Average Medicaid Office Visit Payments in Atascadero, CA: $69.02
Avg. Paid
$69.02
Range
$0.00 – $621.44
Total Claims
113,712
Providers
38
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 Atascadero, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mellie Fay Keene
10333 El Camino Real |
$0.00 | 15 | 14 |
|
Seneca Family Of Agencies
6850 Morro Rd |
$621.44 | 15 | 12 |
|
Anas Elsaid
10333 El Camino Real |
$0.00 | 22 | 21 |
|
Anup Singh Sidhu
10333 El Camino Real |
$1.17 | 31 | 28 |
|
Jane Diane Mcclenahan
10333 El Camino Real |
$0.00 | 55 | 55 |
|
Geoffrey Bryan Chaffe
6480 Palma Ave |
$20.12 | 73 | 65 |
|
Matthew Kilthau
10333 El Camino Real |
$0.93 | 76 | 76 |
|
Troy I Mounts
5000 San Palo Rd |
$73.87 | 132 | 127 |
|
Deborah J Villa
1930 El Camino Real |
$103.35 | 135 | 92 |
|
Haizhu Pearl Liu
10333 El Camino Real |
$58.40 | 154 | 131 |
|
Philnln, Inc.
7619 Morro Rd |
$51.21 | 182 | 166 |
|
Karen Jean Roberts
9700 El Camino Real |
$0.85 | 206 | 188 |
|
Joshua Cylde Deane
10333 El Camino Real |
$3.93 | 213 | 212 |
|
Ronalyn Macayan Amor
10333 El Camino Real |
$7.21 | 265 | 264 |
|
Dawnmarie Risley-Childs
10333 El Camino Real |
$47.11 | 280 | 244 |
|
Ian Blair Murton
7770 Morro Rd |
$120.98 | 293 | 288 |
|
Annette Michelle Ewing
9700 El Camino Real Ste 100 |
$3.01 | 500 | 436 |
|
Michael Wayne Page
7512 Morro Rd |
$0.00 | 576 | 365 |
|
Justin Wayne Jones
10333 El Camino Real |
$0.00 | 668 | 458 |
|
Philip F Wichmann
7512 Morro Rd |
$0.00 | 670 | 632 |
|
Moghees Ahmed
10333 El Camino Real |
$142.62 | 701 | 470 |
|
Colleen Lipanovich
5920 West Mall |
$142.92 | 850 | 838 |
|
Laura Hutchison
7700 Morro Rd |
$72.30 | 882 | 824 |
|
Rachel Irene Haynes
7700 Morro Rd |
$55.84 | 883 | 498 |
|
Bethany S Fisher
13200 Santa Ana Rd |
$0.00 | 1,001 | 875 |
|
Timothy N Tidwell
5920 West Mall |
$44.25 | 1,004 | 988 |
|
Ryan Donahue
5855 Capistrano Ave Ste D |
$0.02 | 1,014 | 920 |
|
Lisa Thiel Vasak
5920 West Mall |
$62.88 | 1,051 | 1,018 |
|
Philip J Citek
7619 Morro Rd |
$34.65 | 1,781 | 1,631 |
|
Christopher Ryan Tucker
5920 West Mall |
$0.03 | 2,207 | 1,602 |
|
Angelo R. Belli-Mojica
10333 El Camino Real |
$0.37 | 2,530 | 1,515 |
|
Victoria Lee Ota
10333 El Camino Real |
$11.16 | 3,494 | 2,313 |
|
County Of San Luis Obispo
5575 Hospital Drive |
$434.14 | 4,136 | 3,121 |
|
Lymar Galon Bik
6955 El Camino Real Ste 101 |
$30.62 | 5,448 | 5,121 |
|
Robin Andrew Alleyne
7512 Morro Rd |
$0.07 | 6,816 | 6,387 |
|
Di Xun
10333 El Camino Real |
$48.87 | 7,632 | 5,237 |
|
Ben Cooke
7512 Morro Rd |
$1.15 | 28,084 | 24,467 |
|
Shauna Lynch
10333 El Camino Real |
$121.79 | 39,637 | 38,010 |
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 Atascadero, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Atascadero, CA is $69.02 per claim, based on 113,712 claims from 38 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 Atascadero, CA?
There are 38 Medicaid providers offering Office Visit related services in Atascadero, CA according to public payment data.
What is the price range for Office Visit in Atascadero, CA?
Medicaid reimbursement for Office Visit in Atascadero, CA ranges from $0.00 to $621.44 per claim, with an average of $69.02. 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 Atascadero, CA
Substance Abuse Treatment
Avg $63.02
224,721 claims
Physical Therapy
Avg $15.00
70,292 claims
Behavioral & Mental Health Therapy
Avg $198.21
43,761 claims
Psychiatric Evaluation
Avg $147.37
36,868 claims
Case Management Services
Avg $182.70
33,775 claims
Urinalysis & Urine Tests
Avg $2.75
15,319 claims
Emergency Room Visit
Avg $48.58
11,741 claims
Blood Work & Lab Tests
Avg $4.64
8,065 claims