Based on public Medicaid payment data.
Grace Elizabeth Wagner
Medicaid Provider in Peoria, IL
Type
Individual Provider
Address
8600 State Route 91 Ste 200
Peoria, IL 616157833
Phone
3096921030
NPI
1871164418
Procedures
2
Total Claims
1.8K
Patients Served
1.5K
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 | $39.08 | 1,485 | 1,304 |
| Vaccines & Immunizations | $15.96 | 301 | 219 |
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