Based on public Medicaid payment data.
Mike Mansour Rostami
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
1119 N Western Ave Ste G
Los Angeles, CA 900291070
Phone
3239579300
NPI
1720135726
Procedures
7
Total Claims
162.4K
Patients Served
60.3K
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 |
|---|---|---|---|
| Office Visit | $0.57 | 148,229 | 46,286 |
| Hearing Test (Audiometry) | $4.35 | 6,199 | 6,179 |
| Vaccines & Immunizations | $2.19 | 5,292 | 5,272 |
| Pulmonary Function Test | $1.76 | 729 | 724 |
| Urinalysis & Urine Tests | $0.14 | 723 | 723 |
| Prescription Medications | $0.05 | 710 | 615 |
| Dental Cleaning & Exam | $0.00 | 492 | 492 |
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