Based on public Medicaid payment data.
Samuel Seungkwon La
Medicaid Provider in Ephrata, PA
Type
Individual Provider
Address
169 Martin Ave
Ephrata, PA 175221734
Phone
7177386618
NPI
1811948706
Procedures
4
Total Claims
635
Patients Served
624
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 |
|---|---|---|---|
| X-Ray | $5.08 | 366 | 357 |
| CT Scan (Computed Tomography) | $24.13 | 147 | 147 |
| Mammogram | $29.34 | 109 | 108 |
| Ultrasound | $35.39 | 13 | 12 |
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