Based on public Medicaid payment data.
Richard Alfonso Licon
Medicaid Provider in Santa Ana, CA
Type
Individual Provider
Address
1401 W 1St St Ste 101
Santa Ana, CA 927033757
Phone
7145429700
NPI
1740428101
Procedures
2
Total Claims
787
Patients Served
761
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 | $52.35 | 762 | 736 |
| Urinalysis & Urine Tests | $0.00 | 25 | 25 |
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