Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Encinitas, CA: $36.24

Avg. Paid

$36.24

Range

$0.00 – $165.77

Total Claims

138,192

Providers

100

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 Encinitas, CA

Provider	Avg. Paid	Claims	Patients
Brian Belnap Do, A Medical Corporation 4405 Manchester Ave Ste 101	$31.26	12	12
Brian D. Carlos 320 Santa Fe Dr	$165.77	12	12
Gregory James Loren 332 Santa Fe Dr	$57.77	13	13
Matthew Kurlan 519 Encinitas Blvd.	$28.96	13	13
Yang Xue 354 Santa Fe Dr	$102.89	14	14
Robert H. Goldklang 700 Garden View Ct	$93.87	15	15
Tyson Marquis Schmidthuber 501 N El Camino Suite 201	$11.09	15	15
Pamela Walsh 271 Village Run E	$0.00	17	13
Eric William Johnston 477 N El Camino Real Ste C202	$22.58	26	17
Patrick Joseph Padilla 351 Santa Fe Dr	$103.00	27	26
Oriesa Wiyono Oeij 1505 Encinitas Blvd	$67.81	32	32
Michelle Brower 345 Saxony Rd	$84.64	34	33
Mariann Alperin 1200 Garden View Rd	$55.07	37	37
Marti L. Willey 326 Santa Fe Dr Ste 105	$16.05	43	37
Jack Miletic 944 Regal Rd	$2.51	44	44
Michelle Zhang 354 Santa Fe Dr	$94.79	44	44
Pingfeng Du 345 Saxony Rd	$47.33	46	43
Kathryn Camille Cooper 477 N El Camino Real Ste A100	$0.00	48	44
Alisha Kabadi 326 Santa Fe Dr Ste 100	$90.18	66	65
Nathan Hammel 332 Santa Fe Dr Ste 110	$70.36	71	70
San Diego Cardiovascular Associates Medical Group Inc 320 Santa Fe Dr	$40.81	73	70
James P Hatfield 501 N El Camino Real	$32.37	74	67
Aliya Ferouz-Colborn 477 N El Camino Real	$0.72	88	88
Steven Dilauro 700 Garden View Ct	$61.94	90	90
Tresa Mcgranahan 326 Santa Fe Dr	$50.32	90	82
Janki Rajesh Patel 700 Garden View Ct Ste 102	$74.82	93	93
Chandra Leah Spring-Robinson 777 N El Camino Real	$39.28	95	86
Maurice Buchbinder 320 Santa Fe Dr	$30.60	97	96
Brittany Polizzi 477 N El Camino Real Ste D308	$15.86	110	105
Regents Of The University Of California 1200 Garden View Rd Ste 200	$32.83	128	121
Scott A Eisman Md Inc 326 Santa Fe Dr Ste 100	$32.13	133	120
Maria Ana Argoud 351 Santa Fe Dr Ste 240	$40.45	134	132
Samantha Duffy Noel 477 N El Camino Real Ste A306	$39.01	139	136
Wendy J Crage 477 N El Camino Real	$8.86	159	145
Kenesha Patrice Colson 326 Santa Fe Dr	$95.33	166	159
Bassam A Sinno 1011 Devonshire Drive	$0.57	180	179
Kenneth G Trestman 326 Santa Fe Dr Ste 100	$71.31	198	193
Kamala Dhakal 1849 Avenida Flores	$0.21	203	193
Morgan Dana Silldorff 310 Santa Fe Dr Ste 112	$71.89	204	196
Daniel Burgess 477 N El Camino Real Ste C204	$60.69	212	207
Stuart Breisch 354 Santa Fe Dr	$72.56	233	229
Lisa Ann Stirling 477 N El Camino Real	$46.75	260	245
Kevin M Fussell 326 Santa Fe Dr Ste 100	$51.66	267	263
Ali Reza Lashgari 477 N El Camino Real	$13.20	277	199
Niyati Bharat Shah 1130 2Nd St	$0.38	279	275
Paul A Paez 276 N El Camino Real	$65.82	280	265
Samer Sami Hanna Kanno 354 Santa Fe Dr	$119.95	318	267
Richard Michael Jacoby 700 Garden View Ct Ste 204	$0.00	326	308
Amy Chiou Aminlari 354 Santa Fe Dr	$53.36	349	338
Miranda Hamilton 561 Saxony Pl Ste 101	$0.00	357	357

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 Encinitas, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Encinitas, CA is $36.24 per claim, based on 138,192 claims from 100 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 Encinitas, CA?

There are 100 Medicaid providers offering Office Visit related services in Encinitas, CA according to public payment data.

What is the price range for Office Visit in Encinitas, CA?

Medicaid reimbursement for Office Visit in Encinitas, CA ranges from $0.00 to $165.77 per claim, with an average of $36.24. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Encinitas, CA: $36.24

Providers Offering Office Visit in Encinitas, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Houston, TX

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Other Procedures in Encinitas, CA

Dental Cleaning & Exam

Emergency Room Visit

Blood Work & Lab Tests

Physical Therapy

EKG / ECG (Electrocardiogram)

Eye Exam

Urinalysis & Urine Tests

Psychiatric Evaluation