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Based on public Medicaid payment data.

Jesse Joseph Licuanan

Medicaid Provider in Lakewood, CA

Type

Individual Provider

Address

3650 South St Ste 403

Lakewood, CA 907121504

Phone

5625310377

NPI

1396795514

Procedures

1

Total Claims

1.3K

Patients Served

1.2K

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 $1.93 1,250 1,228

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