Based on public Medicaid payment data.
Perry Formanek
Medicaid Provider in Maywood, IL
Type
Individual Provider
Address
2160 S 1St Ave
Maywood, IL 601533328
Phone
7082166497
NPI
1871835546
Procedures
1
Total Claims
725
Patients Served
287
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 |
|---|---|---|---|
| Emergency Room Visit | $130.72 | 725 | 287 |
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