Based on public Medicaid payment data.
Prasanth Manthena
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
4733 W Sunset Blvd
Los Angeles, CA 900276021
Phone
3237834011
NPI
1184795072
Procedures
3
Total Claims
260
Patients Served
257
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 |
|---|---|---|---|
| Sleep Study (Polysomnography) | $187.82 | 148 | 146 |
| Vaccines & Immunizations | $12.54 | 100 | 99 |
| Prescription Medications | $886.88 | 12 | 12 |
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