Based on public Medicaid payment data.
Christian Custodio
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
1196 N Park Ave
Pomona, CA 917683027
Phone
9096234050
NPI
1811502404
Procedures
2
Total Claims
1.3K
Patients Served
1.2K
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 | $2.06 | 1,202 | 1,111 |
| Vaccines & Immunizations | $0.00 | 106 | 106 |
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