Based on public Medicaid payment data.
Wisconsin Cvs Pharmacy Llc
Medicaid Provider in Racine, WI
Type
Organization
Address
1122 West Blvd
Racine, WI 534053020
Phone
2626375603
NPI
1255372124
Procedures
1
Total Claims
102
Patients Served
87
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 | $23.75 | 102 | 87 |
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