Average Medicaid Office Visit Payments in Fallbrook, CA: $20.63
Avg. Paid
$20.63
Range
$0.00 – $120.94
Total Claims
164,088
Providers
24
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 Fallbrook, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cristi Lewis
577 E Elder St |
$120.94 | 28 | 28 |
|
John D Nguyen
1328 S Mission Rd |
$0.00 | 57 | 52 |
|
Thomas W Eastman
521 East Elder St |
$40.36 | 424 | 414 |
|
Shiva Hashem
746 S Main Ave Ste D |
$1.24 | 463 | 460 |
|
Alesandra Nadia Ilchena
746 S Main Ave |
$1.19 | 601 | 496 |
|
Christine P. Taft
521 E Elder St |
$0.25 | 826 | 794 |
|
Dinh Quoc Vu
325 N Brandon Rd |
$7.31 | 1,749 | 995 |
|
Dean Andrew Robinson
746 S Main Ave |
$6.39 | 2,261 | 2,187 |
|
Megan Marie Clapp
1328 S Mission Rd |
$57.67 | 2,681 | 2,592 |
|
Medplus A Medical Corporation
617 E Alvarado St |
$103.21 | 4,285 | 4,051 |
|
Bruce T Gipe
624 E Elder St |
$21.83 | 4,772 | 4,693 |
|
Lawrence Franklin Pearson
113 S Vine St |
$6.95 | 6,171 | 5,247 |
|
Community Health Systems Inc
1328 S Mission Rd |
$6.56 | 6,224 | 5,441 |
|
Daisy Alas Robinson
321 E Alvarado St |
$2.32 | 6,457 | 5,987 |
|
Kanwardeep Singh Kaleka
1328 S Mission Rd # 8809 |
$27.64 | 6,905 | 6,000 |
|
Graydon W Skeoch
617 E Alvarado St |
$66.51 | 7,058 | 6,596 |
|
Margaret G Misslbeck Deel
593 E Elder St Ste B |
$6.51 | 7,227 | 6,891 |
|
Yendi Nathalie Linares
1107 S Mission Rd |
$3.48 | 8,570 | 6,851 |
|
Amanda M Del Re
1107 S Mission Rd |
$10.14 | 9,669 | 8,895 |
|
Gina Coccimiglio
1651 Scooter Ln |
$110.84 | 10,153 | 9,325 |
|
Wendy Vu
1328 S Mission Rd |
$0.69 | 10,333 | 7,536 |
|
John J Hong
521 East Elder St |
$37.90 | 12,235 | 11,997 |
|
Selmira C Tellechea-Sanchez
1107 S Mission Rd |
$0.09 | 17,362 | 14,614 |
|
Goran Cvijanovic
1328 S Mission Rd |
$2.73 | 37,577 | 32,283 |
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 Fallbrook, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fallbrook, CA is $20.63 per claim, based on 164,088 claims from 24 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 Fallbrook, CA?
There are 24 Medicaid providers offering Office Visit related services in Fallbrook, CA according to public payment data.
What is the price range for Office Visit in Fallbrook, CA?
Medicaid reimbursement for Office Visit in Fallbrook, CA ranges from $0.00 to $120.94 per claim, with an average of $20.63. 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 Fallbrook, CA
Vaccines & Immunizations
Avg $0.44
38,683 claims
Chiropractic Care
Avg $7.53
27,829 claims
Physical Therapy
Avg $16.15
25,941 claims
Dental Cleaning & Exam
Avg $53.69
19,130 claims
Hearing Test (Audiometry)
Avg $0.68
14,797 claims
Blood Work & Lab Tests
Avg $4.44
12,693 claims
Ambulance Transport
Avg $200.48
9,608 claims
Psychiatric Evaluation
Avg $68.63
8,250 claims