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Based on public Medicaid payment data.

Peter Hodson Custis

Medicaid Provider in San Diego, CA

Type

Individual Provider

Address

4647 Zion Ave

San Diego, CA 921202507

Phone

6195285000

NPI

1144397076

Procedures

1

Total Claims

12

Patients Served

12

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 $64.52 12 12

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