Average Medicaid Office Visit Payments in Fairfield, CA: $27.55
Avg. Paid
$27.55
Range
$0.00 – $1,089
Total Claims
518,052
Providers
215
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 Fairfield, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ole Health
470 Chadbourne Rd |
$7.69 | 12 | 12 |
|
Melissa G. Pearce
2201 Courage Dr |
$0.00 | 12 | 12 |
|
Sonja Demara Cahoon
2101 Courage Dr |
$5.47 | 12 | 12 |
|
Inna M Markiv
2720 Low Ct |
$4.22 | 12 | 12 |
|
Giang Hong Duc Son
1620 Pennsylvania Ave |
$0.00 | 12 | 12 |
|
Donna R Hinman-Seabrooks
2702 Low Ct |
$58.39 | 12 | 12 |
|
Christian Snow Pingree
101 Bodin Cir |
$89.25 | 12 | 12 |
|
William Robert Fulton
1860 Pennsylvania Ave |
$63.49 | 13 | 12 |
|
Robin Price
1860 Pennsylvania Ave |
$0.00 | 13 | 12 |
|
Native American Mental Health Services Corporation
500 Chadbourne Rd Ste B |
$10.89 | 15 | 13 |
|
Cassandra L. Whitmore
1550 Gateway Blvd |
$0.00 | 15 | 12 |
|
Sherry L. Taylor
1860 Pennsylvania Ave |
$28.10 | 16 | 16 |
|
Rose C Jensen
1550 Gateway Blvd |
$0.00 | 16 | 15 |
|
Gregory T. Yesensky
2201 Courage Dr |
$34.88 | 16 | 16 |
|
Ann Leu Thomas
2702 Low Ct |
$5.80 | 19 | 19 |
|
Lauren Weber
1860 Pennsylvania Ave |
$1.14 | 21 | 19 |
|
Melissa Morgan Belec
2201 Courage Dr |
$9.08 | 22 | 13 |
|
Marlene H Freeman
2702 Low Ct |
$42.67 | 24 | 24 |
|
Shanna Rose Snow
1860 Pennsylvania Ave |
$33.35 | 24 | 24 |
|
Mary Moreno
1200 B Gale Wilson Blvd |
$85.47 | 24 | 24 |
|
Maritess Castillo Morales
1620 Pennsylvania Ave |
$3.65 | 25 | 25 |
|
Alexander J Menze
101 Bodin Cir |
$90.20 | 25 | 25 |
|
Martha Ellen Corcoran
2702 Low Ct |
$54.90 | 25 | 24 |
|
Michael Balbin Santos
2720 Low Ct |
$0.00 | 25 | 25 |
|
Courtney Emerson Chambers
1860 Pennsylvania Ave |
$124.36 | 26 | 26 |
|
Jason C. Whitmore
1550 Gateway Blvd |
$33.44 | 27 | 26 |
|
Irina Nosovsky
2702 Low Ct |
$17.34 | 32 | 27 |
|
Vitreo-Retinal Medical Group, Inc.
2470 Hilborn Rd |
$60.00 | 35 | 35 |
|
Rachel M. Villalon
1860 Pennsylvania Ave |
$36.98 | 38 | 38 |
|
Ruth A Hahn
1255 Travis Blvd |
$0.00 | 39 | 39 |
|
Minerva M. Saqui
1550 Gateway Blvd |
$0.79 | 41 | 40 |
|
Sarah Humphrey Digeorge
2458 Hilborn Rd |
$42.61 | 44 | 31 |
|
Anna B Derdzinska
2720 Low Ct |
$5.71 | 54 | 51 |
|
Vanessa-June Ruthchiet Pontillas
2702 Low Ct |
$1.12 | 54 | 54 |
|
Emily Todd
2101 Courage Dr |
$31.62 | 57 | 38 |
|
Frederick C Blair
1234 Empire St |
$50.47 | 61 | 58 |
|
Laurie Bresee
4520 Business Center Drive |
$4.49 | 66 | 65 |
|
Ghazel Waiz
1843 Atwoodville Ct |
$118.39 | 74 | 62 |
|
Steven Eric Siegal
1101 B Gale Wilson Blvd |
$76.12 | 77 | 76 |
|
Kathryn Kui-Lan Holder
101 Bodin Cir |
$2.38 | 78 | 77 |
|
Shavana Turay
2720 Low Ct |
$2.28 | 78 | 76 |
|
Kelse Patrice Mckinley
2702 Low Ct |
$5.26 | 84 | 80 |
|
Alecia Lentz
275 Beck Ave # Ms 5-215 |
$42.16 | 84 | 78 |
|
Margaret Ms Wang
1455 Oliver Rd |
$2.10 | 88 | 79 |
|
Alan C. Werblin
275 Beck Ave |
$0.76 | 89 | 88 |
|
Jayne Mary Inman
2853 Howe Ct |
$0.28 | 89 | 84 |
|
Lauren Carrizosa
2101 Courage Dr |
$7.08 | 90 | 28 |
|
Lanette Gresham
4918 Ridgefield Cir |
$0.78 | 98 | 98 |
|
Anne-Claude Marie Brigitte Roy
500 Union Ave |
$5.55 | 98 | 84 |
|
Georgina Jensen
1550 Gateway Blvd |
$59.32 | 107 | 106 |
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 Fairfield, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fairfield, CA is $27.55 per claim, based on 518,052 claims from 215 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 Fairfield, CA?
There are 215 Medicaid providers offering Office Visit related services in Fairfield, CA according to public payment data.
What is the price range for Office Visit in Fairfield, CA?
Medicaid reimbursement for Office Visit in Fairfield, CA ranges from $0.00 to $1,089 per claim, with an average of $27.55. 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 Fairfield, CA
Substance Abuse Treatment
Avg $53.40
393,102 claims
Emergency Room Visit
Avg $100.97
361,307 claims
Blood Work & Lab Tests
Avg $8.51
337,542 claims
Psychiatric Evaluation
Avg $103.03
117,861 claims
Urinalysis & Urine Tests
Avg $3.47
106,605 claims
X-Ray
Avg $24.02
103,717 claims
Dental Cleaning & Exam
Avg $50.77
98,261 claims
Vaccines & Immunizations
Avg $8.83
87,539 claims