Based on public Medicaid payment data.
Su Mon Thwe
Medicaid Provider in Fontana, CA
Type
Individual Provider
Address
17577 Arrow Blvd
Fontana, CA 923354011
Phone
9098234454
NPI
1679069637
Procedures
6
Total Claims
12.4K
Patients Served
12.1K
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 | $3.75 | 5,671 | 5,338 |
| Vaccines & Immunizations | $3.70 | 3,687 | 3,677 |
| Hearing Test (Audiometry) | $9.74 | 1,901 | 1,897 |
| Blood Work & Lab Tests | $0.00 | 787 | 770 |
| Substance Abuse Treatment | $0.00 | 356 | 356 |
| Urinalysis & Urine Tests | $0.04 | 43 | 43 |
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