Based on public Medicaid payment data.
Manuel Daniel Manrique Chavez
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
1798 N Garey Ave
Pomona, CA 917672918
Phone
9098659500
NPI
1679063614
Procedures
6
Total Claims
32.1K
Patients Served
28.8K
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 | $13.78 | 15,645 | 12,818 |
| Blood Work & Lab Tests | $2.04 | 13,961 | 13,493 |
| Urinalysis & Urine Tests | $1.01 | 1,864 | 1,844 |
| Vaccines & Immunizations | $3.65 | 564 | 556 |
| Culture & Microbiology Tests | $1.62 | 44 | 43 |
| EKG / ECG (Electrocardiogram) | $17.48 | 13 | 13 |
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