Based on public Medicaid payment data.
Siraj Mohamed Gibani
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
255 E Bonita Ave Bldg 9
Pomona, CA 917671923
Phone
9094500369
NPI
1942521653
Procedures
3
Total Claims
265
Patients Served
264
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 | $111.74 | 188 | 187 |
| MRI (Magnetic Resonance Imaging) | $33.66 | 65 | 65 |
| CT Scan (Computed Tomography) | $10.07 | 12 | 12 |
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