Based on public Medicaid payment data.
Tom Ellis Williams
Medicaid Provider in San Ysidro, CA
Type
Individual Provider
Address
4004 Beyer Blvd
San Ysidro, CA 921732007
Phone
6194281330
NPI
1932393220
Procedures
2
Total Claims
388
Patients Served
375
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 | $2.48 | 354 | 341 |
| Vaccines & Immunizations | $13.91 | 34 | 34 |
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