Based on public Medicaid payment data.
Andrea Helen Polesky
Medicaid Provider in San Ysidro, CA
Type
Individual Provider
Address
4004 Beyer Blvd
San Ysidro, CA 921732007
Phone
6196624100
NPI
1063517365
Procedures
6
Total Claims
8.5K
Patients Served
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 | $2.61 | 6,485 | 5,205 |
| Culture & Microbiology Tests | $13.37 | 737 | 582 |
| X-Ray | $2.47 | 607 | 593 |
| Vaccines & Immunizations | $2.13 | 406 | 390 |
| Blood Work & Lab Tests | $5.22 | 232 | 226 |
| Pathology & Lab Services | $14.44 | 82 | 52 |
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