Based on public Medicaid payment data.
Marylin Ruth Cruz Gould
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
7965 Sierra Ave Ste E
Fontana, CA 923363329
Phone
9093564459
NPI
1790133205
Procedures
4
Total Claims
1.3K
Patients Served
1K
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 | $0.00 | 964 | 741 |
| Substance Abuse Treatment | $0.00 | 130 | 104 |
| Vaccines & Immunizations | $0.00 | 113 | 113 |
| Hearing Test (Audiometry) | $0.00 | 87 | 87 |
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