Based on public Medicaid payment data.
Kristofer Michael Wallman
Medicaid Provider in Superior, WI
Type
Individual Provider
Address
Twin Ports Va Outpatient Clinic
Superior, WI 548805335
Phone
7153982931
NPI
1962439547
Procedures
1
Total Claims
385
Patients Served
375
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 | $77.47 | 385 | 375 |
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