Based on public Medicaid payment data.
Andrew Paul Thierry
Medicaid Provider in Santa Monica, CA
Type
Individual Provider
Address
1112 Montana Ave Ste 392
Santa Monica, CA 904031652
Phone
3107406544
NPI
1184814006
Procedures
3
Total Claims
987
Patients Served
941
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 | $12.06 | 834 | 797 |
| CT Scan (Computed Tomography) | $90.53 | 122 | 113 |
| Mammogram | $109.23 | 31 | 31 |
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