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Based on public Medicaid payment data.

Lou Ellen Wilson

Medicaid Provider in Mission Hills, CA

Type

Individual Provider

Address

11333 Sepulveda Blvd

Mission Hills, CA 913451116

Phone

8188372753

NPI

1386650349

Procedures

2

Total Claims

163

Patients Served

159

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
Vaccines & Immunizations $5.72 117 117
Office Visit $5.07 46 42

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