Based on public Medicaid payment data.
Adam D. Hickerson
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
210 W Bonita Ave
Pomona, CA 917671865
Phone
9096233428
NPI
1881816411
Procedures
2
Total Claims
644
Patients Served
633
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 | $85.13 | 564 | 553 |
| Urinalysis & Urine Tests | $1.76 | 80 | 80 |
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