Based on public Medicaid payment data.
Forman Ambulance Service
Medicaid Provider in Manito, IL
Type
Organization
Address
205 N Broadway
Manito, IL 615460648
Phone
3099686902
NPI
1700871910
Procedures
1
Total Claims
29
Patients Served
27
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 |
|---|---|---|---|
| Ambulance Transport | $287.69 | 29 | 27 |
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