Based on public Medicaid payment data.
Sandra Patricia Viramontes
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
17046 Marygold Ave
Fontana, CA 92335
Phone
9094275128
NPI
1154832251
Procedures
1
Total Claims
31
Patients Served
25
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 |
|---|---|---|---|
| Psychiatric Evaluation | $6.52 | 31 | 25 |
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