Based on public Medicaid payment data.
Allyson Regine Self-Stoico
Medicaid Provider in Pasadena, CA
Type
Individual Provider
Address
800 Fairmount Ave Ste 415
Pasadena, CA 911053154
Phone
6264498440
NPI
1104074707
Procedures
3
Total Claims
452
Patients Served
433
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 | $0.00 | 253 | 249 |
| Office Visit | $0.00 | 162 | 147 |
| Hearing Test (Audiometry) | $0.00 | 37 | 37 |
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