Based on public Medicaid payment data.
Stacy Louise Gustafson
Medicaid Provider in Pine River, MN
Type
Individual Provider
Address
980 1St St N
Pine River, MN 564744508
Phone
2185878036
NPI
1457723769
Procedures
1
Total Claims
822
Patients Served
352
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 |
|---|---|---|---|
| Psychiatric Evaluation | $99.19 | 822 | 352 |
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