Based on public Medicaid payment data.
Diesawit T Hansom
Medicaid Provider in Libertyville, IL
Type
Individual Provider
Address
1366 S Milwaukee Ave
Libertyville, IL 600483795
Phone
8472360323
NPI
1689391633
Procedures
2
Total Claims
670
Patients Served
635
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 |
|---|---|---|---|
| Office Visit | $54.82 | 524 | 495 |
| Urinalysis & Urine Tests | $3.52 | 146 | 140 |
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