Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Capitola, CA: $44.76

Avg. Paid

$44.76

Range

$0.00 – $145.03

Total Claims

98,204

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 Capitola, CA

Provider	Avg. Paid	Claims	Patients
Shailinder Jeet Singh 1820 41St Ave	$0.85	23,026	12,140
Ali Khademi 4145 Clares St Ste A	$145.03	11,688	11,527
Jedediah Larsen Wheeler 1820 41St Ave Ste D	$6.65	8,861	8,433
Komal Afzal 1820 41St Ave	$6.45	7,328	6,860
Wendy Therese Cicek Steiger 1820 41St Ave Ste C	$91.63	5,281	5,165
Stephanie Melton Graziani 1820 41St Ave Ste D	$4.75	5,147	4,859
Sara Saman Faheem 1820 41St Ave Ste D	$5.55	4,223	4,007
Lorena Bischoff Russo 1820 41St Ave Ste C	$81.24	4,101	4,023
Christian S Heywood 4140 Jade St Ste 100	$72.65	3,029	2,952
Nicholas Abidi 4140 Jade St Ste 100	$77.97	2,581	2,497
Karuna Sharma 1820 41St Ave Ste C	$88.11	2,502	2,441
Marelle Leone Yehuda 815 Bay Ave	$69.05	2,070	2,032
Kenneth Mensch 4140 Jade St Ste 100	$113.91	1,960	1,902
Jason Lyle Novick 525 Capitola Ave	$73.74	1,912	1,827
Darlene A Zanker 528 Capitola Ave	$5.38	1,416	1,320
Zaureen Kapadia 815 Bay Ave	$66.80	1,082	1,072
Jeffrey Ting-Yuan Chu 1820 41St Ave Ste D	$48.88	959	930
Saqib Ansari 815 Bay Ave	$57.66	946	905
Robert P. Chen 528 Capitola Ave	$6.22	927	881
Linda L Wolbers 4400 Capitola Rd Ste 200	$18.11	899	596
Michael Salvatore Nuzzo 4140 Jade St Ste 100	$62.52	896	882
Gursharan Kaur Gill 815 Bay Ave	$61.98	795	790
Carmelita Feliciano Cristobal 1820 41St Ave	$0.28	731	698
Jacqueline H. Sedgwick 528 Capitola Ave	$4.99	693	669
Hong-Nhung Tran 1820 41St Ave Ste D	$61.21	684	674
Tyler Wellman 1820 41St Ave Ste C	$88.43	606	600
Abie Sandy 4400 Capitola Rd Ste 200	$1.43	560	496
Daniel E Temple 528 Capitola Ave	$6.60	458	437
Leigh Alison Mueller 4145 Clares St	$5.60	447	436
Charlene Norquist 1350 41St Ave Ste 100	$84.61	374	369
Gina M Siclari 1820 41St Ave Ste C	$124.61	345	340
Robert Moler 1820 41St Ave	$4.95	250	242
Glenn Edward Macwhorter 716 Capitola Ave	$0.00	237	180
Caleb Miraglia 1350 41St Ave Ste 100	$81.88	232	232
Patrick Michael Grant 1200 41St Ave Ste H	$84.56	166	166
Matthew S Pilon 1350 41St Ave Ste 100	$62.39	150	150
Bayview Gastroenterology Medical Corporation 4145 Clares St	$39.91	132	127
Marjorie E Wagoner 1350 41St Ave Ste 100	$68.71	117	116
William Hart 815 Bay Ave	$60.21	116	115
Izzet Cagri Yazgan 2052 Sellars Ct	$0.00	107	98
Paul Frederick Ware Po Box 537	$43.65	79	75
Carla Collins Gorum 1820 41St Ave	$3.77	55	53
Michael Nguyen 824 Bay Ave Ste 70	$122.44	36	36

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 Capitola, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Capitola, CA is $44.76 per claim, based on 98,204 claims from 43 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 Capitola, CA?

There are 43 Medicaid providers offering Office Visit related services in Capitola, CA according to public payment data.

What is the price range for Office Visit in Capitola, CA?

Medicaid reimbursement for Office Visit in Capitola, CA ranges from $0.00 to $145.03 per claim, with an average of $44.76. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Capitola, CA: $44.76

Providers Offering Office Visit in Capitola, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Capitola, CA

Physical Therapy

Vaccines & Immunizations

Behavioral & Mental Health Therapy

Hearing Test (Audiometry)

Chiropractic Care

Eye Exam

Emergency Room Visit

Psychiatric Evaluation