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 |
|---|---|---|---|
|
Georges Maxime Argoud
351 Santa Fe Dr Ste 240 |
$111.38 | 16,346 | 16,154 |
|
Jorge A Carrera
285 N. El Camino Real |
$0.65 | 15,605 | 14,068 |
|
Nancy A Clementino
285 N El Camino Real |
$5.04 | 13,018 | 12,366 |
|
Lydia Dela Cruz D'Souza
1130 2Nd St |
$1.24 | 8,214 | 7,823 |
|
Amanda R. Terry
285 N. El Camino Real |
$6.08 | 4,876 | 4,556 |
|
Tianna Farren
561 Saxony Pl Ste 101 |
$71.70 | 4,826 | 3,877 |
|
Alberto Bessudo
326 Santa Fe Dr Ste 105 |
$30.80 | 4,369 | 3,900 |
|
Stacy D Tompkins
477 N El Camino Real |
$67.67 | 3,709 | 3,662 |
|
Jennifer Marie Hughes Golden
1130 2Nd St |
$2.84 | 3,704 | 3,343 |
|
Randall B Metsch
285 N El Camino Real |
$5.75 | 3,661 | 3,423 |
|
Hung Hoang Nguyen
662 Encinitas Blvd Ste 204 |
$90.36 | 3,302 | 3,238 |
|
Eunice Ng
326 Santa Fe Dr |
$2.73 | 3,299 | 2,506 |
|
Sonja K Brion
285 N El Camino Real |
$4.58 | 3,264 | 3,051 |
|
Trenton Read
354 Santa Fe Dr |
$70.85 | 3,071 | 2,737 |
|
Jeannette Lapsansky Aldous
354 Santa Fe Dr |
$1.70 | 2,947 | 2,642 |
|
Brian David Belnap
4405 Manchester Ave Ste 101 |
$79.34 | 2,469 | 2,157 |
|
Patricia Lee
499 N El Camino Real Ste B100 |
$6.66 | 2,360 | 2,287 |
|
John Alan Sharkey
285 N El Camino Real Ste 117 |
$56.63 | 2,079 | 1,988 |
|
Dmitry E Primak
351 Santa Fe Dr Ste 200 |
$82.24 | 1,975 | 1,564 |
|
Andrew Y Hsing
320 Santa Fe Dr Ste 107-C |
$69.21 | 1,935 | 1,916 |
|
Bridget Chen
629 2Nd St |
$0.23 | 1,930 | 1,468 |
|
Sarah Landis
1130 2Nd St |
$13.47 | 1,761 | 1,519 |
|
David Salvatore Sosa
531 Encinitas Blvd |
$2.51 | 1,601 | 1,578 |
|
Christopher Kreps
501 N El Camino Real Ste 201 |
$41.67 | 1,566 | 1,184 |
|
Johnny Hoang Nguyen
499 N El Camino Real |
$32.58 | 1,467 | 1,459 |
|
Laurie Frakes
326 Santa Fe Dr Ste 105 |
$31.99 | 1,459 | 1,250 |
|
Michael Neale Rutman
317 No. El Camino Real |
$35.78 | 1,446 | 1,340 |
|
Shana Ann Forsman
1130 2Nd St |
$1.27 | 1,231 | 1,143 |
|
Patricia Chu
629 2Nd St |
$47.06 | 1,033 | 1,014 |
|
Saad Juma
320 Santa Fe Dr Ste 108 |
$123.13 | 975 | 913 |
|
Kosha Nathwani
326 Santa Fe Dr Fl 3 |
$2.47 | 881 | 852 |
|
Ashna Gupta
1130 2Nd St |
$0.10 | 833 | 805 |
|
Mark F Burger
1200 N Coast Highway 101 |
$71.80 | 794 | 743 |
|
Robert T Savage
320 Santa Fe Dr |
$64.69 | 776 | 737 |
|
Sagar Kamlesh Shah
477 N El Camino Real Ste A306 |
$34.95 | 724 | 708 |
|
Alejandro Pino
326 Santa Fe Dr Ste 100 |
$78.06 | 724 | 718 |
|
Mina Nikanjam
1200 Garden View Rd Ste 200 |
$51.61 | 721 | 603 |
|
Tyler James Ryan
490 Hillcrest Dr |
$9.63 | 716 | 682 |
|
Anjali Anil Bharne
1200 Garden View Rd |
$45.13 | 703 | 662 |
|
Keven Tagdiri
4401 Manchester Ave |
$12.79 | 702 | 514 |
|
Andy Huy Nguyen
354 Santa Fe Dr |
$2.61 | 698 | 696 |
|
Ramez Nassef Eskander
1200 Garden View Rd |
$39.96 | 627 | 582 |
|
Howie Que
310 Santa Fe Dr Ste 112 |
$26.80 | 525 | 340 |
|
Sarah Jean Mcmurray
354 Santa Fe Dr |
$100.73 | 520 | 443 |
|
William Wayne Hooper
320 Santa Fe Dr |
$74.49 | 516 | 500 |
|
Scott Alan Eisman
354 Santa Fe Dr |
$54.05 | 428 | 399 |
|
Justin Hwa Chan
332 Santa Fe Dr Ste 110 |
$46.04 | 409 | 392 |
|
North County Health Project, Inc.
1130 2Nd St |
$0.00 | 396 | 352 |
|
Luke Flynn Bremner
332 Santa Fe Dr Ste 110 |
$28.54 | 388 | 371 |
|
Alexis C Masciana
499 N El Camino Real |
$2.05 | 372 | 360 |
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.
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 Encinitas, CA
Dental Cleaning & Exam
Avg $52.40
91,478 claims
Emergency Room Visit
Avg $74.39
80,635 claims
Blood Work & Lab Tests
Avg $11.91
70,529 claims
Physical Therapy
Avg $26.10
47,098 claims
EKG / ECG (Electrocardiogram)
Avg $14.71
38,175 claims
Eye Exam
Avg $18.83
30,389 claims
Urinalysis & Urine Tests
Avg $4.08
18,780 claims
Psychiatric Evaluation
Avg $16.12
18,213 claims