Based on public Medicaid payment data.
Sonwoo Lee
Medicaid Provider in Los Angeles, CA
Type
Individual Provider
Address
505 S Virgil Ave
Los Angeles, CA 900201415
Phone
2137390007
NPI
1336168616
Procedures
4
Total Claims
4.2K
Patients Served
3.2K
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 |
|---|---|---|---|
| Office Visit | $12.55 | 4,053 | 2,990 |
| Vaccines & Immunizations | $1.09 | 163 | 163 |
| Blood Work & Lab Tests | $0.00 | 16 | 16 |
| Ultrasound | $14.11 | 13 | 13 |
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