Based on public Medicaid payment data.
Kelly Polus
Medicaid Provider in Missoula, MT
Type
Individual Provider
Address
610 N California St
Missoula, MT 598023950
Phone
4067211646
NPI
1689770919
Procedures
5
Total Claims
4.6K
Patients Served
4.3K
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 | $93.88 | 3,046 | 2,818 |
| Blood Work & Lab Tests | $5.14 | 1,253 | 1,189 |
| Vaccines & Immunizations | $16.72 | 235 | 220 |
| Ultrasound | $106.30 | 66 | 57 |
| Urinalysis & Urine Tests | $8.19 | 14 | 13 |
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