Average Medicaid Office Visit Payments in Fowler, CA: $2.27
Avg. Paid
$2.27
Range
$0.00 – $57.93
Total Claims
196,449
Providers
18
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 Fowler, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bobby Aulakh
106 E Main St |
$0.14 | 55,560 | 28,154 |
|
Reedley Community Hospital
300 S Leon S Peters Blvd |
$2.18 | 38,424 | 34,490 |
|
Saul Antonio Diaz Martinez
300 S Leon S Peters Blvd |
$3.37 | 28,019 | 14,155 |
|
Harry Chen
128 N 6Th St |
$0.69 | 24,071 | 14,089 |
|
Kulraj Singh Sidhu
311 E Merced St |
$1.61 | 18,792 | 10,538 |
|
Milena Cavalcante
300 S Leon S Peters Blvd |
$14.45 | 7,513 | 5,368 |
|
Danielle Malvini
8448 E Adams Ave |
$7.16 | 6,688 | 5,954 |
|
Christopher Lozano Orpiano
300 S Leon S Peters Blvd |
$4.40 | 6,616 | 4,600 |
|
Harry Chen, M.D., Inc., A Professional Corporation
128 N 6Th St |
$0.49 | 6,162 | 5,227 |
|
Barbara Ann Wheeler
210 E Merced |
$5.18 | 1,333 | 1,117 |
|
Harpreet Kaur Badhesha
210 E Merced St |
$0.04 | 1,331 | 1,125 |
|
Fowler Medical Center Inc
210 E Merced St |
$0.90 | 1,099 | 915 |
|
Stephen Jeffrey Farris
121 E Merced St |
$54.75 | 277 | 259 |
|
Richa Sharma
300 S Leon S Peters Blvd |
$0.12 | 227 | 166 |
|
Joan E Rubinstein
119 S 6Th St |
$0.00 | 166 | 164 |
|
David Sanchez
106 E Main St |
$0.00 | 124 | 111 |
|
Alexander Carlton Sherriffs
8448 E Adams Ave |
$57.93 | 33 | 32 |
|
Aria Community Health Center
210 E Merced St |
$13.71 | 14 | 12 |
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 Fowler, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fowler, CA is $2.27 per claim, based on 196,449 claims from 18 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 Fowler, CA?
There are 18 Medicaid providers offering Office Visit related services in Fowler, CA according to public payment data.
What is the price range for Office Visit in Fowler, CA?
Medicaid reimbursement for Office Visit in Fowler, CA ranges from $0.00 to $57.93 per claim, with an average of $2.27. 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 Fowler, CA
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Avg $259.21
58,659 claims
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Avg $0.61
18,257 claims
Dental Cleaning & Exam
Avg $44.95
7,429 claims
Hearing Test (Audiometry)
Avg $1.57
6,855 claims
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Avg $2.54
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Urinalysis & Urine Tests
Avg $0.15
4,376 claims
Case Management Services
Avg $80.06
4,101 claims
Speech Therapy
Avg $18.54
2,453 claims