Based on public Medicaid payment data.
Plover Hometown Pharmacy Llc
Medicaid Provider in Plover, WI
Type
Organization
Address
1600 American Dr
Plover, WI 544673157
Phone
7155446272
NPI
1457919581
Procedures
1
Total Claims
14
Patients Served
12
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 |
|---|---|---|---|
| Vaccines & Immunizations | $33.77 | 14 | 12 |
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