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Based on public Medicaid payment data.

Emilio Licea

Medicaid Provider in Sebastopol, CA

Type

Individual Provider

Address

652 Petaluma Ave

Sebastopol, CA 954724256

Phone

7078233166

NPI

1336496710

Procedures

1

Total Claims

701

Patients Served

321

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
Psychiatric Evaluation $0.29 701 321

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