Based on public Medicaid payment data.
Jacqueline Fr Lou
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
751 S Bascom Ave
San Jose, CA 951282604
Phone
5108594717
NPI
1336567775
Procedures
9
Total Claims
24.7K
Patients Served
16.5K
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 | $3.90 | 16,620 | 10,132 |
| Vaccines & Immunizations | $8.79 | 4,329 | 3,238 |
| Urinalysis & Urine Tests | $0.70 | 1,585 | 1,268 |
| Ultrasound | $3.42 | 846 | 589 |
| Blood Work & Lab Tests | $2.85 | 734 | 727 |
| Pathology & Lab Services | $6.40 | 483 | 477 |
| Culture & Microbiology Tests | $1.49 | 59 | 56 |
| Pregnancy & Prenatal Care | $227.43 | 14 | 14 |
| Mammogram | $17.68 | 13 | 13 |
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