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Based on public Medicaid payment data.

Bernardus Gani Sugiarto Kartono Winardi

Medicaid Provider in Lompoc, CA

Type

Individual Provider

Address

425 W Central Ave

Lompoc, CA 934362805

Phone

8057371169

NPI

1700124161

Procedures

4

Total Claims

25.5K

Patients Served

22.9K

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
Vaccines & Immunizations $0.00 10,350 8,862
Office Visit $0.06 10,264 9,176
Hearing Test (Audiometry) $0.02 4,885 4,815
Pulmonary Function Test $0.00 12 12

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