Based on public Medicaid payment data.
Alisa Michelle Dieterich
Medicaid Provider in Martell, CA
Type
Individual Provider
Address
11333 Prospect Drive
Martell, CA 95654
Phone
2092680560
NPI
1760647465
Procedures
1
Total Claims
67
Patients Served
65
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 | $20.52 | 67 | 65 |
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