Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in California, MD: $81.69

Avg. Paid

$81.69

Range

$43.08 – $120.92

Total Claims

93,150

Providers

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 California, MD

Provider	Avg. Paid	Claims	Patients
Michael Edward Perraut 22590 Shady Ct	$67.54	26,961	23,171
Amit H Sheth 22878 Three Notch Rd	$65.46	13,344	7,912
Viral Dhiraj Gala 22590 Shady Court	$82.38	6,145	5,108
Kajal Samish Shah 22590 Shady Ct	$108.27	4,874	4,367
Carmen Fanous 22590 Shady Ct	$89.06	3,846	3,077
Vesta Inc 22685 Three Notch Rd Ste 200	$98.75	3,768	3,536
Beena Khetpal 22590 Shady Ct	$85.38	3,624	3,042
Chandrasekhar Kothuru 22590 Shady Ct	$89.92	3,343	2,914
Christine Garrity 22590 Shady Ct	$87.16	3,316	2,950
Cheryl Wyatt 22576 Macarthur Blvd	$113.35	3,091	2,821
Archana Gupta 22590 Shady Ct	$92.20	2,937	2,693
Maunank Manharbhai Patel 22590 Shady Ct	$80.10	2,410	2,131
Lindsay Hill 22590 Shady Ct	$86.27	2,407	2,061
Naomi Ruth Constantine 22590 Shady Ct	$73.15	1,839	1,627
Gurdeep Chhabra 23415 Three Notch Rd Ste 2050	$112.70	1,837	1,512
Minal M Shah 23415 Three Notch Rd Ste 2050	$117.36	1,590	1,426
Mary Clark Magill 22590 Shady Ct	$102.40	1,363	1,204
Danielle Malhotra 22590 Shady Ct	$91.93	1,189	1,052
Guillana Simon 22590 Shady Ct	$98.78	864	770
Rita Jhaveri 22590 Shady Ct	$89.09	827	702
Mark Andrew Chylinski 22590 Shady Ct	$102.96	789	657
Mary Ann Lucero-Pierce 22590 Shady Ct	$62.21	700	667
Sharini Venugopal 22590 Shady Ct	$120.92	455	419
Medexpress Urgent Care, Pc - Maryland 45325 Abell House Ln	$60.26	431	233
Carl H Ling 23415 Three Notch Rd	$64.18	429	370
Victoria Dube 22590 Shady Ct	$110.97	386	346
Pyramid Walden, Llc 44871 St. Andrews Church Road	$120.91	196	173
Mia Bartuska Finkelston 23415 Three Notch Rd	$53.95	98	94
Leslie Ann Gilbert 23077 Three Notch Rd Ste 101	$43.08	52	49
Advanced Pain Management Specialists Llc 23619 Oak View Dr Ste R	$65.93	39	39

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 California, MD?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in California, MD is $81.69 per claim, based on 93,150 claims from 30 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 California, MD?

There are 30 Medicaid providers offering Office Visit related services in California, MD according to public payment data.

What is the price range for Office Visit in California, MD?

Medicaid reimbursement for Office Visit in California, MD ranges from $43.08 to $120.92 per claim, with an average of $81.69. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in California, MD: $81.69

Providers Offering Office Visit in California, MD

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 California, MD

Dental Cleaning & Exam

Vaccines & Immunizations

Blood Work & Lab Tests

Substance Abuse Treatment

Eye Exam

Physical Therapy

Hearing Test (Audiometry)

Dental Filling