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Based on public Medicaid payment data.

Wal-Mart Stores East Lp

Medicaid Provider in Monona, WI

Type

Organization

Address

2151 Royal Ave

Monona, WI 537134812

Phone

6082268671

NPI

1396945242

Procedures

1

Total Claims

223

Patients Served

158

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 $21.20 223 158

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