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Based on public Medicaid payment data.

Caroline Marie Licud Aventura

Medicaid Provider in West Covina, CA

Type

Individual Provider

Address

1300 S Sunset Ave

West Covina, CA 917903342

Phone

6263389915

NPI

1962623538

Procedures

6

Total Claims

34.2K

Patients Served

22.9K

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 $1.64 29,556 19,293
Vaccines & Immunizations $1.11 1,985 1,603
Blood Work & Lab Tests $0.00 1,682 1,280
Hearing Test (Audiometry) $0.04 529 379
Substance Abuse Treatment $0.00 400 302
Urinalysis & Urine Tests $0.18 83 62

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