Based on public Medicaid payment data.

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
Gerald Clark Hoover 2740 S Elm Ave	$0.59	208,707	140,627
Jonathan Caldwell 1303 E Herndon Ave	$0.19	164,136	136,864
Community Foundation Medical Group 7370 N Palm Ave Ste 101	$0.79	114,053	97,064
Gregory Vernon Williams 3875 W Beechwood Ave	$1.82	110,551	89,524
Tushar Patel 5043 E Kings Canyon Rd Ste 101	$4.99	103,908	96,480
Tejinder Singh Randhawa 805 Fresno St	$5.91	89,902	82,987
Malik Nasir Baz 7471 N Fresno St	$30.62	87,478	47,863
Brett Wee 2210 E Illinois Ave Ste 206	$0.30	80,224	45,269
Melinda Denise Trevino 1780 E Bullard Ave	$0.21	73,825	51,458
Lauren Shin Hiyama 7471 N Fresno St	$16.32	68,906	48,091
Amarjot Rai 155 N Fresno St	$0.30	64,233	37,515
Ferishta Gousse 1945 N Fine Ave Ste 100	$0.08	63,261	45,763
Ronald Eric Dominguez 155 N Fresno St	$11.02	62,924	53,300
Sana Rezai 1570 E Herndon Ave	$0.22	61,870	39,359
New Sang 1122 S St	$1.97	61,530	56,439
Saint Agnes Medical Foundation 1303 E Herndon Ave	$0.43	61,339	57,137
Ara Karnik Soghomonian 2645 Merced St	$0.10	60,224	37,086
Gurdeep Singh Ranu 5557 E Kings Canyon	$3.35	60,055	52,053
Hugh Yang 290 N Wayte Ln	$0.24	59,007	47,257
Sydney Boi Thoi Long 7471 N Fresno St	$37.68	57,246	36,716
Rajpreet Singh Saini 155 N Fresno St	$0.29	57,004	43,718
Geeta Ramesh 7300 N Fresno St	$0.17	53,739	42,045
Apai Polyudhapoom 3233 N Chestnut Ave	$0.04	53,279	34,702
David Wayne Cardona 1300 N Fresno St	$1.53	52,357	46,624
Caroline Render-Teixeira 290 N Wayte Ln # 2100	$0.62	47,266	31,676
Nicholas J Orme 4705 N Sonora Ave Ste 113	$0.00	46,112	28,784
Albert Lopez Lim 5755 E Kings Canyon Rd	$2.84	43,849	34,780
Family Healthcare Network 5166 E Olive Ave	$0.31	43,652	40,627
Timothy Kirkor Atmajian 3030 N Fresno St Ste 101	$0.05	42,631	27,632
Mireya Samaniego 4770 W Herndon Ave # 110	$1.05	41,912	28,558
Carlos Yoo 155 N Fresno St	$0.14	41,907	30,082
Ron Lichtenstein 2210 E Illinois Ave	$20.93	41,900	36,115
Fady Boules 2002 N Fine Ave Unit 101	$74.21	41,830	38,614
Raymond Miranda 7025 N Maple Ave Ste 108	$3.07	41,824	37,170
Ajit Singh 1108 U Street	$0.22	41,744	35,328
Nirpaul Singh Bains 3875 W Beechwood Ave	$0.01	39,038	21,675
Juan Guerrero Bautista 1805 E Fir Ave	$1.07	38,610	35,298
Nisha Suman 2505 Merced St	$1.21	38,449	21,074
Mark Anthony Pinto 807 N Van Ness Ave	$9.43	37,857	35,526
Narinder Singh Bala 3120 Tulare St	$0.04	36,337	33,391
Alex Yasser Hernandez 2505 Merced St	$0.14	36,065	20,228
Carlos Hugo Guerra Sanchez 4785 N 1St St Fl 3	$0.23	35,169	24,506
Harold Greg Rainwater 6113 N Fresno St # 101	$5.18	35,092	31,981
Omni Womens Health Medical Group Inc 3812 N 1St St	$0.06	34,414	31,274
Angela W Sabry 1069 E Champlain Dr Ste A	$7.25	33,205	23,230
John Zweifler 290 N Wayte Ln	$0.16	32,923	27,103
Enas Farouk Attia 1515 E Alluvial Ave	$2.55	32,384	25,738
Grace Wee Lim 5088 N Fresno St	$3.47	31,916	28,744
Luis Guerrero Bautista 1350 O St Ste 304	$1.74	31,877	23,192
California Cancer Associates For Research And Excellence Inc 7130 N Millbrook Ave Ste 100	$5.03	31,446	27,538

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.

Average Medicaid Office Visit Payments in Fresno, CA: $9.04

Providers Offering Office Visit in Fresno, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Fresno, CA

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Blood Work & Lab Tests

Dental Cleaning & Exam

Urinalysis & Urine Tests

Vaccines & Immunizations

Emergency Room Visit

Behavioral & Mental Health Therapy

Physical Therapy