Based on public Medicaid payment data.
Jonathan Dell Pangelinan Pena
Medicaid Provider in Travis Afb, CA
Type
Individual Provider
Address
60 Mdg/Sgoe
Travis Afb, CA 945351800
Phone
7074233825
NPI
1821442609
Procedures
5
Total Claims
1.9K
Patients Served
1.9K
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 |
|---|---|---|---|
| Vaccines & Immunizations | $4.45 | 959 | 959 |
| Office Visit | $31.30 | 777 | 775 |
| Emergency Room Visit | $85.15 | 119 | 117 |
| Urinalysis & Urine Tests | $0.00 | 27 | 27 |
| EKG / ECG (Electrocardiogram) | $14.75 | 13 | 12 |
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