Based on public Medicaid payment data.
Maria A. Rodriguez Ballestas
Medicaid Provider in San Jose, CA
Type
Individual Provider
Address
2400 Samaritan Dr Ste 105
San Jose, CA 951243910
Phone
4085233870
NPI
1669768420
Procedures
4
Total Claims
2.9K
Patients Served
2.4K
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 | $126.35 | 1,482 | 1,230 |
| Urinalysis & Urine Tests | $2.87 | 1,185 | 918 |
| Prescription Medications | $84.14 | 209 | 165 |
| Ultrasound | $66.06 | 63 | 58 |
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