Based on public Medicaid payment data.
Ivan Ernesto Leroux
Medicaid Provider in Upland, CA
Type
Individual Provider
Address
330 E 7Th St Fl 2
Upland, CA 917866740
Phone
8002138517
NPI
1568088110
Procedures
2
Total Claims
715
Patients Served
698
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 | $133.42 | 504 | 487 |
| Vaccines & Immunizations | $17.38 | 211 | 211 |
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