Based on public Medicaid payment data.
Ana Bertha Pantoja
Medicaid Provider in West Covina, CA
Type
Individual Provider
Address
1300 S Sunset Ave
West Covina, CA 917903342
Phone
6269606999
NPI
1164593877
Procedures
8
Total Claims
49.8K
Patients Served
36.2K
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 | $0.53 | 35,620 | 24,591 |
| Vaccines & Immunizations | $0.48 | 6,489 | 4,773 |
| Blood Work & Lab Tests | $0.02 | 5,694 | 5,342 |
| Urinalysis & Urine Tests | $0.03 | 1,862 | 1,373 |
| Pathology & Lab Services | $0.00 | 122 | 122 |
| EKG / ECG (Electrocardiogram) | $0.00 | 24 | 17 |
| Pulmonary Function Test | $0.00 | 16 | 15 |
| Mammogram | $0.00 | 12 | 12 |
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