Average Medicaid Office Visit Payments in Fillmore, CA: $9.60
Avg. Paid
$9.60
Range
$0.05 – $761.78
Total Claims
200,325
Providers
22
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 Fillmore, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Raymond M Menchaca
852 W Ventura St |
$11.43 | 67,605 | 52,826 |
|
Nasr N Anees
355 Central Avenue |
$1.58 | 25,849 | 19,503 |
|
County Of Ventura
828 W Ventura St |
$7.66 | 24,482 | 22,288 |
|
Jose Manuel Mendoza
355 Central Ave |
$2.28 | 20,392 | 13,806 |
|
Amelia J Breckenridge
828 W Ventura St |
$1.87 | 14,358 | 13,324 |
|
Community Memorial Health System
852 W Ventura St |
$23.31 | 12,778 | 10,837 |
|
Eric Warren
852 W Ventura St |
$2.50 | 7,854 | 4,298 |
|
Jorge O Bautista
427 Central Ave |
$20.94 | 5,774 | 4,493 |
|
Nandinidevi Ramaswamy
355 Central Ave |
$2.75 | 5,310 | 3,095 |
|
Ana Flavia Alpern
852 W Ventura St |
$1.95 | 3,908 | 1,945 |
|
Lisa Solinas
828 W Ventura St Ste 100 |
$3.52 | 3,297 | 3,047 |
|
Mikael K Hakansson
533 Sespe Ave |
$20.98 | 2,098 | 1,569 |
|
Logan K. Bundy
533 Sespe Ave |
$23.25 | 1,964 | 1,523 |
|
Clinicas Del Camino Real Inc
355 Central Ave |
$0.05 | 1,027 | 802 |
|
Davoud Monir Abbasi
355 Central Ave |
$4.70 | 952 | 786 |
|
Eliasar Benjamin Macias
427 Central Ave |
$14.85 | 775 | 676 |
|
Bautista Medical Group Southern California, Inc.
427 Central Ave |
$29.11 | 479 | 383 |
|
Sespe Medical, Inc.
552 Sespe Ave |
$2.80 | 452 | 327 |
|
County Of Ventura
828 W Ventura St Ste 240 |
$761.78 | 304 | 296 |
|
Stephanie L Cadman
852 W Ventura St |
$56.88 | 258 | 243 |
|
Michelle Denise Brown
355 Central Ave |
$31.75 | 224 | 182 |
|
Priya Kaur Swatch
355 Central Ave |
$16.22 | 185 | 164 |
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 Fillmore, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fillmore, CA is $9.60 per claim, based on 200,325 claims from 22 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 Fillmore, CA?
There are 22 Medicaid providers offering Office Visit related services in Fillmore, CA according to public payment data.
What is the price range for Office Visit in Fillmore, CA?
Medicaid reimbursement for Office Visit in Fillmore, CA ranges from $0.05 to $761.78 per claim, with an average of $9.60. 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 Fillmore, CA
Vaccines & Immunizations
Avg $3.46
25,326 claims
Blood Work & Lab Tests
Avg $6.03
15,218 claims
Hearing Test (Audiometry)
Avg $2.83
14,649 claims
Urinalysis & Urine Tests
Avg $0.58
14,618 claims
Eye Exam
Avg $7.18
9,481 claims
Psychiatric Evaluation
Avg $136.86
8,899 claims
Physical Therapy
Avg $32.54
5,384 claims
Case Management Services
Avg $106.32
4,993 claims