Based on public Medicaid payment data.
Tina Yun Mantanona
Medicaid Provider in Grayslake, IL
Type
Individual Provider
Address
1475 E Belvidere Rd Unit 385
Grayslake, IL 600302026
Phone
8475377157
NPI
1922362623
Procedures
3
Total Claims
722
Patients Served
649
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 | $56.91 | 674 | 606 |
| Vaccines & Immunizations | $8.39 | 36 | 31 |
| Blood Work & Lab Tests | $4.10 | 12 | 12 |
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