Average Medicaid Office Visit Payments in Guerneville, CA: $3.74
Avg. Paid
$3.74
Range
$0.00 – $620.81
Total Claims
48,750
Providers
14
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 Guerneville, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Steven Bromer
16319 Third Street |
$1.15 | 24,734 | 16,023 |
|
Deette Deville
16319 Third Street |
$1.83 | 9,864 | 7,642 |
|
Jared Nikolaus Garrison-Jakel
16319 Third Street |
$5.18 | 4,357 | 2,715 |
|
Jennifer Nicole Herman
Po Box 226 |
$2.88 | 2,894 | 1,987 |
|
Maria S Baron
16387 First St |
$4.59 | 1,382 | 1,211 |
|
Aimee Laurenne Greenfield
14045 Mill St |
$3.67 | 1,331 | 1,147 |
|
Surani Hayre-Kwan
16319 Third Street |
$1.61 | 1,292 | 756 |
|
Jerrold Paul Elliott
16319 Third Street |
$3.08 | 939 | 892 |
|
West County Health Centers, Inc.
16387 First St |
$1.94 | 876 | 765 |
|
Penelope Sue Applegarth
14045 Mill St |
$3.71 | 644 | 607 |
|
Ray Mak
Po Box 1449 |
$3.29 | 174 | 122 |
|
County Of Sonoma
16390 Main St |
$620.81 | 135 | 126 |
|
West County Health Centers, Inc.
16312 Third Street |
$0.00 | 111 | 97 |
|
Andrea Rose Ginsberg
Po Box 1449 |
$0.00 | 17 | 14 |
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 Guerneville, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Guerneville, CA is $3.74 per claim, based on 48,750 claims from 14 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 Guerneville, CA?
There are 14 Medicaid providers offering Office Visit related services in Guerneville, CA according to public payment data.
What is the price range for Office Visit in Guerneville, CA?
Medicaid reimbursement for Office Visit in Guerneville, CA ranges from $0.00 to $620.81 per claim, with an average of $3.74. 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 Guerneville, CA
Case Management Services
Avg $200.82
6,100 claims
Psychiatric Evaluation
Avg $42.84
2,659 claims
Emergency Room Visit
Avg $0.11
1,541 claims
Hearing Test (Audiometry)
Avg $0.22
736 claims
Ambulance Transport
Avg $118.70
701 claims
Behavioral & Mental Health Therapy
Avg $317.51
211 claims
EKG / ECG (Electrocardiogram)
Avg $16.02
65 claims
Vaccines & Immunizations
Avg $0.96
28 claims