Based on public Medicaid payment data.

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
Ernest Yadao Cheng 3031 Telegraph Ave.	$81.65	12	12
Claudia Landau 930 Spruce St	$0.00	12	12
Lonnie P Lin 2999 Regent St	$0.00	12	12
Jasmine Lee 2500 Milvia St	$103.38	12	12
Candice C Wong 2613 Hillegass Ave	$0.00	12	12
Claudia Cynthia Ruegg 200 Minor Hl	$22.15	13	13
Montserrat Joan Astorino 200 Minor Hall	$0.00	13	13
Sikai Felicia Yang 2999 Regent St Ste 301	$30.69	13	13
Camille Giraud 2621 10Th St Fl 2	$94.29	14	14
Ricky Dang 2222 Bancroft Way	$18.55	14	13
Alan Wesley Sue 2060 4Th St	$18.68	14	12
Maria De Fatima Reyes 2001 Dwight Way	$0.00	14	13
Jessica Muthoni Ndiritu 1901 4Th St	$3.36	15	13
Myngoc Thi Nguyen 3010 Colby St Ste 118	$0.00	15	15
Greg Barme 2999 Regent St Ste 612	$50.16	15	15
Altaf Ansari 2500 Milvia St	$4.59	15	15
Karen Eula Molina 230 Minor Hl	$0.00	17	17
Rory Caygill-Walsh 2031 6Th St	$0.00	19	12
Trissa Baden 2450 Ashby Ave Ste 5505	$27.84	19	15
Yevgeniya Levit Po Box 11247	$66.92	20	13
Emily N Hooker 2840 College Ave	$67.26	23	23
Daphne Chan 200 Minor Hl	$122.64	24	24
Altaf A Bhimji 1918 Bonita Ave Fl 2	$90.00	26	12
Francine Ann Yep 3100 San Pablo Ave Ste 310	$77.98	26	24
Chi Keung Lee 2999 Regent St	$2.78	27	25
Especianise Loresca 2500 Milvia St	$46.03	29	28
David Walter Kittams 1744 Alcatraz Ave	$0.00	31	16
Dennis Townsend 2500 Milvia St	$5.62	33	33
Annemary Franks 1650 Walnut St	$32.34	38	37
Sarah White 3100 San Pablo Ave # 310	$38.08	39	38
Ted Handler 2999 Regent St Suite 325	$16.05	40	40
Talia Shanks Gracer 3100 San Pablo Ave Ste 310	$90.54	41	40
Denise Michelle Ochoa 2500 Milvia St	$85.87	44	43
Tom Westin 2315 Prince St	$70.20	44	25
Rebecca Renee Rinehart 2915 Telegraph Ave Ste 200	$10.94	45	43
Valery Medina 200 Minor Hall	$47.60	46	38
Laura Todaro 2450 Ashby Ave	$1.85	46	44
Ana Weidenfeld 830 University Ave	$3.07	46	34
Jeffrey Joseph Kong 230 Minor Hall Mc-2020	$8.17	47	39
Sutter Bay Hospitals 2450 Ashby Avenue	$75.32	49	27
Yash Rusconi-Rodrigues 2621 10Th St	$101.65	52	49
Vikram Suri 2905 Telegraph Ave	$18.15	53	53
Michael George Loudin 3100 San Pablo Ave # 420	$140.52	53	51
Melissa Neuwelt 3100 San Pablo Ave	$133.66	56	54
Gwendolyn Gill 3260 Sacramento St	$3.65	57	46
Andrea Luethy 2621 10Th St	$60.56	61	56
Anh Nguyen 2831 Seventh St	$0.81	62	44
Audrey Dandrea 3100 San Pablo Ave # 310	$66.29	63	59
Nihar U Shah 2850 Telegraph Ave	$2.29	64	64
Richard Joseph Kerbavaz 2316 Dwight Way	$37.49	64	63

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.

Average Medicaid Office Visit Payments in Berkeley, CA: $20.12

Providers Offering Office Visit in Berkeley, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Berkeley, CA

Blood Work & Lab Tests

Urinalysis & Urine Tests

Substance Abuse Treatment

Emergency Room Visit

Culture & Microbiology Tests

EKG / ECG (Electrocardiogram)

Pathology & Lab Services

Behavioral & Mental Health Therapy