Based on public Medicaid payment data.
Gary L Jensen
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
255 E Bonita Ave
Pomona, CA 917671923
Phone
9094500393
NPI
1558304139
Procedures
4
Total Claims
1.3K
Patients Served
1.2K
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 |
|---|---|---|---|
| X-Ray | $8.10 | 941 | 850 |
| CT Scan (Computed Tomography) | $43.69 | 187 | 186 |
| Mammogram | $92.89 | 130 | 129 |
| Ultrasound | $51.66 | 78 | 78 |
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