Average Medicaid Office Visit Payments in Berkeley, CA: $20.12
Avg. Paid
$20.12
Range
$0.00 – $506.72
Total Claims
524,956
Providers
289
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 Berkeley, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yonis A Mudey
2288 Fulton St Ste 309 |
$135.63 | 24,321 | 20,481 |
|
David Lane Pakter
562 Woodmont Ave |
$3.21 | 13,890 | 8,077 |
|
Carbon Health Medical Group Of California Pc
2920 Telegraph Ave |
$36.71 | 12,520 | 12,085 |
|
Tracy Lynette White
2031 6Th St |
$2.09 | 11,105 | 6,727 |
|
Vanessa Marie Mayen
837 Addison St |
$2.45 | 11,029 | 6,425 |
|
Rebecca Spence
620 Cragmont Ave |
$20.97 | 10,578 | 6,330 |
|
Diane Yvonne Chowwoods
3260 Sacramento St |
$1.64 | 10,146 | 7,085 |
|
Eric Arthur Fuller
1178 San Pablo Ave |
$2.96 | 9,899 | 6,659 |
|
Ann M Wexler
2001 Dwight Way |
$44.56 | 9,755 | 6,224 |
|
Zena E Herman
837 Addison St |
$2.03 | 9,714 | 5,150 |
|
Tamra Leigh Groode
2701 Martin Luther King Jr Way |
$0.16 | 9,681 | 6,495 |
|
Kara Cunningham
3100 San Pablo Ave Ste 310 |
$0.13 | 9,524 | 6,067 |
|
Alison Roberts
2450 Ashby Ave |
$6.70 | 9,402 | 5,386 |
|
Catherine M Flanagan
2031 6Th St |
$1.56 | 9,028 | 5,477 |
|
Don Weinreich
3000 Colby St |
$0.00 | 8,740 | 5,681 |
|
Kelley Suzanne Stewart
2031 6Th St |
$2.67 | 8,614 | 5,107 |
|
Nicole Sata
3075 Adeline St Ste 280 |
$1.64 | 8,598 | 4,546 |
|
Robin Feiner Winokur
1744 Alcatraz Ave |
$12.31 | 8,361 | 7,714 |
|
Alayna Liptak
837 Addison Street |
$2.50 | 7,806 | 4,026 |
|
Laila Rania Tannura
837 Addison St. |
$2.78 | 7,756 | 4,644 |
|
Napoleon Nazareno
837 Addison St |
$1.62 | 7,326 | 4,596 |
|
Kimberly H Cardoso
2001 Dwight Way |
$3.72 | 7,224 | 3,977 |
|
Leonardo M Dacanay
1936 University Ave Ste 112 |
$33.49 | 7,212 | 7,146 |
|
Tiffany Lundeen
2450 Ashby Ave |
$34.42 | 6,740 | 4,114 |
|
Mariam Attawia
3075 Adeline St Ste 280 |
$1.81 | 6,621 | 3,565 |
|
Olivia Debree
3075 Adeline Street, Suite 280 |
$2.70 | 6,423 | 3,924 |
|
Sarah Marie Kelmenson-Chau
3010 Colby St |
$24.20 | 5,859 | 3,858 |
|
Kerry Jeanne Rogers
2222 Bancroft Ext |
$0.00 | 5,549 | 3,386 |
|
Rachel Joan Fogel
3260 Sacramento St |
$0.88 | 5,540 | 3,800 |
|
Jaleh Niazi
900 Colusa Ave Ste 204 |
$7.27 | 5,391 | 4,950 |
|
Dana Gersten
1711 Ward St |
$1.08 | 5,356 | 3,383 |
|
Leah Christine Rieff
3075 Adeline St Ste 270 |
$23.26 | 5,219 | 1,725 |
|
Kim T Nguyen
3075 Adeline St |
$2.06 | 5,187 | 3,631 |
|
Alison Dion Perry
3075 Adeline St Ste 280 |
$1.19 | 5,153 | 3,071 |
|
Elizabeth Laura Salsburg
1744 Alcatraz Ave |
$16.11 | 5,116 | 4,863 |
|
Linda K. Frankel
3075 Adeline St |
$25.79 | 5,109 | 3,290 |
|
Rahitha Maria Thomas
2905 Telegraph Ave |
$3.48 | 4,355 | 3,296 |
|
Zhuoshu Deng
1650 Walnut St |
$0.00 | 4,274 | 3,929 |
|
Jessica Ann Furer
3260 Sacramento St |
$0.67 | 4,249 | 2,950 |
|
Karen Carothers
2450 Ashby Ave |
$4.05 | 4,095 | 2,627 |
|
James Edward Eichel
2915 Telegraph Ave |
$39.46 | 3,966 | 3,756 |
|
Kevin B Knopf
2001 Dwight Way |
$32.99 | 3,942 | 3,787 |
|
Julia Marino
Lifelong Ashby Health Center |
$1.84 | 3,672 | 2,062 |
|
Nicole Atme-Bahrani
2850 7Th St Ste 200 |
$3.01 | 3,644 | 2,002 |
|
Cris Bissonnette
1749 Martin Luther King Jr Way |
$1.46 | 3,627 | 2,480 |
|
Gerard Pierre Jenkins
2450 Ashby Ave Rm 5505 |
$0.43 | 3,555 | 1,945 |
|
Jennifer Lynn Lee
2621 10Th St |
$39.94 | 3,443 | 3,241 |
|
Haruka Kelley
2500 Milvia St |
$0.00 | 3,438 | 1,751 |
|
Melanie Marusczak
3075 Adeline St |
$1.68 | 3,405 | 2,322 |
|
Sara Paredes
3000 Colby St Ste 202 |
$7.21 | 3,289 | 2,876 |
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 Berkeley, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Berkeley, CA is $20.12 per claim, based on 524,956 claims from 289 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 Berkeley, CA?
There are 289 Medicaid providers offering Office Visit related services in Berkeley, CA according to public payment data.
What is the price range for Office Visit in Berkeley, CA?
Medicaid reimbursement for Office Visit in Berkeley, CA ranges from $0.00 to $506.72 per claim, with an average of $20.12. 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 Berkeley, CA
Blood Work & Lab Tests
Avg $7.21
1,019,482 claims
Urinalysis & Urine Tests
Avg $3.28
377,997 claims
Substance Abuse Treatment
Avg $34.05
269,177 claims
Emergency Room Visit
Avg $72.88
161,073 claims
Culture & Microbiology Tests
Avg $3.59
144,863 claims
EKG / ECG (Electrocardiogram)
Avg $11.90
127,855 claims
Pathology & Lab Services
Avg $47.12
108,103 claims
Behavioral & Mental Health Therapy
Avg $294.78
99,251 claims