Based on public Medicaid payment data.
Maria Theresa Liceralde Wyson
Medicaid Provider in Elk Grove, CA
Type
Individual Provider
Address
7811 Laguna Blvd Ste 161
Elk Grove, CA 957587949
Phone
9168777778
NPI
1861769648
Procedures
2
Total Claims
4.3K
Patients Served
4.2K
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 | $5.92 | 4,226 | 4,077 |
| Urinalysis & Urine Tests | $0.02 | 120 | 115 |
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