Based on public Medicaid payment data.
Jerrelyn Javier Inocencio-Diaz
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
9961 Sierra Ave
Fontana, CA 923356720
Phone
9094273910
NPI
1326115163
Procedures
3
Total Claims
552
Patients Served
513
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 | $0.85 | 402 | 376 |
| Urinalysis & Urine Tests | $0.00 | 137 | 124 |
| Vaccines & Immunizations | $0.00 | 13 | 13 |
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