Based on public Medicaid payment data.
Larry T. Halem
Medicaid Provider in Santa Monica, CA
Type
Individual Provider
Address
1250 16Th St
Santa Monica, CA 904041249
Phone
3103194000
NPI
1568574937
Procedures
7
Total Claims
20.5K
Patients Served
20K
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 |
|---|---|---|---|
| Emergency Room Visit | $64.28 | 14,454 | 14,347 |
| Blood Work & Lab Tests | $10.72 | 5,127 | 4,778 |
| EKG / ECG (Electrocardiogram) | $27.47 | 395 | 383 |
| Urinalysis & Urine Tests | $4.79 | 257 | 254 |
| CT Scan (Computed Tomography) | $237.53 | 168 | 113 |
| X-Ray | $11.92 | 43 | 43 |
| Prescription Medications | $5.14 | 40 | 40 |
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