Based on public Medicaid payment data.
Manivanh A Prudhomme
Medicaid Provider in Vicksburg, MS
Type
Individual Provider
Address
2011 Highway 61 N
Vicksburg, MS 391833918
Phone
0145622776
NPI
1144831140
Procedures
2
Total Claims
439
Patients Served
422
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 | $66.56 | 402 | 385 |
| Prescription Medications | $1.31 | 37 | 37 |
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