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Based on public Medicaid payment data.

Ezra Theodore Fraser

Medicaid Provider in Hermosa Beach, CA

Type

Individual Provider

Address

421 30Th St

Hermosa Beach, CA 902542131

Phone

4159025621

NPI

1023240561

Procedures

2

Total Claims

1.8K

Patients Served

1.7K

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
CT Scan (Computed Tomography) $53.14 1,002 959
X-Ray $5.54 801 744

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