Average Medicaid Office Visit Payments in Calexico, CA: $17.74
Avg. Paid
$17.74
Range
$0.00 – $863.80
Total Claims
570,223
Providers
46
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 Calexico, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
El Centro Regional Medical Center
495 E Birch St Ste A |
$27.99 | 153,433 | 116,484 |
|
Allan Yang Wu
233 W Cole Blvd |
$3.35 | 83,244 | 70,689 |
|
Pioneers Memorial Healthcare District
450 E Birch St |
$24.33 | 53,664 | 48,929 |
|
Issadora Lara
223 W Cole Blvd |
$0.55 | 44,382 | 40,293 |
|
Luz Elva Tristan
401 E Birch St |
$8.36 | 37,509 | 33,670 |
|
Michelle Lynn Melendez
233 W. Cole Blvd |
$0.51 | 19,371 | 17,283 |
|
Mervat Kelada M D A Medical Corporation
1001 Blair Ave |
$22.63 | 17,402 | 14,870 |
|
Claudia Gonzalez
495 E Birch St Ste A |
$0.03 | 17,068 | 13,918 |
|
Mary I Gutierrez
408 E 3Rd St Ste B |
$0.08 | 16,419 | 13,694 |
|
Lisa Michelle Bean
223 W Cole Blvd |
$1.18 | 15,969 | 13,177 |
|
Luc Octave Fontaine
233 W Cole Blvd |
$25.44 | 14,414 | 12,027 |
|
Daniel Samano
420 Heffernan Ave Ste 2B |
$2.19 | 14,171 | 11,151 |
|
Jaime E Estrada
1001 E. Birch St, Hwy 98 |
$6.43 | 10,486 | 9,446 |
|
Conrado Martinez
223 W Cole Blvd |
$0.39 | 9,246 | 7,840 |
|
Mario L Ceja
251 West Cole Boulevard |
$14.73 | 8,261 | 7,409 |
|
Scott George Bourns
223 W Cole Blvd |
$0.95 | 6,038 | 5,243 |
|
Man Cong Duong
423 E 2Nd St |
$37.45 | 5,771 | 4,139 |
|
Samantha Castro
495 E Birch St Ste A |
$0.20 | 5,618 | 4,381 |
|
Nelson Omar Rios
120 W Cole Blvd |
$5.69 | 4,732 | 4,607 |
|
Clinicas De Salud Del Pueblo, Inc
223 W Cole Blvd |
$11.04 | 3,927 | 3,608 |
|
Jorge Ramon Romo
450 E Birch St |
$0.00 | 3,444 | 3,021 |
|
James E Creek
408 E 3Rd St Ste F |
$3.29 | 3,070 | 2,385 |
|
Mariana Nogales
233 West Cole Road |
$0.00 | 2,519 | 2,179 |
|
Manuel Oswaldo Ramirez
223 W Cole Blvd |
$0.67 | 2,182 | 1,737 |
|
Richard Henry Hubbard
801 E Birch St Ste 5 |
$23.73 | 2,037 | 2,014 |
|
Clara Padron-Spence
223 W Cole Blvd |
$6.89 | 2,015 | 1,943 |
|
Robert Kleiman
120 W Cole Blvd Ste B |
$17.78 | 2,004 | 1,897 |
|
Mervat G. Kelada
1001 Blair Ave |
$19.47 | 1,608 | 1,284 |
|
Karely Lara Paz
495 E Birch St |
$0.19 | 1,570 | 1,409 |
|
John E Bohm
120 W Cole Blvd Ste B |
$18.45 | 1,520 | 1,437 |
|
Imperial County Behavioral Health Services
1501 West Imperial Avenue |
$755.57 | 1,279 | 1,242 |
|
Julio Cesar Martinez
450 E Birch St |
$0.00 | 1,118 | 1,038 |
|
Imperial County Behavioral Health Services
101 Hacienda Dr Ste C |
$863.80 | 1,042 | 1,027 |
|
Patricia Jean Castaneda
450 E Birch St |
$0.00 | 672 | 648 |
|
Veronica Yee
450 E Birch St |
$0.05 | 648 | 620 |
|
Imperial County Behavioral Health Services
101 Hacienda Dr Ste A |
$857.84 | 631 | 619 |
|
Lisette Campos Cuevas
450 E Birch St |
$0.00 | 615 | 567 |
|
Chip Booher
120 W Cole Blvd Ste B |
$18.89 | 373 | 359 |
|
Ruth Z. Perry
223 W Cole Blvd |
$2.12 | 277 | 251 |
|
Salvador Ortega
120 W Cole Blvd. Suite B |
$7.04 | 261 | 246 |
|
Juliet Ellen Fliegel
120 W Cole Blvd Ste B |
$28.85 | 132 | 130 |
|
Gabriel Hernandez
223 W Cole Blvd |
$0.00 | 21 | 19 |
|
Susan J Dean
450 E Birch St |
$0.00 | 18 | 16 |
|
Vanessa Jimenez Fuentes
251 W Cole Blvd |
$0.00 | 15 | 15 |
|
Bihon Zeweldemariam
223 W Cole Blvd |
$0.00 | 14 | 12 |
|
Calexico Wellness Center
420 Heffernan Ave |
$8.31 | 13 | 12 |
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 Calexico, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Calexico, CA is $17.74 per claim, based on 570,223 claims from 46 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 Calexico, CA?
There are 46 Medicaid providers offering Office Visit related services in Calexico, CA according to public payment data.
What is the price range for Office Visit in Calexico, CA?
Medicaid reimbursement for Office Visit in Calexico, CA ranges from $0.00 to $863.80 per claim, with an average of $17.74. 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 Calexico, CA
Substance Abuse Treatment
Avg $35.23
122,242 claims
Vaccines & Immunizations
Avg $4.64
110,236 claims
Urinalysis & Urine Tests
Avg $0.53
103,263 claims
Dental Cleaning & Exam
Avg $56.20
53,268 claims
Blood Work & Lab Tests
Avg $1.14
26,519 claims
Physical Therapy
Avg $20.87
24,114 claims
Hearing Test (Audiometry)
Avg $2.79
22,049 claims
Dental Filling
Avg $65.94
20,208 claims