Based on public Medicaid payment data.
Kelly Boone
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
545 S San Pedro St
Los Angeles, CA 900132101
Phone
2133476300
NPI
1588063713
Procedures
2
Total Claims
174
Patients Served
167
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 | 162 | 155 |
| Blood Work & Lab Tests | $0.00 | 12 | 12 |
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