Based on public Medicaid payment data.
Mia Raquel Montoya
Medicaid Provider in San Bernardino, CA
Type
Individual Provider
Address
1717 E Date Pl
San Bernardino, CA 924046720
Phone
8335742273
NPI
1912534413
Procedures
2
Total Claims
364
Patients Served
355
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 | $55.26 | 242 | 233 |
| Vaccines & Immunizations | $13.66 | 122 | 122 |
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