Based on public Medicaid payment data.
Moritz Sebastian Pettenkofer
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
200 Stein Plaza Driveway 3Rd Floor
Los Angeles, CA 900950001
Phone
3102065004
NPI
1194455188
Procedures
1
Total Claims
12
Patients Served
12
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 |
|---|---|---|---|
| Eye Exam | $8.73 | 12 | 12 |
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