Based on public Medicaid payment data.
Andre Boustani
Medicaid Provider in La Mesa, CA
Type
Individual Provider
Address
5555 Grossmont Center Dr
La Mesa, CA 919423019
Phone
6197406000
NPI
1386938397
Procedures
6
Total Claims
20.5K
Patients Served
20.2K
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 |
|---|---|---|---|
| Emergency Room Visit | $81.74 | 12,438 | 12,380 |
| EKG / ECG (Electrocardiogram) | $13.67 | 5,241 | 5,057 |
| Blood Work & Lab Tests | $20.69 | 2,426 | 2,385 |
| X-Ray | $52.69 | 177 | 176 |
| Urinalysis & Urine Tests | $8.17 | 114 | 114 |
| CT Scan (Computed Tomography) | $260.74 | 104 | 103 |
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