Based on public Medicaid payment data.
Iwan Nyotowidjojo
Medicaid Provider in Rancho Santa Margarita, CA
Type
Individual Provider
Address
29472 Avenida De Las Banderas
Rancho Santa Margarita, CA 92688
Phone
9494599968
NPI
1578976270
Procedures
1
Total Claims
1.2K
Patients Served
771
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 | $3.72 | 1,197 | 771 |
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