Based on public Medicaid payment data.
Andrea Jo Poulson-Port
Medicaid Provider in Manitowoc, WI
Type
Individual Provider
Address
4100 Dewey St
Manitowoc, WI 542205497
Phone
9206865700
NPI
1326280611
Procedures
2
Total Claims
1.1K
Patients Served
1K
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 | $31.68 | 902 | 847 |
| Vaccines & Immunizations | $12.77 | 181 | 173 |
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