Average Medicaid Office Visit Payments in Half Moon Bay, CA: $56.87
Avg. Paid
$56.87
Range
$0.00 – $1,497
Total Claims
11,291
Providers
12
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 Half Moon Bay, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Karen Marie Senffner
785 Main St |
$0.00 | 34 | 34 |
|
Svitlana Plaschke
799 Main St Ste D |
$4.84 | 78 | 74 |
|
Michael Andrew Huie
585 Kelly Ave |
$0.16 | 149 | 149 |
|
Claire Toutant
725 Main St |
$60.22 | 215 | 202 |
|
San Mateo County
225 Cabrillo Hwy S |
$1,497 | 254 | 233 |
|
Alvaro H Rodriguez
225 Cabrillo Hwy S |
$12.76 | 292 | 286 |
|
Irwin D Cohen
585 Kelly St |
$27.22 | 379 | 341 |
|
County Of San Mateo
225 Cabrillo Hwy S |
$0.00 | 416 | 373 |
|
Daniel Eugene Mcmillan
575 Kelly St |
$7.18 | 881 | 777 |
|
Elizabeth Scott
225 Cabrillo Hwy South |
$11.94 | 1,503 | 1,359 |
|
Sandra Lynn Perez
344 Garcia Ave |
$8.11 | 1,915 | 1,811 |
|
Jonathan Jesus Urena
225 Cabrillo Hwy S |
$37.65 | 5,175 | 4,715 |
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 Half Moon Bay, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Half Moon Bay, CA is $56.87 per claim, based on 11,291 claims from 12 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 Half Moon Bay, CA?
There are 12 Medicaid providers offering Office Visit related services in Half Moon Bay, CA according to public payment data.
What is the price range for Office Visit in Half Moon Bay, CA?
Medicaid reimbursement for Office Visit in Half Moon Bay, CA ranges from $0.00 to $1,497 per claim, with an average of $56.87. 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 Half Moon Bay, CA
Dental Cleaning & Exam
Avg $38.73
8,964 claims
Case Management Services
Avg $207.85
6,288 claims
Behavioral & Mental Health Therapy
Avg $398.69
5,308 claims
Hearing Test (Audiometry)
Avg $3.29
4,123 claims
Vaccines & Immunizations
Avg $10.77
3,867 claims
Psychiatric Evaluation
Avg $209.38
2,703 claims
Dental Filling
Avg $59.87
2,095 claims
Eye Exam
Avg $25.39
1,859 claims