Based on public Medicaid payment data.
Shopko Stores Operating Co Llc
Medicaid Provider in Green Bay, WI
Type
Organization
Address
216 S Military Ave
Green Bay, WI 543032498
Phone
9204990895
NPI
1982659140
Procedures
1
Total Claims
19
Patients Served
12
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 |
|---|---|---|---|
| Vaccines & Immunizations | $18.13 | 19 | 12 |
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