Average Medicaid Office Visit Payments in Azusa, CA: $19.24
Avg. Paid
$19.24
Range
$0.00 – $644.75
Total Claims
88,479
Providers
24
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 Azusa, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bina A Kamdar Md, Inc.
520 W Foothill Blvd |
$23.56 | 24 | 24 |
|
Bethany Stutzman
150 N Azusa Ave |
$0.00 | 42 | 42 |
|
Sheela Surapaneni
23701 E East Fork Rd |
$92.19 | 42 | 40 |
|
Stanton T Emerson
901 E Alosta Ave |
$33.41 | 45 | 45 |
|
Patricia F Marquez
121 E Tenth St |
$3.12 | 48 | 45 |
|
Rajiv H Bhuva
677 E Tangerine St |
$3.82 | 85 | 82 |
|
Jafar Ayyad
290 Spruce Ct |
$104.74 | 115 | 115 |
|
Hilda Azpeitia
521 N Azusa Ave |
$0.00 | 164 | 162 |
|
Social Model Recovery Systems, Inc.
23701 E East Fork Rd |
$644.75 | 303 | 272 |
|
Sana Kamdar
520 W Foothill Blvd |
$0.07 | 544 | 537 |
|
El Proyecto Del Barrio, Inc.
150 N Azusa Ave |
$0.35 | 786 | 669 |
|
Juan Lempira Alas
545 N San Gabriel Ave |
$120.47 | 1,295 | 998 |
|
Heidi Samantha Martinez
453 E Arrow Hwy |
$18.06 | 1,340 | 1,296 |
|
Leslie Paredes-Plaza
6015 N Goodway Dr |
$0.56 | 2,096 | 1,795 |
|
Milton Hom
822 E Alosta Ave Ste A |
$5.63 | 2,160 | 2,128 |
|
Veronika J Weller
150 N Azusa Ave |
$34.38 | 2,496 | 2,149 |
|
Bina Ashraf Kamdar
520 W Foothill Blvd |
$1.25 | 3,161 | 3,117 |
|
Becky Zhao
150 N Azusa Ave |
$20.46 | 4,270 | 3,965 |
|
Shariar Borbor
521 N Azusa Ave |
$1.90 | 4,490 | 4,317 |
|
Edward Arceo Santiago
490 E Desert Willow Rd |
$47.63 | 5,991 | 5,501 |
|
Rafael Carcamo
647 E Arrow Hwy |
$4.27 | 13,227 | 12,349 |
|
Katan Pravin Patel
150 N Azusa Ave |
$0.71 | 13,514 | 11,887 |
|
Jerrold C Bustos
830 S. Citrus Avenue |
$51.73 | 14,340 | 14,224 |
|
Kaied Alberto Shalabi
453 E Arrow Hwy |
$0.87 | 17,901 | 15,736 |
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 Azusa, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Azusa, CA is $19.24 per claim, based on 88,479 claims from 24 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 Azusa, CA?
There are 24 Medicaid providers offering Office Visit related services in Azusa, CA according to public payment data.
What is the price range for Office Visit in Azusa, CA?
Medicaid reimbursement for Office Visit in Azusa, CA ranges from $0.00 to $644.75 per claim, with an average of $19.24. 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 Azusa, CA
Substance Abuse Treatment
Avg $20.41
142,501 claims
Mammogram
Avg $53.40
49,831 claims
Behavioral & Mental Health Therapy
Avg $128.27
41,229 claims
Dental Cleaning & Exam
Avg $50.76
38,099 claims
Vaccines & Immunizations
Avg $4.50
23,337 claims
Durable Medical Equipment (DME)
Avg $18.68
19,912 claims
Hearing Test (Audiometry)
Avg $5.57
13,168 claims
Ultrasound
Avg $38.55
12,452 claims