Average Medicaid Office Visit Payments in Carlsbad, CA: $38.23
Avg. Paid
$38.23
Range
$0.00 – $190.56
Total Claims
100,555
Providers
94
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 Carlsbad, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Beverly Wood
3758 Adams St |
$64.47 | 12 | 12 |
|
Allison Weed
2753 Jefferson St Ste 204 |
$80.29 | 12 | 12 |
|
Michael J Sebahar
6221 Metropolitan St |
$1.64 | 13 | 12 |
|
Jefferey Raunig
3257 Camino De Los Coches Ste 303 |
$26.54 | 13 | 13 |
|
Chelsea Dawn Pearson
2910 Jefferson St |
$0.00 | 16 | 16 |
|
Elizabeth A Ali
7312 Borla Pl |
$1.32 | 17 | 15 |
|
Lawrence Daniel Wong
2910 Jefferson St |
$62.74 | 17 | 16 |
|
Morgan Elizabeth O'Brien
2910 Jefferson St Ste 100102 |
$21.60 | 17 | 17 |
|
Ronald Hansel Main
2604B El Camino Real Ste 275 |
$11.38 | 18 | 12 |
|
David Glen Tweedy
2945 Harding St. |
$22.63 | 21 | 18 |
|
Gregory Aram Sahagian
6010 Hidden Valley Rd Ste 200 |
$173.99 | 24 | 24 |
|
Elizabeth Milne Rice
6010 Hidden Valley Rd Ste 200 |
$110.87 | 28 | 28 |
|
Anais Branwen Shannon
6860 Avenida Encinas |
$41.65 | 37 | 36 |
|
Victoria Nga Tran
2510 El Camino Real |
$9.10 | 40 | 40 |
|
Stella Alah Tih
5838 Edison Pl Ste 100 |
$71.55 | 40 | 40 |
|
Megan B. Lewis
2910 Jefferson St |
$117.71 | 48 | 27 |
|
Michael A. Lobatz
6010 Hidden Valley Rd Ste 200 |
$127.70 | 57 | 57 |
|
Stacie Hien Ly
2176 Salk Ave |
$36.12 | 57 | 55 |
|
Cherry Deolaso
7740 Rancho Santa Fe Rd |
$11.15 | 60 | 58 |
|
Ross Michael Hamilton
6010 Hidden Valley Rd Ste 200 |
$190.56 | 65 | 65 |
|
Arash Calafi
6121 Paseo Del Norte Ste 200 |
$73.55 | 69 | 64 |
|
Jennifer Kalia-Overlie
2382 Faraday Ave Ste 100 |
$100.00 | 69 | 67 |
|
Seyed Amir Tahaei
6010 Hidden Valley Rd Ste 110 |
$66.25 | 70 | 69 |
|
Alisa M L Hideg
6860 Avenida Encinas |
$43.19 | 71 | 68 |
|
Katelyn Wood
2176 Salk Ave Ste 200 |
$31.22 | 76 | 72 |
|
Andrea Paulitsch-Buckingham
1902 Wright Pl Fl 2 |
$99.98 | 87 | 78 |
|
Marco Antonio Ayala
2390 Faraday Ave |
$75.69 | 90 | 90 |
|
Cynthia Maresso
6860 Avenida Encinas |
$45.82 | 92 | 91 |
|
Mahyar Ajir
2801 Jefferson St |
$5.85 | 100 | 98 |
|
Ryan Anders Crane
2390 Faraday Ave |
$60.80 | 109 | 104 |
|
Evelyn L Ciampa
7525 Jerez Ct |
$12.02 | 116 | 91 |
|
Rodalyn Ulep Brown
6786 Vermarine Ct |
$2.58 | 124 | 119 |
|
Jack David Schim
6010 Hidden Valley Rd Ste 200 |
$85.44 | 131 | 131 |
|
Henry F. Showah
6260 El Camino Real # 100 |
$28.54 | 132 | 62 |
|
Robert Takao Coles
2176 Salk Ave Ste 200 |
$26.54 | 134 | 107 |
|
Erin F. Lawson
6221 Metropolitan St Ste 201 |
$44.96 | 145 | 141 |
|
Christine E. Pritchett
2176 Salk Ave |
$15.40 | 159 | 147 |
|
Tommy D Le
6860 Avenida Encinas |
$27.46 | 169 | 165 |
|
Mark R Gordon
2870 Whiptail Loop Ste 201 |
$64.14 | 172 | 169 |
|
Ohana Urgent Care Group, Inc
6260 El Camino Real |
$28.93 | 204 | 201 |
|
Andrew J Hall
2910 Jefferson St Ste 100 |
$31.80 | 213 | 206 |
|
Kathleen Carlson
7740 El Camino Real Ste F |
$2.04 | 221 | 210 |
|
Susan Fuerst
7740 Rancho Santa Fe Rd |
$7.96 | 221 | 216 |
|
Brenton Alan Wright
6010 Hidden Valley Rd Ste 200 |
$59.05 | 228 | 228 |
|
Anchi Wang
6010 Hidden Valley Rd Ste 200 |
$69.45 | 237 | 236 |
|
Brian Samuel Droker
6010 Hidden Valley Rd Ste 200 |
$121.04 | 291 | 289 |
|
Timothy Smith
2390 Faraday Ave |
$57.02 | 302 | 287 |
|
Christian John Wigfall
6010 Hidden Valley Rd Ste 200 |
$34.97 | 332 | 332 |
|
North County Neurology Associates Medical Group
6010 Hidden Valley Rd Ste 200 |
$32.88 | 332 | 328 |
|
Norman Kane
6121 Paseo Del Norte Ste 200 |
$96.20 | 338 | 322 |
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 Carlsbad, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Carlsbad, CA is $38.23 per claim, based on 100,555 claims from 94 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 Carlsbad, CA?
There are 94 Medicaid providers offering Office Visit related services in Carlsbad, CA according to public payment data.
What is the price range for Office Visit in Carlsbad, CA?
Medicaid reimbursement for Office Visit in Carlsbad, CA ranges from $0.00 to $190.56 per claim, with an average of $38.23. 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 Carlsbad, CA
Durable Medical Equipment (DME)
Avg $31.42
271,397 claims
Dental Cleaning & Exam
Avg $47.87
241,744 claims
Dental Filling
Avg $63.58
71,315 claims
Psychiatric Evaluation
Avg $30.20
67,149 claims
Behavioral & Mental Health Therapy
Avg $129.56
51,899 claims
Physical Therapy
Avg $26.35
41,814 claims
Ambulance Transport
Avg $126.51
41,229 claims
Pathology & Lab Services
Avg $44.91
37,504 claims