Based on public Medicaid payment data.
Froedtert Health Pharmacy Llc
Medicaid Provider in West Bend, WI
Type
Organization
Address
3200 Pleasant Valley Rd Ste 1A
West Bend, WI 530959274
Phone
2628365411
NPI
1669020855
Procedures
1
Total Claims
13
Patients Served
13
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 | $19.10 | 13 | 13 |
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