Based on public Medicaid payment data.
Daisy Ibanez Bautista
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
1930 Wilshire Blvd
Los Angeles, CA 900573605
Phone
2134833968
NPI
1306856992
Procedures
3
Total Claims
184
Patients Served
177
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 | 145 | 140 |
| Vaccines & Immunizations | $0.65 | 25 | 24 |
| Hearing Test (Audiometry) | $1.49 | 14 | 13 |
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