Average Medicaid Office Visit Payments in Aptos, CA: $3.85
Avg. Paid
$3.85
Range
$0.00 – $82.47
Total Claims
8,336
Providers
17
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Aptos, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William R Heller
10098 Soquel Dr |
$0.33 | 2,277 | 1,199 |
|
Jill Pagni Parello
105 Post Office Dr Ste F |
$5.72 | 1,851 | 1,701 |
|
Keith Stanfield Rayburn
9515 Soquel Dr Ste 100 |
$4.45 | 1,718 | 1,579 |
|
Robert Clark
7600 Old Dominion Ct |
$5.22 | 665 | 637 |
|
Susan Borba
7600 Old Dominion Court |
$3.25 | 639 | 618 |
|
Amy Culver
7600 Old Dominion Ct |
$3.59 | 315 | 297 |
|
Cory James Parello
105 Post Office Dr Ste F |
$4.33 | 159 | 136 |
|
Janyce Ruthann Berg
3133 Redwood Dr |
$1.03 | 155 | 114 |
|
Judith Angelica Garcia
9515 Soquel Dr |
$7.31 | 142 | 138 |
|
John Marcus Lay
10098 Soquel Dr |
$0.00 | 90 | 48 |
|
Nathan Atkinson
7600 Old Dominion Ct |
$10.39 | 88 | 82 |
|
Frances Maxwell Homer
7575 Soquel Drive |
$0.47 | 81 | 81 |
|
Kenneth Andrews
7600 Old Dominion Ct |
$5.07 | 73 | 63 |
|
Aphrodite Roberts
26 Rancho Del Mar |
$12.30 | 42 | 41 |
|
Jessica Anne Belknap
8065 Aptos St |
$55.04 | 15 | 13 |
|
Gerald (Gerry) C Van Dyke
6193 Soquel Dr |
$82.47 | 14 | 14 |
|
Alexandra Klikoff
3275 Aptos Rancho Rd |
$61.67 | 12 | 12 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Aptos, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Aptos, CA is $3.85 per claim, based on 8,336 claims from 17 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Aptos, CA?
There are 17 Medicaid providers offering Office Visit related services in Aptos, CA according to public payment data.
What is the price range for Office Visit in Aptos, CA?
Medicaid reimbursement for Office Visit in Aptos, CA ranges from $0.00 to $82.47 per claim, with an average of $3.85. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Aptos, CA
Psychiatric Evaluation
Avg $85.21
19,050 claims
Physical Therapy
Avg $33.20
17,137 claims
Chiropractic Care
Avg $31.86
7,035 claims
Dental Cleaning & Exam
Avg $44.25
4,024 claims
Dental Filling
Avg $61.94
1,253 claims
Vaccines & Immunizations
Avg $18.06
583 claims
Tooth Extraction
Avg $57.36
329 claims
Blood Work & Lab Tests
Avg $2.95
161 claims