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Based on public Medicaid payment data.

Sandra Limon

Medicaid Provider in Hesperia, CA

Type

Individual Provider

Address

12021 Jacaranda Ave Ste 101

Hesperia, CA 923454978

Phone

7609565057

NPI

1316493406

Procedures

5

Total Claims

478

Patients Served

402

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 $0.25 364 307
Hearing Test (Audiometry) $0.42 58 50
Blood Work & Lab Tests $0.00 24 15
Vaccines & Immunizations $2.21 18 16
Substance Abuse Treatment $0.00 14 14

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