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 |
|---|---|---|---|
|
Radha Iyengar
3050 Madison St |
$0.16 | 16,880 | 15,440 |
|
Robert Roscoe Vaughan
2510 El Camino Real |
$0.52 | 10,459 | 9,916 |
|
Ritvik Prakash Mehta
2390 Faraday Ave |
$118.28 | 10,265 | 9,910 |
|
Vishal Banthia
2390 Faraday Ave |
$43.03 | 5,916 | 3,916 |
|
Kristina Paal Mouradian
1295 Carlsbad Village Dr |
$2.42 | 4,192 | 3,648 |
|
Anna Krasheninnikova
935 Hawthorne Ave |
$1.52 | 3,382 | 1,261 |
|
Kinjal S. Madhav
6010 Hidden Valley Rd Ste 200 |
$116.70 | 2,802 | 2,788 |
|
Maria Jose Chavez Santos
1295 Carlsbad Village Dr Ste 100 |
$18.24 | 2,540 | 2,344 |
|
Yogesh V Patel
6221 Metropolitan St |
$10.04 | 2,404 | 2,297 |
|
Bilal Ahmad Choudry
6010 Hidden Valley Rd Ste 200 |
$84.60 | 2,288 | 2,277 |
|
Theodore Basile Qozi
2617 Town Garden Road |
$54.87 | 2,057 | 1,856 |
|
Sandip Jitendra Madhav
6010 Hidden Valley Rd Ste 200 |
$105.68 | 2,014 | 1,982 |
|
Mary Saph Tanaka
3257 Camino De Los Coches Ste 202 |
$6.58 | 1,959 | 1,868 |
|
Jazel Ruivivar Sambo
2510 El Camino Real |
$0.46 | 1,730 | 1,638 |
|
Chelsea Renee Clapp
6860 Avenida Encinas |
$5.75 | 1,645 | 1,594 |
|
Tracie A Serrato
2386 Faraday Ave |
$41.65 | 1,575 | 1,474 |
|
Coastal Pain & Spinal Diagnostics Medical Group, Inc.
6221 Metropolitan St |
$42.20 | 1,554 | 1,471 |
|
Tara Ann Quesnell
6010 Hidden Valley Rd Ste 200 |
$119.32 | 1,448 | 1,438 |
|
Nathan A Miller
6221 Metropolitan St |
$19.13 | 1,443 | 1,335 |
|
Katherine Ann Alexander
2601 Jefferson St Apt 506 |
$1.95 | 1,422 | 919 |
|
Irene Jennifer Oh
6010 Hidden Valley Rd Ste 200 |
$95.67 | 1,319 | 1,314 |
|
Nicole O'Donnell
7740 Rancho Santa Fe Rd |
$6.49 | 1,125 | 1,097 |
|
William Benjamin Farnsworth
6010 Hidden Valley Rd Ste 200 |
$117.13 | 953 | 949 |
|
Elizabeth B. Burgamy
3257 Camino De Los Coches, |
$5.41 | 946 | 906 |
|
Ankush Bansal
6221 Metropolitan St Ste 201 |
$14.45 | 935 | 877 |
|
Jennifer Asican Evans
2382 Faraday Ave Ste 100 |
$0.00 | 934 | 870 |
|
Zachary Thomas Fellows
6120 Paseo Del Norte Ste L2 |
$119.64 | 874 | 844 |
|
Melissa Kay Sprague
2176 Salk Ave |
$61.64 | 848 | 796 |
|
Vivian W Carlton
6260 El Camino Real Ste 101 |
$28.44 | 743 | 718 |
|
Urgent Care 3D Inc.
6010 Hidden Valley Rd |
$32.53 | 690 | 607 |
|
Denise Ford
2805 Cazadero Dr |
$0.00 | 669 | 437 |
|
Ngoc B Truong
6010 Hidden Valley Rd Ste 110 |
$53.46 | 660 | 632 |
|
Evan Ross Goodman
6221 Metropolitan St Ste 201 |
$15.28 | 600 | 572 |
|
Aman A Savani
6010 Hidden Valley Rd Ste 200 |
$120.86 | 586 | 580 |
|
Julia Ortega
6180 Colt Pl Unit 103 |
$0.44 | 578 | 417 |
|
June Yoshii-Contreras
6010 Hidden Valley Rd Ste 200 |
$39.54 | 564 | 547 |
|
Andrea Grayson
7740 Rancho Santa Fe Rd |
$17.46 | 552 | 517 |
|
Glenn Mark Balfour
785 Grand Ave Ste 218 |
$8.32 | 547 | 539 |
|
Benjamin Mark Frishberg
6010 Hidden Valley Rd Ste 200 |
$100.48 | 538 | 530 |
|
Gary P Korff
2910 Jefferson St Ste 100 |
$31.98 | 528 | 514 |
|
Matthew Hirsch
2020 Cassia Rd Ste 101 |
$88.39 | 506 | 490 |
|
Carolyn Clark
6010 Hidden Valley Rd Ste 115 |
$96.83 | 487 | 425 |
|
Sharon Marie Slowik
6260 El Camino Real |
$14.86 | 380 | 198 |
|
Erica O'Connor
3257 Camino De Los Coches Ste 202 |
$6.50 | 372 | 368 |
|
Norman Kane
6121 Paseo Del Norte Ste 200 |
$96.20 | 338 | 322 |
|
North County Neurology Associates Medical Group
6010 Hidden Valley Rd Ste 200 |
$32.88 | 332 | 328 |
|
Christian John Wigfall
6010 Hidden Valley Rd Ste 200 |
$34.97 | 332 | 332 |
|
Timothy Smith
2390 Faraday Ave |
$57.02 | 302 | 287 |
|
Brian Samuel Droker
6010 Hidden Valley Rd Ste 200 |
$121.04 | 291 | 289 |
|
Anchi Wang
6010 Hidden Valley Rd Ste 200 |
$69.45 | 237 | 236 |
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