Average Medicaid Office Visit Payments in Carmel, CA: $25.79
Avg. Paid
$25.79
Range
$0.00 – $121.78
Total Claims
23,638
Providers
18
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 Carmel, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eugene Young Lee
275 Crossroads Blvd |
$11.50 | 12 | 12 |
|
Elisa Maria Lagana
27565 Via Sereno |
$3.43 | 13 | 13 |
|
Renee Lucero Kang
100 Clock Tower Pl Ste 250 |
$11.06 | 13 | 13 |
|
Rebecca Iza Katz
3771 Rio Rd Ste 111 |
$31.70 | 24 | 18 |
|
Baldwin Md Inc Benner Md Inc & Benner Md Inc Gen Ptr
26625 Carmel Center Pl Ste 100 |
$11.30 | 27 | 27 |
|
Anne Marie Baylis
26485 Carmel Rancho Blvd Ste 6 |
$121.78 | 42 | 28 |
|
Jaya Prakash Sugunaraj
275 The Crossroads Blvd Ste A |
$69.82 | 53 | 52 |
|
Keiko Saito
275 Crossroads Blvd |
$2.40 | 79 | 74 |
|
Matthew Neoh
275 The Crossroads Blvd Ste A |
$7.29 | 82 | 74 |
|
Ekai Hsu
3845 Via Nona Marie Unit 221461 |
$0.00 | 87 | 68 |
|
Cheryl D Bryantbruce
26335 Carmel Rancho Blvd |
$2.33 | 107 | 70 |
|
David S Straface
275 The Crossroads |
$8.51 | 174 | 170 |
|
Lee Mell Goldman
27880 Dorris Dr |
$65.49 | 313 | 290 |
|
Gediminas Ruibys
275 Crossroads Blvd |
$5.40 | 349 | 337 |
|
Peter Andreas Michas-Martin
275 Crossroads Blvd |
$77.03 | 943 | 939 |
|
Cynthia Chan
28000 Selfridge Ln |
$19.10 | 1,673 | 1,146 |
|
Montage Medical Group
275 The Crossroads Blvd Ste A |
$58.93 | 7,820 | 7,148 |
|
Andrew C Johnston
275 Crossroads Blvd |
$0.76 | 11,827 | 6,945 |
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 Carmel, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Carmel, CA is $25.79 per claim, based on 23,638 claims from 18 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 Carmel, CA?
There are 18 Medicaid providers offering Office Visit related services in Carmel, CA according to public payment data.
What is the price range for Office Visit in Carmel, CA?
Medicaid reimbursement for Office Visit in Carmel, CA ranges from $0.00 to $121.78 per claim, with an average of $25.79. 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 Carmel, CA
Psychiatric Evaluation
Avg $79.94
29,003 claims
X-Ray
Avg $7.79
23,470 claims
Ultrasound
Avg $27.89
10,868 claims
Emergency Room Visit
Avg $62.86
10,237 claims
CT Scan (Computed Tomography)
Avg $48.78
10,225 claims
Physical Therapy
Avg $43.13
7,404 claims
Mammogram
Avg $33.53
4,617 claims
Eye Exam
Avg $20.30
4,294 claims