Based on public Medicaid payment data.
Vasana Lerdvoratavee
Medicaid Provider in Montgomery, IL
Type
Individual Provider
Address
1335 Douglas Rd
Montgomery, IL 605381634
Phone
6308440908
NPI
1356332423
Procedures
1
Total Claims
1.6K
Patients Served
1.4K
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 |
|---|---|---|---|
| Eye Exam | $30.09 | 1,648 | 1,426 |
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