Based on public Medicaid payment data.
Intercare Community Health Network
Medicaid Provider in Pullman, MI
Type
Organization
Address
5498 109Th Ave
Pullman, MI 49450
Phone
2692365021
NPI
1457361677
Procedures
11
Total Claims
29.3K
Patients Served
26.8K
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 | $2.88 | 11,779 | 10,735 |
| Dental Cleaning & Exam | $78.55 | 6,026 | 5,965 |
| Vaccines & Immunizations | $1.58 | 5,448 | 5,380 |
| Tooth Extraction | $112.74 | 1,559 | 929 |
| Blood Work & Lab Tests | $0.51 | 1,533 | 1,306 |
| Dental Filling | $134.18 | 1,468 | 1,190 |
| Psychiatric Evaluation | $2.46 | 951 | 803 |
| Urinalysis & Urine Tests | $0.28 | 273 | 234 |
| Behavioral & Mental Health Therapy | $6.23 | 161 | 155 |
| Pulmonary Function Test | $1.23 | 62 | 52 |
| EKG / ECG (Electrocardiogram) | $0.86 | 12 | 12 |
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