Based on public Medicaid payment data.
Wal-Mart Stores East Lp
Medicaid Provider in Manitowoc, WI
Type
Organization
Address
4115 Calumet Ave
Manitowoc, WI 542205400
Phone
9206845016
NPI
1811914963
Procedures
1
Total Claims
15
Patients Served
14
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 | $20.02 | 15 | 14 |
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