Average Medicaid Office Visit Payments in El Dorado Hills, CA: $38.34
Avg. Paid
$38.34
Range
$0.00 – $222.76
Total Claims
81,208
Providers
21
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 Dorado Hills, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Xavier Salinas
5090 Da Vinci Dr |
$35.47 | 62,503 | 59,372 |
|
Tarandeep Kaur
5137 Golden Foothill Pkwy Ste 120 |
$48.63 | 6,222 | 5,685 |
|
Chelsea Anne Mills
1264 Hawks Flight Ct Ste 100 |
$5.54 | 3,744 | 2,001 |
|
Sheryl Gerales
3860 El Dorado Hills Blvd |
$25.38 | 1,756 | 1,719 |
|
Nicole M Shorrock
5137 Golden Foothill Pkwy |
$68.54 | 1,273 | 1,066 |
|
Robert Michael Trimmer
1020 Suncast Ln |
$222.76 | 1,067 | 1,033 |
|
Jessica Odom Santos
5137 Golden Foothill Pkwy |
$6.25 | 779 | 774 |
|
Steven C Mills
5137 Golden Foothill Pkwy Ste 120 |
$41.96 | 675 | 646 |
|
Michelle Grace Granstrom Macdavid
1264 Hawks Flight Ct Ste 100 |
$35.98 | 606 | 411 |
|
Kyle Daniel Nefzger
3860 El Dorado Hills Blvd Ste 601 |
$11.20 | 573 | 562 |
|
Katharina Truelove
5137 Golden Foothill Pkwy |
$56.91 | 367 | 347 |
|
Reed H Vuong
8105 Saratoga Way Ste 230 |
$1.29 | 321 | 312 |
|
Alice W Tse
5137 Golden Foothill Pkwy |
$205.32 | 302 | 290 |
|
Sana Hanafi
1264 Hawks Flight Ct Ste 100 |
$58.54 | 289 | 274 |
|
Christopher Kurnik
5137 Golden Foothill Pkwy Ste 120 |
$73.06 | 205 | 200 |
|
Teresa Ann Cuthbertson
1264 Hawks Flight Ct Ste 100 |
$98.79 | 138 | 130 |
|
Lance D. Holtry
5137 Golden Foothill Pkwy |
$33.56 | 129 | 121 |
|
Jon M. Moness
3860 El Dorado Hills Blvd |
$19.23 | 116 | 109 |
|
Katie Jane Long
5137 Golden Foothill Pkwy |
$46.20 | 102 | 92 |
|
Wing-Yan Cindy Yuen
1264 Hawks Flight Ct |
$61.92 | 26 | 26 |
|
Michael C Yang
1208 Suncast Ln |
$0.00 | 15 | 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 El Dorado Hills, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in El Dorado Hills, CA is $38.34 per claim, based on 81,208 claims from 21 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 Dorado Hills, CA?
There are 21 Medicaid providers offering Office Visit related services in El Dorado Hills, CA according to public payment data.
What is the price range for Office Visit in El Dorado Hills, CA?
Medicaid reimbursement for Office Visit in El Dorado Hills, CA ranges from $0.00 to $222.76 per claim, with an average of $38.34. 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 Dorado Hills, CA
Dental Cleaning & Exam
Avg $46.66
30,396 claims
Emergency Room Visit
Avg $58.32
21,329 claims
Case Management Services
Avg $127.53
18,806 claims
Physical Therapy
Avg $22.91
17,661 claims
Psychiatric Evaluation
Avg $96.32
16,960 claims
Dental Filling
Avg $65.35
14,268 claims
Behavioral & Mental Health Therapy
Avg $187.43
11,555 claims
Tooth Extraction
Avg $106.65
10,752 claims