Based on public Medicaid payment data.
Wal-Mart Stores East Lp
Medicaid Provider in La Crosse, WI
Type
Organization
Address
4622 Mormon Coulee Rd
La Crosse, WI 546018224
Phone
6087889146
NPI
1518984681
Procedures
1
Total Claims
36
Patients Served
29
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 | $24.97 | 36 | 29 |
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