Based on public Medicaid payment data.
Marissa Mae Ilac
Medicaid Provider in Polson, MT
Type
Individual Provider
Address
402 1St St. E. #205
Polson, MT 59860
Phone
4062601716
NPI
1497339493
Procedures
1
Total Claims
647
Patients Served
239
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 | $88.00 | 647 | 239 |
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