Based on public Medicaid payment data.
Ileana Acosta
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
160 E Holt Ave
Pomona, CA 917675406
Phone
9096202521
NPI
1255740924
Procedures
1
Total Claims
1.3K
Patients Served
767
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 | $138.90 | 1,301 | 767 |
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