Based on public Medicaid payment data.
Aica Cirella Custodio Saucedo
Medicaid Provider in Montclair, CA
Type
Individual Provider
Address
5330 San Bernardino St
Montclair, CA 917632952
Phone
9093993700
NPI
1538659875
Procedures
1
Total Claims
14
Patients Served
12
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 |
|---|---|---|---|
| Psychiatric Evaluation | $57.71 | 14 | 12 |
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