Based on public Medicaid payment data.
Sara M Mousa
Medicaid Provider in Oak Park, IL
Type
Individual Provider
Address
610 S Maple Ave Ste 3900
Oak Park, IL 603041095
Phone
7085241674
NPI
1184152118
Procedures
2
Total Claims
617
Patients Served
554
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 | $94.42 | 587 | 525 |
| Vaccines & Immunizations | $14.43 | 30 | 29 |
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