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Based on public Medicaid payment data.

Michael Leon Tjahjadi

Medicaid Provider in Statesville, NC

Type

Individual Provider

Address

728 Hartness Rd

Statesville, NC 286773425

Phone

7043606420

NPI

1699188912

Procedures

5

Total Claims

10.6K

Patients Served

10.2K

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
Vaccines & Immunizations $7.19 5,247 5,128
Office Visit $148.45 4,732 4,519
Blood Work & Lab Tests $4.26 410 400
Urinalysis & Urine Tests $3.08 117 114
Hearing Test (Audiometry) $1.03 73 70

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