Based on public Medicaid payment data.
Farhad Keliddari
Medicaid Provider in Santa Monica, CA
Type
Individual Provider
Address
837 18Th St
Santa Monica, CA 904036710
Phone
9525951100
NPI
1750595682
Procedures
2
Total Claims
104
Patients Served
98
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 | $6.38 | 91 | 85 |
| CT Scan (Computed Tomography) | $19.71 | 13 | 13 |
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