Average Medicaid Office Visit Payments in Bloomington, CA: $9.05
Avg. Paid
$9.05
Range
$0.00 – $50.73
Total Claims
100,215
Providers
14
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 Bloomington, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Genevieve Elon Monge
18651 Valley Blvd |
$15.04 | 19 | 12 |
|
Community Health Systems, Inc.
18601 Valley Blvd |
$0.00 | 52 | 49 |
|
Gisela Jessica Barajas
18601 Valley Blvd |
$0.00 | 55 | 39 |
|
Gabriella Odudu
18601 Valley Blvd |
$0.00 | 197 | 138 |
|
Cathlene Ann Thompson
18601 Valley Blvd |
$18.62 | 1,367 | 1,283 |
|
Dimas Giovanni Calvachi
18601 Valley Blvd |
$1.35 | 1,687 | 931 |
|
Maneek Kaler
18601 Valley Blvd |
$1.94 | 2,377 | 1,511 |
|
Suzan Shakhshir
18601 Valley Blvd |
$6.65 | 3,665 | 3,492 |
|
Faiza Iram
18601 Valley Blvd |
$11.32 | 3,744 | 2,963 |
|
Taiwo Olanike Adams
18651 Valley Blvd |
$0.69 | 4,709 | 3,231 |
|
Diana Angela Plucker
18601 Valley Blvd |
$50.73 | 6,769 | 5,049 |
|
Herman A Carstens
18601 Valley Blvd |
$29.70 | 7,493 | 6,534 |
|
Alfonso Luna
657 S Lancewood Ave |
$0.28 | 17,106 | 15,192 |
|
Calvin Emanuel Lambert Hall
18601 Valley Blvd |
$4.58 | 50,975 | 40,516 |
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 Bloomington, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bloomington, CA is $9.05 per claim, based on 100,215 claims from 14 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 Bloomington, CA?
There are 14 Medicaid providers offering Office Visit related services in Bloomington, CA according to public payment data.
What is the price range for Office Visit in Bloomington, CA?
Medicaid reimbursement for Office Visit in Bloomington, CA ranges from $0.00 to $50.73 per claim, with an average of $9.05. 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 Bloomington, CA
Substance Abuse Treatment
Avg $141.21
31,029 claims
Vaccines & Immunizations
Avg $2.88
10,801 claims
Blood Work & Lab Tests
Avg $0.09
9,305 claims
Hearing Test (Audiometry)
Avg $0.09
4,505 claims
Pregnancy & Prenatal Care
Avg $58.82
4,365 claims
Eye Exam
Avg $0.19
2,885 claims
Urinalysis & Urine Tests
Avg $1.19
2,655 claims
Dental Cleaning & Exam
Avg $60.80
2,391 claims