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Based on public Medicaid payment data.

Johan Winoto

Medicaid Provider in Elk Grove, CA

Type

Individual Provider

Address

2218 Kausen Dr Ste 103

Elk Grove, CA 957587178

Phone

9166838774

NPI

1780635920

Procedures

4

Total Claims

8.8K

Patients Served

5.6K

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
Dialysis $26.96 4,044 4,027
Prescription Medications $0.57 3,760 636
Office Visit $8.83 974 962
Vaccines & Immunizations $0.00 13 13

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