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Based on public Medicaid payment data.

Wal-Mart Stores East Lp

Medicaid Provider in Green Bay, WI

Type

Organization

Address

2292 Main St

Green Bay, WI 543115307

Phone

9204657737

NPI

1801813969

Procedures

1

Total Claims

18

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 $23.60 18 12

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