Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Gilroy, CA: $14.27

Avg. Paid

$14.27

Range

$0.00 – $1,394

Total Claims

106,295

Providers

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 Gilroy, CA

Provider	Avg. Paid	Claims	Patients
Kevin D Stuart 9460 No Name Uno	$37.98	12	12
Clifford Hsieh 7520 Arroyo Cir	$0.00	12	12
Planned Parenthood Mar Monte, Inc 760 Renz Lane	$0.00	13	13
Mariela Josefina Fuenmayor 9015 Murray Ave Ste 100	$21.40	14	12
Victoria Huynh Phan 760 Renz Ln	$17.78	26	24
Seneca Family Of Agencies 383 1St St	$1,394	33	26
Elsie Marie Madrid 7520 Arroyo Cir	$27.08	33	25
San Jose Foothill Family Community Clinic, Inc. 9460 No Name Uno	$0.59	40	33
Van B. Thai 7520 Arroyo Cir	$0.00	44	40
Kenneth C. Tan 7520 Arroyo Cir	$28.11	45	45
Robert T. Levan 7520 Arroyo Cir	$92.01	55	47
M. Bakri Musa 700 W 6Th St	$7.36	56	46
Julia Shuleshko 9400 N Name Uno	$23.04	56	51
Lisa Yu Lo 7520 Arroyo Cir	$7.56	58	56
Zulaikha Akbery 760 Renz Ln	$0.86	60	60
Odd-Fellow Rebekah Children'S Home Of California 290 I O O F Ave	$867.48	86	72
Catherine Storm Snively 7520 Arroyo Cir # 1	$23.97	108	104
Marisa Tingfeng Liang 9460 N Name Uno	$13.15	117	113
County Of Santa Clara 1215-1235 First St	$1,321	117	115
David Lam 7475 Camino Arroyo	$5.78	138	119
Vasumitha Alamelu 7520 Arroyo Cir	$53.82	141	136
Elizat Baialieva 9460 N Name Uno Ste 110	$26.10	146	117
Michelle Catherine Dohrmann 7520 Arroyo Cir	$7.97	153	146
Gardner Family Health Network Inc 7526 Monterey St	$0.00	210	173
Keval D Patel 9360 N Name Uno Ste 210	$2.40	264	149
Community Solutions For Children, Families, And Individuals 9015 Murray Ave	$736.61	306	290
Ronald H Yanagihara 9360 No Name Uno #130	$40.15	346	280
Trinh Kien Nguyen 7475 Camino Arroyo	$0.49	356	353
Brian Patrick Barlics 7475 Camino Arroyo	$6.86	400	366
County Of Santa Clara 7475 Camino Arroyo	$0.14	417	372
Maliheh Mirzaei 7520 Arroyo Cir	$0.34	446	406
Dominique M. Ly 7933 Wren Ave	$6.90	449	446
Swapna C Reddy 9460 N Name Uno Ste 210	$50.54	471	463
Vivian Tu-Anh Le 7526 Monterey St	$1.98	543	506
Michael J. H Dez 7520 Arroyo Cir	$13.69	599	536
Kent Steven Carson 9460 N Name Uno Ste 210	$76.80	617	594
Regina Hungerford-Soares 7526 Monterey St	$0.00	728	536
Felicidad G Lao-Domingo 700 W 6Th St	$23.06	1,021	672
Kaveh Akhbari 80 West 5Th St	$1.93	1,037	943
Linda Zhao 7526 Monterey St	$1.64	1,218	1,198
Jennifer Esther Yuriar 7475 Camino Arroyo	$0.00	1,314	685
Gerrit V Henry 9460 N Name Uno Ste 210	$68.45	1,542	1,468
Gunjan Mittal 9360 No Name Uno, Suite 240	$8.06	1,689	1,592
Ashley Mason 9460 N Name Uno	$20.41	1,750	1,272
Haley Holway Miller 7475 Camino Arroyo	$2.62	1,770	1,000
Graciela Lopez 7475 Camino Arroyo	$2.34	2,455	1,555
Monika Hassler 7933 Wren Ave	$29.69	2,919	2,825
Kyoko Chiemi Pena-Robles 7526 Monterey St	$12.24	3,160	3,015
Clayton Lee Schiltz 7888 Wren Ave Ste A110	$7.77	3,273	3,234
Matthew Mendioro Watson 7520 Arroyo Cir	$57.61	3,760	3,267

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 Gilroy, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gilroy, CA is $14.27 per claim, based on 106,295 claims from 57 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 Gilroy, CA?

There are 57 Medicaid providers offering Office Visit related services in Gilroy, CA according to public payment data.

What is the price range for Office Visit in Gilroy, CA?

Medicaid reimbursement for Office Visit in Gilroy, CA ranges from $0.00 to $1,394 per claim, with an average of $14.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Gilroy, CA: $14.27

Providers Offering Office Visit in Gilroy, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Eye Exam

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Psychiatric Evaluation