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Based on public Medicaid payment data.

Noe Manuel Lopez

Medicaid Provider in Los Angeles, CA

Type

Individual Provider

Address

510 S Alvarado St

Los Angeles, CA 900572904

Phone

2134833600

NPI

1629210075

Procedures

4

Total Claims

721

Patients Served

597

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 $5.52 639 526
Vaccines & Immunizations $11.38 38 32
Substance Abuse Treatment $12.24 28 24
Blood Work & Lab Tests $0.00 16 15

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