Based on public Medicaid payment data.
Carl Robert Davis
Medicaid Provider in Mount Vernon, IL
Type
Individual Provider
Address
2 Good Samaritan Way
Mount Vernon, IL 628642408
Phone
6182411108
NPI
1992188338
Procedures
1
Total Claims
39
Patients Served
38
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 |
|---|---|---|---|
| Anesthesia Services | $86.93 | 39 | 38 |
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