Based on public Medicaid payment data.
Dale Gary Jacobson
Medicaid Provider in Walworth, WI
Type
Individual Provider
Address
525 Kenosha St
Walworth, WI 53184
Phone
2622752101
NPI
1346357860
Procedures
2
Total Claims
50
Patients Served
49
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 | $19.88 | 37 | 37 |
| Vaccines & Immunizations | $8.39 | 13 | 12 |
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