Based on public Medicaid payment data.
Wal-Mart Stores East Lp
Medicaid Provider in Sparta, WI
Type
Organization
Address
1600 W Wisconsin St
Sparta, WI 546562242
Phone
6082697843
NPI
1710904859
Procedures
1
Total Claims
14
Patients Served
13
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 | $13.33 | 14 | 13 |
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