Based on public Medicaid payment data.
Ivancic Pediatric Clinic Pa
Medicaid Provider in Tupelo, MS
Type
Organization
Address
499 Gloster Creek Vlg
Tupelo, MS 388014600
Phone
6628406026
NPI
1942606256
Procedures
4
Total Claims
2.7K
Patients Served
1.8K
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 | $26.65 | 1,667 | 1,007 |
| Blood Work & Lab Tests | $0.47 | 513 | 421 |
| Vaccines & Immunizations | $6.83 | 452 | 351 |
| Hearing Test (Audiometry) | $3.53 | 91 | 61 |
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