Average Medicaid Office Visit Payments in East Palo Alto, CA: $23.64
Avg. Paid
$23.64
Range
$0.75 – $1,219
Total Claims
80,179
Providers
23
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 East Palo Alto, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jaime Chavarria
1798 Bay Rd # A |
$8.10 | 11,144 | 7,347 |
|
Jeremiah C. Davis
1885 Bay Rd |
$2.97 | 9,700 | 6,230 |
|
Jasmine Ruiz
1885 Bay Rd |
$2.26 | 7,435 | 4,839 |
|
South County Community Health Center Inc
1885 Bay Road |
$1.49 | 6,177 | 5,671 |
|
Rebecca Anderson Pinto
1798 Bay Rd # A |
$27.79 | 5,997 | 4,606 |
|
Jaclyn Czaja
1798 Bay Rd Ste A |
$2.92 | 5,649 | 3,633 |
|
Doriel Pearson-Nishioka
1855 Bay Rd. |
$2.66 | 5,540 | 3,340 |
|
Ivonne Velado
1798 Bay Rd Ste A |
$3.80 | 5,517 | 3,762 |
|
Anita Christine Leiva
1885 Bay Rd |
$2.35 | 5,207 | 3,491 |
|
Sharon Jean Dipierro
1798 Bay Rd Ste A |
$3.19 | 4,888 | 3,045 |
|
Gabriela Toache-Guerrero
1798-A Bay Road |
$0.75 | 3,365 | 2,654 |
|
Amy Wolfe
1798 Bay Rd # A |
$3.72 | 2,730 | 1,895 |
|
Anna Marian Allouche
1885 Bay Rd |
$5.84 | 2,213 | 1,743 |
|
Dylan Mackenzie Coyne
1885 Bay Rd |
$4.00 | 1,487 | 977 |
|
San Mateo County
2415 University Ave Ste 301 |
$1,219 | 1,110 | 1,032 |
|
Justin Chun Wei Wu
1885 Bay Rd |
$8.00 | 718 | 705 |
|
Susan J. Smith
2415 University Ave Ste 301 |
$270.74 | 381 | 355 |
|
Veronica L Espinoza Osuna
1885 Bay Rd |
$6.28 | 316 | 311 |
|
Brenda Villasenor
1885 Bay Rd |
$6.86 | 303 | 278 |
|
Jordan Paul Emont
1885 Bay Rd |
$10.12 | 146 | 129 |
|
Leticia Garcia
1798 Bay Rd Ste A |
$6.30 | 95 | 87 |
|
Gary Ho
1885 Bay Rd |
$46.80 | 44 | 44 |
|
Jedediah Muir Hooper
2415 University Ave |
$128.25 | 17 | 13 |
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 East Palo Alto, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Palo Alto, CA is $23.64 per claim, based on 80,179 claims from 23 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 East Palo Alto, CA?
There are 23 Medicaid providers offering Office Visit related services in East Palo Alto, CA according to public payment data.
What is the price range for Office Visit in East Palo Alto, CA?
Medicaid reimbursement for Office Visit in East Palo Alto, CA ranges from $0.75 to $1,219 per claim, with an average of $23.64. 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 East Palo Alto, CA
Vaccines & Immunizations
Avg $3.58
52,945 claims
Case Management Services
Avg $215.89
12,173 claims
Substance Abuse Treatment
Avg $76.56
11,984 claims
Blood Work & Lab Tests
Avg $0.46
10,222 claims
Hearing Test (Audiometry)
Avg $1.02
9,263 claims
Psychiatric Evaluation
Avg $128.75
5,622 claims
Urinalysis & Urine Tests
Avg $2.05
5,061 claims
Dental Cleaning & Exam
Avg $29.81
4,795 claims