Based on public Medicaid payment data.
Agustinus Suhardja
Medicaid Provider in Glendora, CA
Type
Individual Provider
Address
828 S Grand Ave Ste 104
Glendora, CA 917404856
Phone
6269632057
NPI
1235349473
Procedures
6
Total Claims
9.2K
Patients Served
8.3K
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 | $6.01 | 5,877 | 5,074 |
| CT Scan (Computed Tomography) | $47.91 | 1,358 | 1,343 |
| Mammogram | $66.96 | 1,019 | 902 |
| Ultrasound | $15.83 | 954 | 933 |
| MRI (Magnetic Resonance Imaging) | $29.98 | 14 | 14 |
| Bone Density Scan (DEXA) | $19.23 | 13 | 13 |
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