Average Medicaid Office Visit Payments in El Cajon, CA: $12.72
Avg. Paid
$12.72
Range
$0.00 – $1,076
Total Claims
1,211,939
Providers
210
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 El Cajon, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dap Health, Inc.
133 W Main St |
$2.24 | 115,101 | 100,607 |
|
Minuteclinic Diagnostic Medical Group Of San Diego Inc
2760 Fletcher Pkwy |
$16.99 | 50,720 | 46,271 |
|
La Maestra Family Clinic, Inc.
165 South First Street |
$0.14 | 45,172 | 39,476 |
|
Nishwan Jibri
855 E Madison Ave |
$0.08 | 44,501 | 41,045 |
|
Rana Mansour
230 Avocado Ave |
$17.18 | 34,393 | 34,172 |
|
Christopher Jon Gordon
525 E Main St |
$0.16 | 31,097 | 29,559 |
|
Jatinder Kaur
525 E Main Street |
$0.65 | 28,628 | 26,308 |
|
Wasim Mansour
330 S Magnolia Ave |
$4.93 | 26,376 | 17,836 |
|
Anita Pinto
860 Jamacha Rd Ste 203 |
$5.36 | 24,452 | 23,366 |
|
John Kasawa
807 S Mollison Ave Unit 31 |
$0.28 | 24,323 | 22,627 |
|
Mumtaz Thomas Almansour
330 S Magnolia Ave |
$2.13 | 23,827 | 19,790 |
|
Ramiz Putrus
165 S 1St St |
$1.62 | 23,567 | 14,968 |
|
John Lynn
855 E Madison Ave |
$0.02 | 22,916 | 19,463 |
|
Fereshteh Jahanpanah
343 E Main St Ste 101 |
$2.53 | 22,643 | 20,341 |
|
Jose Martin Nuno
133 W Main St Ste 100 |
$1.16 | 20,300 | 18,839 |
|
Katherine Francis
855 E Madison Ave |
$0.12 | 20,035 | 16,240 |
|
Bassam K Nassir
436 S Magnolia Ave Ste 201 |
$0.03 | 19,445 | 18,332 |
|
Jennifer Yeh Chiang
292 Avocado Ave |
$102.64 | 18,372 | 17,804 |
|
Mai Tuyet Duong
525 E Main St |
$0.51 | 16,048 | 15,217 |
|
Hannah Green
855 E Madison Ave |
$0.13 | 15,931 | 14,928 |
|
Nejat Arab Jalisi
1320 E Madison Ave |
$2.55 | 15,534 | 14,355 |
|
Paige Alexandra Thiermann
855 E Madison Ave |
$0.08 | 15,106 | 14,039 |
|
Tamara J. Tucker-Ham
133 W Main St Ste 100 |
$0.50 | 15,005 | 13,758 |
|
Tamara Mansy
875 El Cajon Blvd |
$0.34 | 15,002 | 13,157 |
|
Setareh Safii Jones
133 W Main St |
$0.97 | 13,237 | 10,559 |
|
Elainie D Doringo
250 E. Chase Ave. |
$5.62 | 13,170 | 12,595 |
|
George Manuel Zambrana
133 W Main St Ste 100 |
$2.09 | 13,094 | 12,394 |
|
Gizzele Victoria Valencia-Delgado
133 W Main St Ste 100 |
$1.05 | 12,391 | 11,202 |
|
Linda Y. Rouel
860 Jamacha Rd |
$2.39 | 12,143 | 11,312 |
|
Regina M. Mangine
250 E Chase Ave |
$6.56 | 11,994 | 11,481 |
|
Hala Sheikh-Mohamed
875 El Cajon Blvd |
$0.38 | 11,031 | 9,953 |
|
Rayan R Hourani
300 S Pierce St |
$61.03 | 10,429 | 10,348 |
|
Shilpa Naik
250 E Chase Ave Ste 108 |
$5.26 | 10,274 | 10,002 |
|
La Maestra Family Clinic Inc
1032 Broadway |
$0.71 | 9,751 | 8,447 |
|
Dimitri Atanasov Sherev
1380 El Cajon Blvd Ste 100 |
$18.76 | 9,050 | 8,494 |
|
Planned Parenthood Of The Pacific Southwest
1685 E Main St Ste 301 |
$61.15 | 8,923 | 8,534 |
|
Milagros J. Jacobs-Kleisli
250 E Chase Ave |
$5.74 | 8,847 | 8,363 |
|
Vy Hoang
250 E Chase Ave |
$4.51 | 8,780 | 8,566 |
|
Randa Abdullah Gorges
1111 W Chase Ave |
$0.81 | 8,634 | 8,250 |
|
Carol Lynn Hastanan
1111 W Chase Ave |
$2.48 | 8,598 | 8,319 |
|
Edgar Mark Bulloch
133 W Main St Ste 100 |
$7.42 | 8,342 | 6,819 |
|
Sumana Reddy
875 El Cajon Blvd |
$40.22 | 7,979 | 7,497 |
|
David Mansour
181 Rea Ave |
$2.33 | 7,792 | 6,399 |
|
Gurpreet Sihota
525 E Main St |
$1.12 | 7,591 | 6,810 |
|
Katherine Rose Lais
855 E Madison Ave |
$0.41 | 7,491 | 6,673 |
|
Rhett Papa
133 W Main St |
$11.79 | 7,476 | 6,804 |
|
Alfonso Reynoso
820 Jamacha Rd |
$1.19 | 7,435 | 5,535 |
|
Mohammed Alshammary
250 E Chase Ave Ste 109 |
$1.93 | 7,261 | 6,993 |
|
Alicia Maria Kodsi
525 E Main St |
$0.79 | 7,253 | 6,692 |
|
Jacquelyn Ramos
855 E Madison Ave |
$0.24 | 7,231 | 6,730 |
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 El Cajon, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in El Cajon, CA is $12.72 per claim, based on 1,211,939 claims from 210 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 El Cajon, CA?
There are 210 Medicaid providers offering Office Visit related services in El Cajon, CA according to public payment data.
What is the price range for Office Visit in El Cajon, CA?
Medicaid reimbursement for Office Visit in El Cajon, CA ranges from $0.00 to $1,076 per claim, with an average of $12.72. 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 El Cajon, CA
Blood Work & Lab Tests
Avg $1.59
676,337 claims
Substance Abuse Treatment
Avg $60.98
386,165 claims
Physical Therapy
Avg $23.20
246,105 claims
Vaccines & Immunizations
Avg $1.64
206,774 claims
Dental Cleaning & Exam
Avg $56.86
194,038 claims
Psychiatric Evaluation
Avg $31.60
155,761 claims
Case Management Services
Avg $148.78
101,214 claims
Urinalysis & Urine Tests
Avg $0.79
96,350 claims