Average Medicaid Office Visit Payments in Fullerton, CA: $41.06
Avg. Paid
$41.06
Range
$0.00 – $570.41
Total Claims
375,817
Providers
202
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 Fullerton, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edgar Flores
50I S Brookhurst Rd |
$35.78 | 34,511 | 29,000 |
|
Milie Marie Tolentino
731 S Highland Ave |
$26.08 | 29,378 | 26,204 |
|
Reproductive Health Care Center
501 S Brookhurst Rd |
$86.95 | 27,734 | 25,347 |
|
Hena Min
1267 Deerpark Dr Apt 27 |
$0.07 | 24,104 | 21,440 |
|
Jonathan Ian Bennett
300 N Euclid St |
$51.28 | 17,510 | 14,300 |
|
Carlos Sobral
2720 N Harbor Blvd |
$50.79 | 14,072 | 12,101 |
|
Manmohan Gursahani
1024 Ferndale Ave |
$89.67 | 11,963 | 9,995 |
|
Arun Dahyabhai Patel
907 W Wilshire Ave |
$2.33 | 10,591 | 9,911 |
|
Orange County Foot And Ankle Group, Inc.
300 N Euclid St |
$14.46 | 9,453 | 8,729 |
|
St. Jude Neighborhood Health Centers
731 S Highland Ave |
$24.60 | 9,015 | 7,996 |
|
Joseph T Ho
150 Laguna Rd Ste A |
$107.87 | 7,733 | 6,205 |
|
Grainne A Mcevoy
731 S Highland Ave |
$34.87 | 7,348 | 6,834 |
|
Wei Wah Kwok
150 Laguna Rd Ste A |
$99.19 | 7,077 | 5,558 |
|
Sandhya R Gudapati
140 E. Commonwealth Ave. |
$67.91 | 6,407 | 6,200 |
|
Joyce H. Chong M.D. Inc.
125 N. Euclid St |
$24.33 | 5,710 | 5,466 |
|
Maximiliano Hyon
100 E Valencia Mesa Dr Ste 105 |
$23.59 | 4,817 | 4,543 |
|
Retina Consultants Of Orange County, A Medical Corporation
301 W Bastanchury Rd |
$27.25 | 4,650 | 4,492 |
|
Lalitha M Vakkalanka
140 E Commonwealth Ave Ste 100 |
$7.95 | 4,566 | 3,924 |
|
Mirna Demirdjian
2501 E Chapman Ave Ste 107 |
$30.03 | 4,259 | 3,074 |
|
Uma P Rao
1400 N Harbor Blvd |
$1.97 | 4,193 | 3,926 |
|
Anne Amer
1006 E Bastanchury Rd |
$48.03 | 3,848 | 3,289 |
|
Son Hoang Do
1207 S Euclid St |
$5.06 | 3,814 | 2,444 |
|
Elethea George Locke-Harris
2251 N Harbor Blvd |
$1.46 | 3,797 | 2,637 |
|
Kenneth Steven Alpern
1501 W Commonwealth Ave |
$32.29 | 3,778 | 3,292 |
|
Corey M Lejeune
300 N Euclid St |
$57.53 | 3,698 | 3,121 |
|
Stems Prp, Inc
626 W Commonwealth Ave |
$0.28 | 3,559 | 499 |
|
Henry Kaw Md Inc
321 N Pomona Ave |
$36.43 | 3,485 | 1,793 |
|
Negeen Farmand
2720 N Harbor Blvd |
$0.70 | 3,336 | 2,137 |
|
Raed Ali
100 E Valencia Mesa Dr |
$90.01 | 3,265 | 2,952 |
|
Arthur D Zepeda
100 E Valencia Mesa Dr |
$54.45 | 2,919 | 2,535 |
|
Serra Eugenie Park Ryu
300 N Euclid St |
$0.25 | 2,808 | 2,731 |
|
Ash Pirouz
301 W Bastanchury Rd Ste 285 |
$50.92 | 2,651 | 2,140 |
|
John K. Lee, M.D., Inc.
400 N Euclid St |
$3.64 | 2,635 | 2,200 |
|
Cornerstone Acupuncture Clinic
150 Laguna Rd Ste A |
$44.88 | 2,576 | 2,066 |
|
Naureen Tareen
831 W Las Palmas Dr |
$0.84 | 2,453 | 2,201 |
|
Richard Donald Boucher
800 N. State College Blvd. |
$145.00 | 2,318 | 1,858 |
|
Arash Farahanchi
2251 N Harbor Blvd |
$40.16 | 2,211 | 1,702 |
|
Jason Ling
100 E Valencia Mesa Dr Ste 105 |
$64.08 | 2,017 | 1,914 |
|
John Kwanghyuk Lee
400 N. Euclid St |
$4.46 | 1,900 | 1,735 |
|
Amerco Health Enterprise, Inc
1006 E Bastanchury Rd |
$61.43 | 1,893 | 1,425 |
|
Valerie Van
731 S Highland Ave |
$0.00 | 1,773 | 1,703 |
|
Robyn Kyomi Sato
150 Laguna Rd |
$20.44 | 1,755 | 1,458 |
|
Bruce Park, M.D. A Professional Corporation
1966 E Chapman Ave |
$47.34 | 1,743 | 1,706 |
|
Monica E Lee
2151 N Harbor Blvd Ste 3200 |
$41.10 | 1,716 | 1,386 |
|
Joyce Haekyoung Chong
125 N Euclid St |
$8.67 | 1,684 | 1,525 |
|
Joseph D Chun
1501 W Commonwealth Ave |
$32.92 | 1,626 | 1,526 |
|
Elizabeth R. Reyes, M.D., Apc
301 W Bastanchury Rd Ste 115 |
$24.49 | 1,502 | 1,377 |
|
Eric Lon Lin
100 E Valencia Mesa Dr |
$80.86 | 1,484 | 1,191 |
|
Karen Marie Trabilcy
101 E Valencia Mesa Drive |
$39.59 | 1,383 | 1,379 |
|
Michael P. Rubinstein
680 Langsdorf Dr |
$64.19 | 1,381 | 1,315 |
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 Fullerton, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fullerton, CA is $41.06 per claim, based on 375,817 claims from 202 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 Fullerton, CA?
There are 202 Medicaid providers offering Office Visit related services in Fullerton, CA according to public payment data.
What is the price range for Office Visit in Fullerton, CA?
Medicaid reimbursement for Office Visit in Fullerton, CA ranges from $0.00 to $570.41 per claim, with an average of $41.06. 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 Fullerton, CA
Blood Work & Lab Tests
Avg $4.31
488,267 claims
Substance Abuse Treatment
Avg $36.31
453,868 claims
Behavioral & Mental Health Therapy
Avg $115.64
188,923 claims
Dental Cleaning & Exam
Avg $59.56
174,014 claims
Physical Therapy
Avg $18.15
159,544 claims
X-Ray
Avg $9.77
131,587 claims
Prescription Medications
Avg $12.26
114,497 claims
Urinalysis & Urine Tests
Avg $1.89
110,052 claims