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 |
|---|---|---|---|
|
George Pisimisis
2720 N Harbor Blvd Ste 140 |
$83.75 | 12 | 12 |
|
Edward M Lee
100 E. Valencia Mesa Drive |
$32.72 | 12 | 12 |
|
Andrew Imparato
255 Laguna Rd |
$49.54 | 13 | 12 |
|
Luminita M Mann
100 E Valencia Mesa Dr |
$0.00 | 13 | 13 |
|
Thomas X. Cuyegkeng
100 E Valencia Mesa Dr Ste 311 |
$82.02 | 13 | 12 |
|
Amy Alias
2141 N Harbor Blvd Ste 25000 |
$26.20 | 13 | 12 |
|
Quantin Thien Pham
100 E Valencia Mesa Dr Ste 310 |
$5.36 | 14 | 14 |
|
Edward Lawton
2141 N Harbor Blvd Ste 25000 |
$37.98 | 14 | 14 |
|
Shahram Solhpour
2141 N Harbor Blvd |
$35.19 | 14 | 12 |
|
Ali S Alavi
1950 Sunnycrest Dr |
$81.80 | 15 | 14 |
|
Kidstrong Medical Group Inc.
220 Laguna Rd Ste 5 |
$44.33 | 15 | 13 |
|
Sunny Hills Medical Center Inc.
140 E Commonwealth Ave Ste 100 |
$45.42 | 16 | 15 |
|
Jamie Katherine Liu
2151 N Harbor Blvd Ste 3100 |
$0.00 | 16 | 16 |
|
Associated Head & Neck Surgeons Of Greater Orange County Inc.
1950 Sunnycrest Dr Ste 3800 |
$44.98 | 18 | 17 |
|
Sahar Z Faghih
1401 S Brookhurst Rd Ste 106 |
$23.90 | 22 | 22 |
|
Igor Irvin Bussel
270 Laguna Rd Ste 100 |
$29.26 | 25 | 24 |
|
Eugene Jay Yoon
1837 Sunny Crest Dr |
$49.81 | 25 | 24 |
|
Andrew Karich
2141 N Harbor Blvd |
$31.93 | 26 | 25 |
|
Nina Ton
2575 Yorba Linda Blvd |
$0.00 | 28 | 28 |
|
Ynolde Faustina Smith
2151 N Harbor Blvd |
$47.32 | 29 | 29 |
|
William P Baugh
333 W Bastanchury Rd |
$0.00 | 29 | 26 |
|
Pathways Community Services Llc
1501 E Orangethorpe Ave Ste 200 |
$437.28 | 29 | 27 |
|
Allen Y Tham
2141 N Harbor Blvd |
$81.33 | 30 | 29 |
|
Chizomam Margaret Abanobi
2141 N Harbor Blvd Ste 25000 |
$119.03 | 31 | 31 |
|
Laura Judith Biardi
101 Laguna Rd Ste 100 |
$9.68 | 31 | 29 |
|
Donna Marino
731 S Highland Ave |
$33.77 | 32 | 29 |
|
Kim Medical Corporation
1950 Sunny Crest Dr Ste 2700 |
$0.11 | 34 | 34 |
|
Norma Hernandez-Ramirez
731 S Highland Ave |
$0.00 | 35 | 31 |
|
Jack H Florin Md Inc
100 Laguna Rd |
$43.29 | 37 | 37 |
|
Patrick Koo
1837 Sunny Crest Dr |
$52.17 | 37 | 37 |
|
Shivani Kamalesh Patel
2141 N Harbor Blvd Ste 25000 |
$65.36 | 39 | 39 |
|
Parool B Patel
140 E Commonwealth Ave Ste 101 |
$60.00 | 44 | 43 |
|
Paul Chen Lee
1440 N Harbor Blvd Ste 100 |
$7.82 | 47 | 40 |
|
Martin C Holt
901 W Orangethorpe Ave |
$0.00 | 48 | 44 |
|
Courtney Anne Vito
2141 N Harbor Blvd Ste 33001 |
$66.40 | 48 | 48 |
|
James J Lee
1955 Sunnycrest Dr. |
$14.85 | 50 | 45 |
|
Jonathan Anderson
2720 N Harbor Blvd |
$30.08 | 50 | 43 |
|
Jack Hugh Florin
100 Laguna Rd |
$0.74 | 51 | 46 |
|
Scott Matthew Hughes
1915 Sunny Crest Dr |
$29.24 | 59 | 51 |
|
Florence Kim
1893 W Malvern Ave |
$80.39 | 64 | 64 |
|
Michael Alter
2575 Yorba Linda Blvd |
$36.99 | 65 | 65 |
|
Jeffrey Zhou Tsao
301 W Bastanchury Rd Ste 10 |
$32.36 | 70 | 64 |
|
Child Guidance Center, Inc.
680 Langsdorf Dr |
$162.76 | 76 | 42 |
|
Steven E Saltman
100 E Valencia Mesa Dr |
$37.83 | 76 | 60 |
|
Clarke Lew Medical Corp
3535 W Commonwealth Ave |
$15.65 | 77 | 68 |
|
Lam Phung
1400 N Harbor Blvd Ste 101 |
$10.05 | 83 | 83 |
|
Vince Vu Le
2575 Yorba Linda Blvd |
$31.57 | 84 | 84 |
|
La Crystal L. Fuller
1950 Sunny Crest Dr |
$42.07 | 92 | 91 |
|
Sung S. Choi
680 Langsdorf Dr Ste 110 |
$9.16 | 95 | 95 |
|
Amerco Health Enterprise, Inc
1006 E Bastanchury Rd |
$15.95 | 95 | 70 |
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