Based on public Medicaid payment data.
Wal-Mart Stores East Lp
Medicaid Provider in Plymouth, WI
Type
Organization
Address
428 Walton Dr
Plymouth, WI 530735019
Phone
9208922656
NPI
1073530143
Procedures
1
Total Claims
16
Patients Served
14
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 | $24.69 | 16 | 14 |
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