Based on public Medicaid payment data.
Kelli Anne Larson
Medicaid Provider in Polson, MT
Type
Individual Provider
Address
107 Ridgewater Dr
Polson, MT 598608977
Phone
4068833737
NPI
1629336953
Procedures
3
Total Claims
318
Patients Served
301
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 | $73.84 | 188 | 178 |
| Vaccines & Immunizations | $15.73 | 78 | 75 |
| Blood Work & Lab Tests | $2.07 | 52 | 48 |
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