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Based on public Medicaid payment data.

Wal-Mart Stores East Lp

Medicaid Provider in Plover, WI

Type

Organization

Address

250 Crossroads Dr

Plover, WI 544674124

Phone

7153457870

NPI

1083631139

Procedures

1

Total Claims

85

Patients Served

75

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 $27.32 85 75

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