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Based on public Medicaid payment data.

Grace L Kim

Medicaid Provider in San Luis Obispo, CA

Type

Individual Provider

Address

805 Aerovista Pl

San Luis Obispo, CA 934017919

Phone

8055411595

NPI

1740276989

Procedures

1

Total Claims

131

Patients Served

127

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
Anesthesia Services $125.52 131 127

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