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Based on public Medicaid payment data.

Amy Lauren Kolesiak

Medicaid Provider in Rancho Cucamonga, CA

Type

Individual Provider

Address

10565 Civic Center Dr Bldg Suite165

Rancho Cucamonga, CA 917303853

Phone

9099852211

NPI

1417137571

Procedures

2

Total Claims

325

Patients Served

218

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
Urinalysis & Urine Tests $0.14 167 112
Hearing Test (Audiometry) $2.25 158 106

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