Based on public Medicaid payment data.
Otto William Pantoja
Medicaid Provider in Tripler Army Medical Center, HI
Type
Individual Provider
Address
1 Jarrett White Rd
Tripler Army Medical Center, HI 968595001
Phone
7872016955
NPI
1780905828
Procedures
5
Total Claims
1.8K
Patients Served
1.6K
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 | $54.25 | 1,582 | 1,443 |
| Urinalysis & Urine Tests | $7.70 | 131 | 119 |
| Pathology & Lab Services | $31.00 | 42 | 29 |
| Ultrasound | $27.95 | 32 | 27 |
| Blood Work & Lab Tests | $5.22 | 16 | 14 |
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