Based on public Medicaid payment data.
Xiomara Alexis Terrelonge
Medicaid Provider in Beverly Hills, CA
Type
Individual Provider
Address
155 N San Vicente Blvd
Beverly Hills, CA 902112303
Phone
3108700400
NPI
1497127278
Procedures
2
Total Claims
201
Patients Served
200
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 |
|---|---|---|---|
| Emergency Room Visit | $27.93 | 179 | 178 |
| Office Visit | $234.09 | 22 | 22 |
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