Based on public Medicaid payment data.
Hannah E Boutselis
Medicaid Provider in Manchester, NH
Type
Individual Provider
Address
1750 Elm St.
Manchester, NH 03104
Phone
6036233343
NPI
1730675562
Procedures
2
Total Claims
736
Patients Served
627
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 | $42.04 | 697 | 588 |
| Vaccines & Immunizations | $6.53 | 39 | 39 |
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