Based on public Medicaid payment data.
Su-Yu Li
Medicaid Provider in Rancho Cucamonga, CA
Type
Individual Provider
Address
8599 Haven Ave
Rancho Cucamonga, CA 917304849
Phone
9095703125
NPI
1013247899
Procedures
4
Total Claims
17.2K
Patients Served
15K
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 | $5.34 | 16,297 | 14,073 |
| CT Scan (Computed Tomography) | $31.68 | 567 | 550 |
| Ultrasound | $13.82 | 329 | 314 |
| Mammogram | $27.12 | 44 | 43 |
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