Average Medicaid Office Visit Payments in Exeter, CA: $11.23
Avg. Paid
$11.23
Range
$0.00 – $624.52
Total Claims
240,552
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 Exeter, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Terence A Miller
400 E Pine St |
$14.64 | 13 | 13 |
|
Lucia Thompson
216 E Pine St |
$0.00 | 14 | 14 |
|
Sequoia Youth Services
514-516 N Kaweah Ave |
$624.52 | 26 | 25 |
|
David Alan Sine
216 E Pine St |
$4.04 | 40 | 40 |
|
Alisia D. Lee
1014 San Juan Ave |
$5.29 | 51 | 49 |
|
Omni Family Health
1110 W Visalia Rd Ste 102 |
$19.97 | 143 | 101 |
|
Ryan Lee Smith
1014 San Juan Ave |
$0.65 | 290 | 253 |
|
Leslee Heuer
330 E Pine St |
$12.81 | 595 | 500 |
|
Emily Rose Zerlang
19299 Avenue 300 |
$0.34 | 737 | 702 |
|
San Joaquin Prime Care Medical Group Inc
330 E Pine St |
$2.87 | 896 | 601 |
|
Lisa Higgins
216 E Pine St |
$6.71 | 1,099 | 1,062 |
|
Nichole Nino
400 E Pine St |
$1.11 | 1,478 | 965 |
|
Carlos Rangel Barrera
1014 San Juan Ave Bldg B |
$5.71 | 3,339 | 2,549 |
|
Brittani Snyder
1014 San Juan Ave |
$3.86 | 5,873 | 5,227 |
|
Talaksoon Khademi
1014 San Juan Ave. |
$13.13 | 5,881 | 3,815 |
|
Vanessa E Glaze
1014 San Juan Ave |
$12.77 | 6,335 | 5,761 |
|
Dawn Parsley
216 E Pine Street |
$4.16 | 6,618 | 5,843 |
|
Helen Rios
1014 San Juan Ave |
$1.76 | 11,053 | 9,534 |
|
Kaweah Delta Health Care District
1014 San Juan Ave |
$28.46 | 33,099 | 28,920 |
|
Andy Phan
1014 San Juan Ave |
$18.48 | 66,976 | 47,506 |
|
Stefan I Pentschev
330 E Pine St |
$2.45 | 95,996 | 62,745 |
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 Exeter, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Exeter, CA is $11.23 per claim, based on 240,552 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 Exeter, CA?
There are 21 Medicaid providers offering Office Visit related services in Exeter, CA according to public payment data.
What is the price range for Office Visit in Exeter, CA?
Medicaid reimbursement for Office Visit in Exeter, CA ranges from $0.00 to $624.52 per claim, with an average of $11.23. 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 Exeter, CA
Speech Therapy
Avg $17.05
1,792,887 claims
Physical Therapy
Avg $27.39
182,467 claims
Vaccines & Immunizations
Avg $3.64
85,227 claims
Behavioral & Mental Health Therapy
Avg $185.72
33,867 claims
Dental Cleaning & Exam
Avg $49.72
30,610 claims
Urinalysis & Urine Tests
Avg $1.59
28,839 claims
Case Management Services
Avg $123.02
25,227 claims
Eye Exam
Avg $12.01
21,808 claims