Based on public Medicaid payment data.
Amy Minelly Lopez Rivera
Medicaid Provider in San Bernardino, CA
Type
Individual Provider
Address
1505 W 17Th St
San Bernardino, CA 924111202
Phone
9098876494
NPI
1548917685
Procedures
4
Total Claims
333
Patients Served
329
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 | 113 | 112 |
| Blood Work & Lab Tests | $0.00 | 96 | 93 |
| Vaccines & Immunizations | $0.34 | 70 | 70 |
| Hearing Test (Audiometry) | $9.50 | 54 | 54 |
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