Based on public Medicaid payment data.
Vanessa M Michelena Basantes
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
4904 Tahan Way
Fontana, CA 923360428
Phone
9095615032
NPI
1053666297
Procedures
7
Total Claims
2.4K
Patients Served
2.2K
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 | $0.04 | 1,901 | 1,710 |
| Substance Abuse Treatment | $0.00 | 261 | 258 |
| Blood Work & Lab Tests | $0.00 | 113 | 113 |
| Hearing Test (Audiometry) | $0.00 | 67 | 67 |
| Urinalysis & Urine Tests | $0.00 | 30 | 30 |
| Prescription Medications | $0.00 | 14 | 14 |
| Vaccines & Immunizations | $8.15 | 13 | 13 |
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