Based on public Medicaid payment data.
Etienne Maria Vasconcellosde Macedo
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
4168 Front St
San Diego, CA 921032030
Phone
8009268273
NPI
1265951172
Procedures
2
Total Claims
25
Patients Served
25
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 |
|---|---|---|---|
| Dialysis | $137.44 | 13 | 13 |
| Office Visit | $37.80 | 12 | 12 |
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