Average Medicaid Office Visit Payments in Atwater, CA: $27.94
Avg. Paid
$27.94
Range
$0.00 – $84.30
Total Claims
386,111
Providers
26
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 Atwater, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Castle Family Health Centers Inc.
3605 Hospital Road |
$33.81 | 220,711 | 183,729 |
|
Jose Ignacio Buenrostro
3605 Hospital Rd |
$8.56 | 42,172 | 37,873 |
|
Castle Family Health Centers Inc.
1251 Grove Avenue |
$33.50 | 34,556 | 31,249 |
|
Rodrigo Dezubiria
3605 Hospital Rd |
$3.62 | 28,500 | 25,958 |
|
Thavalinh Mark Sphabmixay
1675 Shaffer Rd |
$3.91 | 18,703 | 17,736 |
|
Dental Surgery Centers Of America
3605 Hospital Road |
$65.75 | 15,448 | 7,436 |
|
Donald Eric Golden
1775 3Rd St |
$16.30 | 6,650 | 5,733 |
|
Jenna Weitzman
3140 Apron Ave |
$84.30 | 3,439 | 3,434 |
|
Tahir Yaqub
1775 3Rd St |
$6.22 | 3,414 | 2,766 |
|
Muhammad Iqbal Choudhry
1775 Third Street |
$3.90 | 3,207 | 2,662 |
|
Bhubanesh Kumar Bhatta
3605 Hospital Rd |
$6.04 | 2,288 | 2,105 |
|
Robert Thomas Horvat
3605 Hospital Rd |
$18.70 | 1,490 | 1,441 |
|
Eric C. Disbrow
1775 3Rd St |
$5.44 | 1,096 | 1,022 |
|
Pierre A Scales
1251 Grove Ave |
$40.82 | 1,006 | 876 |
|
Steven L. Taggart
1775 3Rd St |
$3.08 | 911 | 715 |
|
Sujay R Nair
1229 Commerce Ave |
$84.16 | 835 | 835 |
|
Adrian Enad Carreon
3605 Hospital Rd |
$0.27 | 567 | 557 |
|
Lisa Anne Baker
3064 Claret Cir |
$5.47 | 303 | 274 |
|
Lorena Magana Magana
3605 Hospital Rd |
$0.00 | 225 | 220 |
|
Atwater Medical Group
1775 3Rd St |
$20.31 | 212 | 171 |
|
Morgan Elizabeth Oliver
1229 Commerce Ave |
$82.36 | 141 | 140 |
|
Edward A. Vanek, D.O., Inc.
3140 Apron Ave |
$23.85 | 115 | 98 |
|
Carlos C Say
329 E Bellevue Rd |
$0.00 | 39 | 38 |
|
Natalie Morris
3140 Apron Ave |
$71.72 | 36 | 36 |
|
Deborah Ellen Steinberg
3605 Hospital Rd Ste A |
$0.00 | 33 | 33 |
|
Jaime N/A Morga
3605 Hospital Rd |
$0.00 | 14 | 14 |
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 Atwater, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Atwater, CA is $27.94 per claim, based on 386,111 claims from 26 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 Atwater, CA?
There are 26 Medicaid providers offering Office Visit related services in Atwater, CA according to public payment data.
What is the price range for Office Visit in Atwater, CA?
Medicaid reimbursement for Office Visit in Atwater, CA ranges from $0.00 to $84.30 per claim, with an average of $27.94. 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 Atwater, CA
Non-Emergency Medical Transportation
Avg $36.08
314,249 claims
Physical Therapy
Avg $46.79
120,842 claims
Behavioral & Mental Health Therapy
Avg $47.64
107,662 claims
Dental Cleaning & Exam
Avg $48.72
73,172 claims
Blood Work & Lab Tests
Avg $0.98
62,579 claims
Root Canal
Avg $97.18
40,564 claims
Vaccines & Immunizations
Avg $22.83
40,378 claims
Urinalysis & Urine Tests
Avg $1.72
36,771 claims