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Based on public Medicaid payment data.

Gustavo Antonio Mondragon

Medicaid Provider in Chula Vista, CA

Type

Individual Provider

Address

480 Fourth Avenue

Chula Vista, CA 919104414

Phone

6196565252

NPI

1770773434

Procedures

5

Total Claims

8.8K

Patients Served

8.3K

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 $5.45 8,349 7,855
Vaccines & Immunizations $0.44 338 338
Urinalysis & Urine Tests $1.04 99 98
Blood Work & Lab Tests $0.78 16 14
EKG / ECG (Electrocardiogram) $2.15 12 12

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