Based on public Medicaid payment data.
Thomas Earl Gustafson
Medicaid Provider in Palatine, IL
Type
Individual Provider
Address
96 W Northwest Hwy
Palatine, IL 600673571
Phone
8473587722
NPI
1164492096
Procedures
2
Total Claims
759
Patients Served
748
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 | $13.31 | 745 | 734 |
| Office Visit | $0.00 | 14 | 14 |
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