Based on public Medicaid payment data.
Kartika Budiman
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
1450 E Holt Ave
Pomona, CA 917675822
Phone
9096307927
NPI
1295200038
Procedures
3
Total Claims
2K
Patients Served
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 | $43.69 | 1,791 | 1,777 |
| Urinalysis & Urine Tests | $0.00 | 105 | 104 |
| Prescription Medications | $0.00 | 69 | 69 |
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