Based on public Medicaid payment data.
Joaquin Lopez De San Roman
Medicaid Provider in Sebastopol, CA
Type
Individual Provider
Address
2650 Burnside Rd
Sebastopol, CA 954729424
Phone
7073281793
NPI
1215482773
Procedures
1
Total Claims
219
Patients Served
64
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 | $109.28 | 219 | 64 |
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