Based on public Medicaid payment data.
Tessa Marcelle Buchan Antalan
Medicaid Provider in San Diego, CA
Type
Individual Provider
Address
200 W Arbor Dr
San Diego, CA 921039000
Phone
8009268273
NPI
1427346758
Procedures
7
Total Claims
11K
Patients Served
10.7K
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 | $0.52 | 5,585 | 5,335 |
| Blood Work & Lab Tests | $0.19 | 4,478 | 4,456 |
| Psychiatric Evaluation | $0.00 | 452 | 408 |
| Vaccines & Immunizations | $0.00 | 365 | 361 |
| Urinalysis & Urine Tests | $0.00 | 77 | 74 |
| Culture & Microbiology Tests | $0.00 | 17 | 17 |
| EKG / ECG (Electrocardiogram) | $0.00 | 14 | 14 |
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