Based on public Medicaid payment data.
Choli Hartono
Medicaid Provider in Hackensack, NJ
Type
Individual Provider
Address
20 Prospect Ave Ste 406
Hackensack, NJ 076011941
Phone
5519962608
NPI
1396703906
Procedures
2
Total Claims
1.2K
Patients Served
914
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 | $16.12 | 1,007 | 758 |
| Blood Work & Lab Tests | $0.42 | 190 | 156 |
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