Based on public Medicaid payment data.
Susan Michelle Moultrie
Medicaid Provider in Victorville, CA
Type
Individual Provider
Address
12830 Hesperia Rd Ste Cde
Victorville, CA 923957788
Phone
7606848999
NPI
1629352901
Procedures
2
Total Claims
349
Patients Served
342
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 | $99.41 | 248 | 243 |
| Blood Work & Lab Tests | $8.43 | 101 | 99 |
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