Based on public Medicaid payment data.
Liceett Pena
Medicaid Provider in Mesa, AZ
Type
Individual Provider
Address
616 E Southern Ave Ste 103
Mesa, AZ 85204
Phone
6025693999
NPI
1740705961
Procedures
5
Total Claims
2.3K
Patients Served
1.9K
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 | $52.42 | 1,894 | 1,529 |
| Hearing Test (Audiometry) | $9.96 | 250 | 248 |
| Substance Abuse Treatment | $6.36 | 92 | 87 |
| Vaccines & Immunizations | $21.95 | 24 | 24 |
| EKG / ECG (Electrocardiogram) | $10.37 | 13 | 12 |
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