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Based on public Medicaid payment data.

Sitasravya Devathi

Medicaid Provider in Hermantown, MN

Type

Individual Provider

Address

4855 W Arrowhead Rd

Hermantown, MN 558113936

Phone

2187868364

NPI

1881972206

Procedures

3

Total Claims

895

Patients Served

819

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
Blood Work & Lab Tests $1.67 528 479
Office Visit $60.37 352 326
Vaccines & Immunizations $2.69 15 14

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