Based on public Medicaid payment data.
Sandra Rose Petersen
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
4060 4Th Ave
San Diego, CA 921032116
Phone
6194972430
NPI
1295795672
Procedures
3
Total Claims
321
Patients Served
314
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 | $15.83 | 156 | 152 |
| Urinalysis & Urine Tests | $1.36 | 152 | 149 |
| Culture & Microbiology Tests | $1.37 | 13 | 13 |
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