Based on public Medicaid payment data.
Annabelle Alonzo Custodio
Medicaid Provider in Riverside, CA
Type
Individual Provider
Address
9041 Magnolia Ave Ste 206
Riverside, CA 925033956
Phone
9513540676
NPI
1679806145
Procedures
4
Total Claims
972
Patients Served
896
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 | $0.00 | 860 | 787 |
| Urinalysis & Urine Tests | $0.00 | 69 | 68 |
| Hearing Test (Audiometry) | $0.00 | 29 | 29 |
| Vaccines & Immunizations | $0.00 | 14 | 12 |
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