Based on public Medicaid payment data.
Desoto Pediatric Extended Care Llc
Medicaid Provider in Southhaven, MS
Type
Organization
Address
750 Stateline Road East
Southhaven, MS 38671
Phone
6624681320
NPI
1538526140
Procedures
1
Total Claims
37
Patients Served
16
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 |
|---|---|---|---|
| Non-Emergency Medical Transportation | $53.30 | 37 | 16 |
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