Based on public Medicaid payment data.
Steven Kalani Sinfuego Bustamante
Medicaid Provider in Pomona, CA
Type
Individual Provider
Address
1501 E Holt Ave
Pomona, CA 917675823
Phone
9096233600
NPI
1730769100
Procedures
4
Total Claims
879
Patients Served
629
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 | $0.59 | 475 | 330 |
| Substance Abuse Treatment | $0.06 | 242 | 179 |
| Vaccines & Immunizations | $7.73 | 100 | 73 |
| Hearing Test (Audiometry) | $0.00 | 62 | 47 |
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