Average Medicaid Office Visit Payments in Fresno, CA: $9.04
Avg. Paid
$9.04
Range
$0.00 – $2,215
Total Claims
7,118,942
Providers
1,290
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 Fresno, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tanjot Singh Saini
155 N Fresno St |
$0.00 | 12 | 12 |
|
Kate Elizabeth Kiely
1247 E Alluvial Ave Ste 101 |
$4.45 | 12 | 12 |
|
Sharndip Taggar
7817 N Vista Ave |
$0.00 | 12 | 12 |
|
Manpreet Sandhu
5944 E Hoxie Ave |
$0.00 | 12 | 12 |
|
Kimberly Laverne Obidiegwu
1207 E Herndon Ave |
$0.00 | 12 | 12 |
|
Kelvin Gin Sun Lee
7300 N Fresno St |
$0.00 | 12 | 12 |
|
Flora Gopez David
2335 E Kashian Ln Ste 240 |
$3.32 | 12 | 12 |
|
Gagandeep Aulakh
155 N Fresno St |
$107.08 | 12 | 12 |
|
Leticia L Tuite
1047 R St |
$11.82 | 12 | 12 |
|
Javaid M. Khan
7471 N Fresno St |
$0.00 | 12 | 12 |
|
Lawrence Neil Allenger
1303 E Herndon Ave |
$19.69 | 12 | 12 |
|
Sydney Robert Julian
7014 N Whitney Ave |
$0.00 | 12 | 12 |
|
Cynthia Tom
6121 N Thesta St Ste 202 |
$6.83 | 12 | 12 |
|
H-Care Inc.
125 E. Barstow Ave Suite 118 |
$0.00 | 12 | 12 |
|
Kent Yamaguchi
2365 E Fir Ave |
$0.00 | 12 | 12 |
|
Julia Lee
1630 E Herndon Ave |
$0.00 | 12 | 12 |
|
Jason E Walker
5150 N 6Th St |
$0.00 | 12 | 12 |
|
Madeline T. Gong
7300 N Fresno St |
$325.42 | 12 | 12 |
|
David Lawrence Hicks
540 E Herndon Ave Ste 102 |
$5.25 | 12 | 12 |
|
Monika Thomas-Uribe
155 N Fresno St |
$25.88 | 12 | 12 |
|
Valley Health Team Inc.
4711 W Ashlan Ave |
$0.00 | 12 | 12 |
|
Panchali Khanna
1243 E Spruce Ave |
$0.00 | 12 | 12 |
|
Nicholas Dean Black
2823 Fresno St |
$55.51 | 12 | 12 |
|
Wishon Radiological Medical Group, Inc.
6107 N Fresno St |
$5.40 | 12 | 12 |
|
Craig C. Campbell
2210 E Illinois Ave Ste 401 |
$0.00 | 12 | 12 |
|
Jaswant K Chahal-Matharu
1383 E Herndon Ave |
$51.78 | 12 | 12 |
|
Arsia Moua
7145 N Chestnut Ave Ste 101 |
$0.00 | 12 | 12 |
|
Sanjay Kumar
7300 N Fresno St |
$150.42 | 12 | 12 |
|
Brent L Kane
7257 N Fresno St |
$0.00 | 13 | 13 |
|
Pacific Clinics
6051 N Fresno St Ste 201 |
$938.14 | 13 | 13 |
|
Ying Her Lee
2740 S Elm Ave |
$0.00 | 13 | 13 |
|
Denise Amezcua
2740 S Elm Ave |
$0.00 | 13 | 13 |
|
Teresa Patrizia Daniele
2335 E Kashian Ln Ste 240 |
$59.15 | 13 | 13 |
|
Zouapa Kalani Vue
2042 Kern St |
$0.00 | 13 | 12 |
|
Diane Wallace Kecskes
2550 W Clinton Ave Bldg A |
$39.60 | 13 | 12 |
|
California Nephrology Consultants
1313 E Herndon Ave |
$0.00 | 13 | 13 |
|
Soonmi Kim
1348 W Herndon Ave Ste 101 |
$0.00 | 13 | 13 |
|
Anne Michelle Bomar
2210 E Illinois Ave |
$2,215 | 13 | 13 |
|
David S. Hodge
215 N Fresno St |
$16.79 | 13 | 13 |
|
Yolanda Joy Moore
2823 Fresno St |
$1.85 | 13 | 12 |
|
William L Carveth
6121 N Thesta |
$0.00 | 13 | 12 |
|
David A Kunz
1630 E Herndon Ave |
$0.00 | 13 | 13 |
|
Joga S. Gahir
7300 N Fresno St |
$142.31 | 13 | 13 |
|
Jared J Lund
6730 N West Ave |
$50.35 | 13 | 12 |
|
Alexander Khaletskiy
155 N Fresno St |
$0.00 | 13 | 13 |
|
Nathan Healy
2139 E Beechwood Ave |
$0.00 | 13 | 13 |
|
Elmer Wong
6700 N 1St St |
$5.19 | 13 | 13 |
|
Emile Sharifi
1680 E Herndon Ave Ste 101 |
$9.75 | 14 | 14 |
|
Toni L Caniglia
7471 N Fresno St |
$0.00 | 14 | 14 |
|
Kristy Elaine Matschullat
1780 E Bullard Ave |
$57.44 | 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 Fresno, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fresno, CA is $9.04 per claim, based on 7,118,942 claims from 1290 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 Fresno, CA?
There are 1290 Medicaid providers offering Office Visit related services in Fresno, CA according to public payment data.
What is the price range for Office Visit in Fresno, CA?
Medicaid reimbursement for Office Visit in Fresno, CA ranges from $0.00 to $2,215 per claim, with an average of $9.04. 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 Fresno, CA
Substance Abuse Treatment
Avg $27.33
4,413,563 claims
Blood Work & Lab Tests
Avg $2.74
2,444,948 claims
Dental Cleaning & Exam
Avg $51.51
1,690,843 claims
Urinalysis & Urine Tests
Avg $0.70
1,247,642 claims
Vaccines & Immunizations
Avg $0.97
1,207,674 claims
Emergency Room Visit
Avg $38.60
1,035,563 claims
Behavioral & Mental Health Therapy
Avg $160.45
952,885 claims
Physical Therapy
Avg $1.08
934,702 claims