Based on public Medicaid payment data.
Ma. Olivia Roque San Diego
Medicaid Provider in Chicago, IL
Type
Individual Provider
Address
1044 N Mozart St
Chicago, IL 606222792
Phone
7734892912
NPI
1285842997
Procedures
3
Total Claims
3.8K
Patients Served
3.7K
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 | $0.89 | 1,583 | 1,575 |
| Office Visit | $1.73 | 1,195 | 1,162 |
| Hearing Test (Audiometry) | $1.31 | 996 | 994 |
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