Based on public Medicaid payment data.
Paulus L. Santoso
Medicaid Provider in Riverside, CA
Type
Individual Provider
Address
6969 Brockton Ave
Riverside, CA 925063809
Phone
9515308989
NPI
1154329373
Procedures
6
Total Claims
34.2K
Patients Served
29.2K
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 | $48.37 | 14,811 | 13,714 |
| Pregnancy & Prenatal Care | $67.76 | 13,214 | 9,516 |
| Urinalysis & Urine Tests | $3.18 | 5,183 | 5,011 |
| Ultrasound | $89.51 | 931 | 900 |
| Vaccines & Immunizations | $90.00 | 13 | 13 |
| Blood Work & Lab Tests | $0.00 | 12 | 12 |
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