Average Medicaid Office Visit Payments in Coalinga, CA: $3.96
Avg. Paid
$3.96
Range
$0.00 – $655.40
Total Claims
74,240
Providers
8
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 Coalinga, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sangil Kwon
24511 W Jayne Ave |
$123.21 | 34 | 34 |
|
Turning Point Of Central California Inc.
380 Coalinga Plz |
$655.40 | 218 | 218 |
|
Coalinga Medical Center, Llc
1191 Phelps Ave |
$0.99 | 2,360 | 2,001 |
|
Reedley Community Hospital
155 S 5Th St |
$0.00 | 7,755 | 7,023 |
|
Julian Kim
1191 Phelps Ave |
$2.75 | 9,672 | 9,571 |
|
Coalinga Valley Health Clinics, Inc
1145 Phelps Ave Ste 104 |
$0.09 | 10,462 | 8,594 |
|
Leonel Apodaca
1145 Phelps Avenue |
$1.38 | 20,311 | 17,113 |
|
Paul A Griffin
222 N 5Th St |
$3.81 | 23,428 | 19,225 |
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 Coalinga, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Coalinga, CA is $3.96 per claim, based on 74,240 claims from 8 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 Coalinga, CA?
There are 8 Medicaid providers offering Office Visit related services in Coalinga, CA according to public payment data.
What is the price range for Office Visit in Coalinga, CA?
Medicaid reimbursement for Office Visit in Coalinga, CA ranges from $0.00 to $655.40 per claim, with an average of $3.96. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Coalinga, CA
Psychiatric Evaluation
Avg $91.05
19,011 claims
Blood Work & Lab Tests
Avg $2.14
17,557 claims
Emergency Room Visit
Avg $53.08
10,164 claims
Urinalysis & Urine Tests
Avg $0.60
9,678 claims
Speech Therapy
Avg $21.43
9,406 claims
Vaccines & Immunizations
Avg $0.28
8,200 claims
Behavioral & Mental Health Therapy
Avg $178.11
7,734 claims
Dental Cleaning & Exam
Avg $61.40
4,808 claims