Based on public Medicaid payment data.
Trisna Gozali
Medicaid Provider in Upland, CA
Type
Individual Provider
Address
1113 Alta Ave
Upland, CA 917862800
Phone
9099851908
NPI
1326423922
Procedures
1
Total Claims
158
Patients Served
154
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 | $0.59 | 158 | 154 |
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