Average Medicaid Office Visit Payments in Escondido, CA: $15.11
Avg. Paid
$15.11
Range
$0.00 – $821.20
Total Claims
974,226
Providers
230
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 Escondido, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Arsenio Jimenez
555 E Valley Pkwy |
$6.33 | 116,790 | 66,183 |
|
Dap Health, Inc.
1121 E Washington Ave |
$1.47 | 33,851 | 28,472 |
|
Nancy Aldana
426 N Date St |
$0.12 | 29,579 | 24,066 |
|
Jose-Daniel Hernandez-Rivera
1121 E Washington Ave |
$0.63 | 26,748 | 24,509 |
|
Gabriel Rodarte
425 N Date St |
$13.44 | 24,614 | 21,725 |
|
Therese O'Neill
555 E Valley Pkwy |
$2.60 | 23,725 | 14,665 |
|
Anne Lilian Allen
555 E Valley Pkwy |
$2.99 | 23,367 | 15,021 |
|
Archana Krishnarajpet Narayan
425 N Date St |
$1.00 | 23,044 | 18,513 |
|
Kekoa Christian Ede
460 N Elm St |
$1.57 | 22,185 | 19,182 |
|
Alejandra Nava-Herberger
425 N Date St |
$39.97 | 20,570 | 18,767 |
|
Edita Soriano Aguilar
426 N Date St |
$0.06 | 19,309 | 15,546 |
|
Melanie Akemi Nakamura
460 N Elm St |
$1.05 | 18,966 | 15,123 |
|
Timothy Silleck Bailey
625 Citracado Pkwy Ste 108 |
$126.80 | 18,815 | 18,329 |
|
Jorge Armando Otanez Cervantes
1121 E Washington Ave |
$1.18 | 18,424 | 15,665 |
|
Keyvan Malekshamran
1121 E Washington Ave |
$0.26 | 17,536 | 14,272 |
|
Byron Chow
460 N Elm St |
$0.08 | 16,515 | 13,524 |
|
Neighborhood Healthcare
460 N Elm St |
$5.87 | 15,889 | 14,296 |
|
Michael Avila
460 N Elm St |
$0.63 | 14,754 | 12,071 |
|
Pamela Lynn Coleson
425 N Date St |
$0.70 | 14,102 | 11,019 |
|
Alejandro N/A Soto
1121 E Washington Ave |
$0.65 | 13,792 | 11,265 |
|
Margaret Chen
460 N Elm St |
$0.60 | 13,582 | 10,919 |
|
Cristina Lilia Shoukry
1001 E Grand Ave |
$0.70 | 13,231 | 9,831 |
|
Maritza Kathleen Wilson
728 E Valley Pkwy |
$2.17 | 13,170 | 10,711 |
|
Pardeep Singh
425 N Date St |
$1.71 | 12,187 | 8,987 |
|
Andres Armando Bravo
460 N Elm St- Neighborhood Healthcare |
$0.37 | 12,157 | 10,630 |
|
Bernard Wosk
1121 E Washington Ave |
$0.22 | 12,153 | 10,246 |
|
Jean Miller
460 N Elm St |
$12.32 | 11,329 | 9,239 |
|
Melissa E Bishop
728 E Valley Pkwy |
$0.62 | 10,776 | 8,899 |
|
Anne Terri Ross
425 N Date St |
$1.20 | 10,280 | 7,046 |
|
Alfredo Ratniewski
1151 E Washington Ave |
$0.02 | 10,084 | 8,722 |
|
Dean C Tasher
1035 E Grand Ave |
$0.40 | 9,498 | 8,235 |
|
Suesan Pedersen
401 E Valley Pkwy |
$5.05 | 9,351 | 7,541 |
|
Victoria Ryan Cox
255 N Ash St |
$1.07 | 9,290 | 8,548 |
|
James Schultz
460 N Elm St |
$1.35 | 9,096 | 8,391 |
|
Patricia Christie
460 N Elm St |
$0.39 | 9,029 | 7,221 |
|
Patrick Michael Omeara
255 N Elm St |
$104.48 | 8,769 | 7,380 |
|
Karla Strazicich
460 N Elm St |
$0.13 | 8,582 | 7,760 |
|
Branislav Cizmar
488 E Valley Pkwy |
$66.45 | 7,396 | 5,926 |
|
Cara E. Cohen
1001 E Grand Ave |
$6.31 | 7,107 | 6,906 |
|
Sharon R Sternfeld
1001 E Grand Ave |
$7.86 | 6,876 | 6,583 |
|
Philip Edward Larkins
460 N Elm St |
$1.45 | 6,687 | 4,893 |
|
Ashley Rae Martinez
625 Citracado Pkwy Ste 200 |
$3.93 | 6,596 | 6,316 |
|
Elie Touma
1045 E Pennsylvania Ave |
$2.12 | 6,392 | 4,739 |
|
Noopur Mehta
460 N Elm St |
$0.35 | 6,213 | 4,339 |
|
Pragya B Gupta
1955 Citracado Pkwy Ste 203 |
$21.81 | 5,537 | 3,718 |
|
Anatoly J Bulkin
2130 Citracado Pkwy Ste 300 |
$37.70 | 5,412 | 4,869 |
|
Haritha Reddy Chelimilla
735 E Ohio Ave |
$58.26 | 5,185 | 5,169 |
|
Paul William Hinshaw
488 E Valley Pkwy |
$54.67 | 5,116 | 4,040 |
|
Amy Carney
641 E Pennsylvania Ave Ste 102 |
$0.95 | 5,004 | 3,874 |
|
Elizabeth E. Payne
625 W. Citracado Parkway |
$6.62 | 4,874 | 4,704 |
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 Escondido, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Escondido, CA is $15.11 per claim, based on 974,226 claims from 230 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 Escondido, CA?
There are 230 Medicaid providers offering Office Visit related services in Escondido, CA according to public payment data.
What is the price range for Office Visit in Escondido, CA?
Medicaid reimbursement for Office Visit in Escondido, CA ranges from $0.00 to $821.20 per claim, with an average of $15.11. 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 Escondido, CA
Blood Work & Lab Tests
Avg $25.59
881,752 claims
Substance Abuse Treatment
Avg $86.46
266,008 claims
Urinalysis & Urine Tests
Avg $6.73
239,275 claims
Dental Cleaning & Exam
Avg $51.46
214,719 claims
Emergency Room Visit
Avg $199.96
182,324 claims
Psychiatric Evaluation
Avg $36.59
169,226 claims
Eye Exam
Avg $27.00
132,412 claims
X-Ray
Avg $48.89
124,069 claims