Based on public Medicaid payment data.
Laura Woodbeck Moustafa
Medicaid Provider in Maple Grove, MN
Type
Individual Provider
Address
12720 Bass Lake Rd
Maple Grove, MN 553696307
Phone
7635592861
NPI
1003236704
Procedures
3
Total Claims
450
Patients Served
441
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 | $60.52 | 307 | 303 |
| Vaccines & Immunizations | $15.98 | 129 | 124 |
| Hearing Test (Audiometry) | $6.32 | 14 | 14 |
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