Based on public Medicaid payment data.
Good Value Pharmacy Llc
Medicaid Provider in West Allis, WI
Type
Organization
Address
10233 W Greenfield Ave
West Allis, WI 532143911
Phone
4147275750
NPI
1164509949
Procedures
1
Total Claims
24
Patients Served
22
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 | $27.62 | 24 | 22 |
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