Based on public Medicaid payment data.
Jithu Susan Mathew
Medicaid Provider in Moreno Valley, CA
Type
Individual Provider
Address
27200 Iris Ave
Moreno Valley, CA 925554803
Phone
8669847483
NPI
1770863797
Procedures
2
Total Claims
820
Patients Served
786
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 | $22.63 | 718 | 684 |
| Vaccines & Immunizations | $10.96 | 102 | 102 |
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