Average Medicaid Office Visit Payments in Downey, CA: $25.05
Avg. Paid
$25.05
Range
$0.00 – $1,157
Total Claims
1,115,012
Providers
361
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 Downey, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jose M Diaz
8016 2Nd St |
$11.34 | 127,055 | 94,015 |
|
County Of Los Angeles
7601 Imperial Hwy |
$0.13 | 81,850 | 71,934 |
|
Ajay Harivadan Patel
10441 Lakewood Blvd Ste E |
$68.62 | 56,540 | 53,813 |
|
Wayne R. Weber
8635 Firestone Blvd |
$70.97 | 54,208 | 48,728 |
|
Ayman Alladawi
8077 Florence Ave |
$30.79 | 39,465 | 33,191 |
|
Munther A Hijazin
11525 Brookshire Ave Ste 205 |
$31.70 | 34,060 | 33,864 |
|
Antoine E Mitri
11525 Brookshire Ave Ste 205 |
$33.66 | 27,016 | 26,823 |
|
Manuel Chon
11480 Brookshire Ave |
$0.40 | 19,167 | 14,540 |
|
Ragaa Iskarous
11003 Lakewood Blvd |
$5.94 | 19,122 | 17,916 |
|
The Oncology Institute Ca, A Professional Corporation
11480 Brookshire Ave |
$28.71 | 18,939 | 17,905 |
|
Ryan Brady Barlow
11942 Paramount Blvd Ste 101 |
$28.03 | 18,556 | 16,829 |
|
Marsha Araba Martinson
9333 Imperial Hwy |
$31.67 | 18,305 | 16,482 |
|
Tender Care Community Clinic, Inc
7862 Firestone Blvd |
$1.24 | 17,080 | 11,375 |
|
Mehdi Zargarian
8423 Florence Ave |
$32.32 | 16,473 | 16,019 |
|
Jung Mok Park
11480 Brookshire Ave |
$0.66 | 15,096 | 8,889 |
|
Antonio Morquecho
12113 Woodruff Ave |
$1.64 | 14,788 | 13,108 |
|
Ame Medical Group Inc
11942 Paramount Blvd |
$34.53 | 14,271 | 12,858 |
|
Elizabeth Frances Gibbs
11500 Brookshire Ave |
$6.55 | 13,903 | 11,681 |
|
Mary Divine Grace Dinsay Painaga
12415 Rives Ave |
$0.08 | 12,991 | 10,181 |
|
Benito Ruben Contreras
8556 Florence Ave |
$0.26 | 12,753 | 11,576 |
|
Jeanette Trejo
8530 Firestone Blvd |
$0.06 | 12,123 | 10,490 |
|
Hye Rin Lee
11480 Brookshire Ave Ste 111 |
$3.65 | 12,078 | 10,882 |
|
Cristhiam Alfredo Santos
10437 La Reina Ave Apt 201 |
$0.06 | 11,851 | 6,744 |
|
Jocelyn C. Zuniga
11525 Brookshire Ave |
$0.69 | 11,756 | 10,673 |
|
Jose Manuel Robles
9360 Telegraph Rd |
$0.15 | 11,107 | 10,424 |
|
Elias I Ayoub
11480 Brookshire Ave |
$67.77 | 11,100 | 10,792 |
|
Shuo Zhou
11500 Brookshire Ave |
$4.33 | 9,247 | 8,195 |
|
Seema Latif
11480 Brookshire |
$0.08 | 8,627 | 7,578 |
|
Nicole Cervantes
8530 Firestone Blvd |
$0.10 | 8,348 | 7,778 |
|
Janet Agu
7765 Leeds St |
$95.82 | 8,221 | 7,970 |
|
Maria Natividad Mejia-Perez
12214 Lakewood Blvd Ste 110 |
$5.27 | 8,068 | 6,225 |
|
Francisco Jose Recalde
1116 Rives Ave |
$0.63 | 7,849 | 7,434 |
|
Thilan P.J. Fernando
11480 Brookshire Ave |
$0.19 | 7,762 | 7,243 |
|
Savitri P. Goud
7601 East Imperial Hwy |
$0.11 | 7,429 | 7,022 |
|
Rebecca Chohlas-Wood
8530 Firestone Blvd |
$0.15 | 7,151 | 6,578 |
|
Hossein Eftekhari
8317 Davis St |
$48.81 | 6,926 | 6,692 |
|
Bala Venugopal
11480 Brookshire Ave |
$0.04 | 6,795 | 5,809 |
|
David Gilbert Aguilar
8327 Davis St Ste 202 |
$0.99 | 6,779 | 6,265 |
|
Mebi Scaria
9828 Tweedy Ln |
$0.02 | 6,339 | 5,874 |
|
Wendy Thu Nguyen
11942 Paramount Blvd |
$75.92 | 6,291 | 6,115 |
|
John Thanasukarn
8530 Firestone Blvd |
$7.45 | 5,697 | 4,169 |
|
Madhvi Hemant Shah
7601 Imperial Hwy |
$0.00 | 5,206 | 2,762 |
|
Nicole Renee Hernandez
8530 Firestone Blvd |
$0.84 | 5,056 | 4,599 |
|
Balaganesh Gopurala
11480 Brookshire Ave Ste 309 |
$4.15 | 5,006 | 4,946 |
|
Maricela Madrigal Zimerman
9333 Imperial Hwy |
$0.00 | 4,894 | 2,579 |
|
Anantjit Singh
11544 Downey Ave |
$59.32 | 4,889 | 4,649 |
|
Arnab Ganguly
8311 Florence Ave |
$44.41 | 4,832 | 4,501 |
|
Amitabha Mazumder
11480 Brookshire Ave Ste 309 |
$8.72 | 4,800 | 4,772 |
|
Richard R Winkelmann
11525 Brookshire Ave Ste 300 |
$52.08 | 4,597 | 4,327 |
|
Vincent J. Valdez
8067 Florence Ave |
$15.24 | 4,502 | 4,238 |
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 Downey, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Downey, CA is $25.05 per claim, based on 1,115,012 claims from 361 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 Downey, CA?
There are 361 Medicaid providers offering Office Visit related services in Downey, CA according to public payment data.
What is the price range for Office Visit in Downey, CA?
Medicaid reimbursement for Office Visit in Downey, CA ranges from $0.00 to $1,157 per claim, with an average of $25.05. 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 Downey, CA
Blood Work & Lab Tests
Avg $3.30
825,964 claims
Physical Therapy
Avg $16.06
809,671 claims
Behavioral & Mental Health Therapy
Avg $105.84
486,453 claims
Urinalysis & Urine Tests
Avg $1.75
266,455 claims
Emergency Room Visit
Avg $278.23
229,221 claims
EKG / ECG (Electrocardiogram)
Avg $11.43
193,721 claims
X-Ray
Avg $22.32
193,589 claims
Ultrasound
Avg $58.78
163,154 claims