Based on public Medicaid payment data.
Derrick Raptis
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
1940 N Orange Grove Ave Ste A
Pomona, CA 917673002
Phone
9098656900
NPI
1679749683
Procedures
2
Total Claims
2.1K
Patients Served
1K
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 |
|---|---|---|---|
| Emergency Room Visit | $91.79 | 1,847 | 827 |
| Nursing Facility Care | $26.00 | 214 | 212 |
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