Average Medicaid Office Visit Payments in Covina, CA: $41.94
Avg. Paid
$41.94
Range
$0.00 – $1,165
Total Claims
324,704
Providers
151
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 Covina, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dharmesh Mehta
236 W College St |
$73.69 | 43,271 | 41,515 |
|
Priti Nimesh Desai
315 N 3Rd Ave |
$11.53 | 15,484 | 14,196 |
|
Joanna Tukaj
1433 N Hollenbeck Ave Ste 104 |
$4.06 | 12,391 | 10,948 |
|
Viet Quoc Mai
520 W Badillo St |
$0.36 | 9,526 | 8,953 |
|
Benjamin Herrick
210 W San Bernardino Rd |
$0.41 | 9,225 | 8,399 |
|
Samy K Metyas
500 W San Bernardino Rd Ste A |
$64.00 | 8,943 | 8,784 |
|
Jose Gabriel Castellanos
234 E Badillo St |
$38.50 | 8,886 | 8,517 |
|
Tuong T Ha
530 W Badillo St |
$2.39 | 8,104 | 7,652 |
|
Christina Lydia Chen
500 W San Bernardino Rd Ste A |
$86.36 | 8,061 | 7,956 |
|
Randolph Betts
274 W Badillo St |
$2.25 | 7,575 | 6,715 |
|
William Michael Sauve
440 N Barranca Ave # 6960 |
$84.42 | 7,485 | 5,688 |
|
Nuria F Pleitez
430 W Badillo St |
$2.30 | 7,233 | 6,753 |
|
Cong Gao
420 W Rowland St |
$0.33 | 7,175 | 6,010 |
|
James Kim
236 W College St |
$79.39 | 6,432 | 6,205 |
|
Mohamed Z Kattih
219 W Badillo St Ste B |
$42.04 | 6,340 | 5,999 |
|
Laxmi Acharya Suthar
1433 N Hollenbeck Ave |
$0.00 | 5,768 | 4,991 |
|
Valerie Louise Woodard
420 W Rowland St |
$102.67 | 5,764 | 5,694 |
|
Kevin Liao
420 W Rowland St |
$0.90 | 5,197 | 4,718 |
|
Jeffrey Kim-Wayne Gin
218 W Badillo St |
$0.32 | 5,052 | 4,764 |
|
Frederick L. Chun
420 W Rowland St |
$0.00 | 4,865 | 4,074 |
|
Eddy Mydouangchanh
550 S Eremland Dr |
$70.96 | 4,752 | 4,517 |
|
Peter Zihao Xu
235 E Badillo St |
$24.20 | 4,689 | 4,635 |
|
James Garner Williams
202 West College St |
$27.67 | 4,479 | 4,291 |
|
Khaled Ahmed Aly Mawaheb
1433 N Hollenbeck Ave |
$1.94 | 4,288 | 4,006 |
|
Radhika Tulpule
110 N 4Th Ave |
$1.82 | 4,109 | 3,828 |
|
Eugene Edward Symaco
1433 N Hollenbeck Ave Ste 200 |
$1.23 | 3,666 | 3,244 |
|
Foothills Pain Management Clinic Pc
236 W College St |
$16.42 | 3,593 | 3,398 |
|
Jose Gabriel Castellanos, Md, Inc.
234 E Badillo St |
$21.07 | 3,492 | 3,382 |
|
Andrea Wenyen Tai
203 W Badillo St |
$4.08 | 3,487 | 3,409 |
|
Rosa Maria Gidowski
368 W Badillo St |
$1.19 | 3,255 | 3,097 |
|
Sultana Ikramullah
500 W Badillo St |
$19.45 | 3,171 | 3,060 |
|
Ben Shwachman
315 N 3Rd Ave |
$41.91 | 3,081 | 3,012 |
|
Tony Tongyu Liu
233 W Badillo St Ste D |
$40.20 | 2,986 | 2,825 |
|
Medcove Urgent Care, Apc
20540 E Arrow Hwy Ste B |
$33.48 | 2,790 | 2,692 |
|
Catherine Jimmerson
210 W San Bernardino Rd |
$10.49 | 2,775 | 2,270 |
|
Prakash T Patel
315 N 3Rd Ave |
$17.36 | 2,738 | 2,698 |
|
Lena Kuang
203 W Badillo St |
$1.42 | 2,515 | 2,395 |
|
Hratch Demirjian
1257 W San Bernardino Rd |
$31.11 | 2,503 | 2,414 |
|
Zahida R Bhutto
315 N Third Ave |
$29.43 | 2,463 | 2,322 |
|
Christopher Jay Siplon
203 W Badillo St |
$7.44 | 2,452 | 2,323 |
|
Samy Metyas, M.D., Inc.
500 W San Bernardino Rd Ste A |
$19.40 | 2,187 | 2,131 |
|
Sachi Lynne Ezaki
147 W College St |
$1.91 | 2,181 | 2,091 |
|
Dagher Md Medical Group Inc
376 W Badillo St |
$50.13 | 2,070 | 1,953 |
|
Shelly N Bagai Lapsi
554 E San Bernardino Rd |
$25.09 | 2,001 | 1,944 |
|
Kofi Agyeman
420 W Rowland St # Ca |
$91.06 | 1,958 | 1,933 |
|
Adrian Tripp
420 W Rowland St |
$2.90 | 1,903 | 1,856 |
|
Rosa Maria Zubiate-Laurie
203 W Badillo St |
$27.01 | 1,876 | 1,824 |
|
Emanate Health Medical Group
210 W San Bernardino Rd |
$24.62 | 1,876 | 1,719 |
|
Anam Siddiqui
203 W Badillo St |
$16.24 | 1,691 | 1,638 |
|
Los Angeles County Department Of Mental Health
1359 N Grand Ave |
$834.77 | 1,684 | 1,652 |
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 Covina, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Covina, CA is $41.94 per claim, based on 324,704 claims from 151 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 Covina, CA?
There are 151 Medicaid providers offering Office Visit related services in Covina, CA according to public payment data.
What is the price range for Office Visit in Covina, CA?
Medicaid reimbursement for Office Visit in Covina, CA ranges from $0.00 to $1,165 per claim, with an average of $41.94. 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 Covina, CA
Behavioral & Mental Health Therapy
Avg $147.56
1,170,874 claims
Blood Work & Lab Tests
Avg $2.85
428,318 claims
Case Management Services
Avg $206.19
203,895 claims
Speech Therapy
Avg $43.82
177,723 claims
Emergency Room Visit
Avg $58.12
122,922 claims
Urinalysis & Urine Tests
Avg $1.53
98,576 claims
Dental Cleaning & Exam
Avg $57.24
95,827 claims
Psychiatric Evaluation
Avg $148.89
94,238 claims