Based on public Medicaid payment data.
Jerry W Sample
Medicaid Provider in La Crosse, WI
Type
Individual Provider
Address
1910 South Ave
La Crosse, WI 546015467
Phone
6087827300
NPI
1508806001
Procedures
1
Total Claims
136
Patients Served
100
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 |
|---|---|---|---|
| Substance Abuse Treatment | $26.16 | 136 | 100 |
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