Based on public Medicaid payment data.
Ethan Petersen
Medicaid Provider in Saint Cloud, MN
Type
Individual Provider
Address
1406 6Th Ave N
Saint Cloud, MN 563031900
Phone
3202512700
NPI
1851615108
Procedures
1
Total Claims
40
Patients Served
40
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 |
|---|---|---|---|
| Anesthesia Services | $96.76 | 40 | 40 |
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