Based on public Medicaid payment data.
Jay Won Lee
Medicaid Provider in Costa Mesa, CA
Type
Individual Provider
Address
1550 Superior Ave
Costa Mesa, CA 926273653
Phone
9492702100
NPI
1548201726
Procedures
18
Total Claims
41K
Patients Served
37.8K
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 |
|---|---|---|---|
| Blood Work & Lab Tests | $0.36 | 18,886 | 18,407 |
| Office Visit | $6.51 | 12,252 | 11,404 |
| Urinalysis & Urine Tests | $0.36 | 2,679 | 2,572 |
| Physical Therapy | $23.37 | 2,606 | 925 |
| Vaccines & Immunizations | $1.52 | 2,387 | 2,379 |
| Pathology & Lab Services | $2.09 | 693 | 685 |
| Eye Exam | $2.54 | 280 | 279 |
| Hearing Test (Audiometry) | $0.00 | 261 | 261 |
| Emergency Room Visit | $28.97 | 243 | 235 |
| EKG / ECG (Electrocardiogram) | $23.26 | 221 | 215 |
| Substance Abuse Treatment | $0.93 | 173 | 173 |
| Culture & Microbiology Tests | $0.14 | 164 | 163 |
| Speech Therapy | $45.28 | 53 | 16 |
| Ambulance Transport | $0.00 | 35 | 29 |
| Ultrasound | $96.64 | 33 | 30 |
| Mammogram | $124.90 | 26 | 26 |
| Echocardiogram | $172.13 | 14 | 14 |
| X-Ray | $6.12 | 13 | 13 |
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