Based on public Medicaid payment data.
Sopheap Ly
Medicaid Provider in Vista, CA
Type
Individual Provider
Address
134 Grapevine Rd
Vista, CA 920834004
Phone
6076315000
NPI
1780732578
Procedures
5
Total Claims
21.2K
Patients Served
17.7K
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 | $0.51 | 21,148 | 17,632 |
| Case Management Services | $352.37 | 49 | 49 |
| Dialysis | $0.00 | 23 | 23 |
| Nursing Facility Care | $0.00 | 14 | 14 |
| Vaccines & Immunizations | $0.00 | 12 | 12 |
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