
Address
411 Fortuyn Rd
Grand Coulee, WA 991338718
Phone
5096331911
NPI
1295316693
Procedures
2
Total Claims
873
Patients Served
784
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 | $65.89 | 857 | 770 |
| Vaccines & Immunizations | $0.00 | 16 | 14 |
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