Based on public Medicaid payment data.
Sam Som
Medicaid Provider in Victorville, CA
Type
Individual Provider
Address
17330 Bear Valley Rd
Victorville, CA 923957741
Phone
7602459999
NPI
1316084312
Procedures
1
Total Claims
128
Patients Served
126
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 | $50.28 | 128 | 126 |
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