Based on public Medicaid payment data.
Ellen Mendoza Church
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
130 E San Fernando St Apt 410
San Jose, CA 951127416
Phone
4087751411
NPI
1275046591
Procedures
4
Total Claims
587
Patients Served
581
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 |
|---|---|---|---|
| Blood Work & Lab Tests | $5.60 | 341 | 336 |
| X-Ray | $30.79 | 104 | 103 |
| Urinalysis & Urine Tests | $9.66 | 76 | 76 |
| EKG / ECG (Electrocardiogram) | $14.51 | 66 | 66 |
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