Based on public Medicaid payment data.
Anna Catalina Manalaysay Bravo-Custodio
Medicaid Provider in Upland, CA
Type
Individual Provider
Address
1310 San Bernardino Rd Ste 102
Upland, CA 917864985
Phone
9096082008
NPI
1649864455
Procedures
1
Total Claims
102
Patients Served
102
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 | $30.96 | 102 | 102 |
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