Based on public Medicaid payment data.
Prime Rx West Covina Inc
Medicaid Provider in West Covina, CA
Type
Organization
Address
1523 E Amar Rd
West Covina, CA 917921619
Phone
6266677108
NPI
1225745508
Procedures
1
Total Claims
50
Patients Served
50
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 |
|---|---|---|---|
| Vaccines & Immunizations | $0.00 | 50 | 50 |
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