Based on public Medicaid payment data.
Bonifasiyo K. Ssennyamantono
Medicaid Provider in Avondale, AZ
Type
Individual Provider
Address
10815 W Mcdowell Rd
Avondale, AZ 853925007
Phone
6234330202
NPI
1902813678
Procedures
4
Total Claims
23.8K
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 | $57.24 | 11,100 | 10,700 |
| EKG / ECG (Electrocardiogram) | $16.23 | 7,341 | 7,015 |
| Echocardiogram | $108.04 | 4,282 | 4,208 |
| Cardiac Stress Test | $213.86 | 1,096 | 999 |
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