Average Medicaid Office Visit Payments in Arroyo Grande, CA: $25.52
Avg. Paid
$25.52
Range
$0.00 – $461.51
Total Claims
107,676
Providers
39
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 Arroyo Grande, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
George M Cury
1057 E Grand Ave |
$0.70 | 24,577 | 22,741 |
|
Bala Krishna Bhat
260 Station Way |
$0.10 | 19,579 | 18,268 |
|
Mark Smith
1057 E Grand Ave |
$0.04 | 7,892 | 7,307 |
|
Jillian Renee Davenport
230 Station Way Ste B |
$8.75 | 6,497 | 6,079 |
|
Scott E Adams
310 S Halcyon Rd |
$13.18 | 6,396 | 6,033 |
|
Eric Siu Ping Chan
1057 E Grand Ave |
$9.44 | 5,078 | 4,553 |
|
Jennifer Nell Koos
1152 E Grand Ave |
$139.01 | 4,378 | 4,306 |
|
Patrick D Welch
1057 E Grand Ave |
$0.03 | 4,101 | 3,925 |
|
Nazifa Paillet
260 Station Way |
$0.09 | 3,983 | 3,750 |
|
Pankaj Kumar Karan
1057 E Grand Ave |
$12.31 | 3,473 | 2,057 |
|
William S. Morgan
154 Traffic Way |
$113.31 | 3,058 | 2,515 |
|
Scott E Adams Dpm Inc
310 S Halcyon Rd |
$2.48 | 2,908 | 2,666 |
|
Alyssa Katherine Castagna
260 Station Way Ste A |
$0.00 | 1,738 | 1,586 |
|
Erick W. Hjortsvang
584 Camino Mercado |
$60.77 | 1,606 | 1,399 |
|
David L. Palchak
584 Camino Mercado |
$61.78 | 1,444 | 1,260 |
|
Jonathan E Fow
850 Fair Oaks Ave Ste 100 |
$101.36 | 1,311 | 1,235 |
|
Kenneth A. Spearman
880 Oak Park Blvd Ste 201 |
$42.40 | 1,176 | 1,164 |
|
County Of San Luis Obispo
1350 E Grand Ave |
$461.51 | 1,151 | 972 |
|
Randolph Bryant Cook
850 Fair Oaks Ave Ste 100 |
$97.88 | 859 | 831 |
|
Reshma Mahmood
260 Station Way |
$1.15 | 818 | 791 |
|
Nathan B Ecklund
310 S Halcyon Rd Ste 101 |
$11.30 | 802 | 757 |
|
Ena Sharma
850 Fair Oaks Ave Ste 220 |
$132.32 | 700 | 679 |
|
Daniel Perry
880 Oak Park Blvd Ste 201 |
$21.11 | 657 | 649 |
|
Shahrouz Eman
1057 E Grand Ave |
$0.00 | 495 | 329 |
|
Peter Sebastian Masny
850 Fair Oaks Ave Ste 100 |
$121.99 | 468 | 458 |
|
Laura Frances Sandoval
860 Oak Park Blvd Ste 101 |
$104.70 | 443 | 433 |
|
Evelyn Mary Boyle
336 S Halcyon Rd |
$433.40 | 427 | 373 |
|
Michael Quezada
850 Fair Oaks Ave Ste 220 |
$99.85 | 358 | 353 |
|
Jason Aquino Buranday
860 Oak Park Blvd |
$25.48 | 252 | 252 |
|
Grant Andrew De Lamotte
850 Fair Oaks Ave Ste 100 |
$96.44 | 247 | 246 |
|
Rajan Patel
850 Fair Oaks Ave Ste 100 |
$128.80 | 222 | 220 |
|
David E Hardesty
850 Fair Oaks Ave Ste 100 |
$131.76 | 205 | 195 |
|
D'Ann Arthur
850 Fair Oaks Ave Ste 100 |
$95.27 | 128 | 121 |
|
Nickolas Peter Grimes
310 S Halcyon Rd |
$26.06 | 87 | 67 |
|
James Sellers
850 Fair Oaks Ave Ste 220 |
$22.81 | 63 | 62 |
|
Lauren Elizabeth Doege
850 Fair Oaks Ave Ste 220 |
$124.14 | 44 | 41 |
|
Neil John Correia
562 Camino Mercado |
$0.00 | 28 | 25 |
|
Bradley Curtis Idelshon
1057 E Grand Ave |
$22.40 | 15 | 15 |
|
Hannah Scobel Pisklov
850 Fair Oaks Ave Ste 100 |
$16.32 | 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 Arroyo Grande, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Arroyo Grande, CA is $25.52 per claim, based on 107,676 claims from 39 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 Arroyo Grande, CA?
There are 39 Medicaid providers offering Office Visit related services in Arroyo Grande, CA according to public payment data.
What is the price range for Office Visit in Arroyo Grande, CA?
Medicaid reimbursement for Office Visit in Arroyo Grande, CA ranges from $0.00 to $461.51 per claim, with an average of $25.52. 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 Arroyo Grande, CA
Speech Therapy
Avg $18.38
154,149 claims
Physical Therapy
Avg $25.89
41,383 claims
Dental Cleaning & Exam
Avg $55.74
27,244 claims
Chiropractic Care
Avg $0.95
27,117 claims
Psychiatric Evaluation
Avg $98.61
24,429 claims
Dental Filling
Avg $71.65
12,415 claims
Vaccines & Immunizations
Avg $3.17
10,145 claims
Podiatry (Foot Care)
Avg $6.84
10,075 claims