Based on public Medicaid payment data.
Jami Van Der Wielen Zelaya
Medicaid Provider in Claremont, CA
Type
Individual Provider
Address
673 Huron Pl
Claremont, CA 917112600
Phone
9095250039
NPI
1417222027
Procedures
2
Total Claims
673
Patients Served
669
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 | $150.26 | 645 | 641 |
| Ultrasound | $79.90 | 28 | 28 |
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