Average Medicaid Office Visit Payments in Healdsburg, CA: $9.74
Avg. Paid
$9.74
Range
$0.32 – $161.33
Total Claims
137,291
Providers
42
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 Healdsburg, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas Alan Neal
717 Center St |
$3.12 | 12 | 12 |
|
Tony David Veletto
1312 Prentice Dr |
$37.50 | 13 | 12 |
|
Isis A Laland
1083 Vine St |
$5.91 | 24 | 24 |
|
Northern California Medical Assoc Inc
1310 Prentice Dr |
$0.32 | 30 | 26 |
|
Julianne Stoll Van Schoor
1310 Prentice Dr |
$105.00 | 39 | 34 |
|
Gary Lekander
1375 University Ave |
$45.47 | 55 | 53 |
|
Christopher L. Barker
1381 University St |
$0.92 | 55 | 32 |
|
Maria Isabel Garcia
1381 University St |
$0.37 | 65 | 64 |
|
Alessandro Gaetano Cusano
145 Foss Creek Cir |
$92.71 | 72 | 70 |
|
Julie Ann Leveque
1381 University Ave |
$1.20 | 80 | 67 |
|
William James Elder
717 Center St |
$4.37 | 306 | 298 |
|
Robert Reyes Azcarraga
1381 University St |
$25.28 | 416 | 406 |
|
Natasha Bettina Sill
1381 University St |
$3.09 | 527 | 468 |
|
Ma De Lourdes Rayas Almeraz
1381 University St |
$2.44 | 553 | 380 |
|
Nina Maisterra
1381 University St |
$43.04 | 657 | 611 |
|
Todd Steele
1381 University St |
$1.46 | 747 | 505 |
|
Alliance Medical Center
1381 University St |
$0.85 | 758 | 680 |
|
Kristia L Owens
1381 University St |
$20.96 | 823 | 783 |
|
Tami Salomon
1381 University St |
$3.51 | 914 | 789 |
|
Barbara Ann Boylan
1381 University St |
$5.55 | 1,002 | 564 |
|
John David Tomasin
1310 Prentice Dr |
$64.11 | 1,039 | 978 |
|
Guadalupe Nieto Hedrick
445 March Ave |
$4.38 | 1,331 | 1,200 |
|
Linda A Rake
1381 University St |
$6.40 | 1,557 | 1,103 |
|
Sarah Dudenhoeffer
421 March Ave Ste B |
$27.10 | 1,622 | 1,321 |
|
Tess Marie Lusher
455 Hudson Str |
$19.16 | 1,924 | 1,247 |
|
North Sonoma County Health Care District
1375 University Ave. |
$150.42 | 1,985 | 1,484 |
|
Norcal Healthconnect Llc
1375 University Ave |
$161.33 | 2,439 | 1,933 |
|
Laura Kean Kramer
1381 University St |
$26.11 | 2,470 | 1,408 |
|
Susannah Rachael Labbe
1381 University St |
$5.19 | 3,116 | 2,230 |
|
Vanessa Pinto
1381 University St |
$4.53 | 3,230 | 1,730 |
|
Judy Lock
1381 University St |
$12.77 | 3,240 | 1,749 |
|
Jose Adolfo Chibras Sainz
1381 University St |
$0.82 | 3,268 | 2,687 |
|
Thomas L. Toth
1381 University St |
$1.95 | 5,134 | 2,797 |
|
Andre B Gerard
1381 University St |
$2.17 | 5,203 | 2,651 |
|
Cameron Duane Macinnis
717 Center St |
$1.41 | 5,660 | 3,282 |
|
Gigi M Leon
1381 University St |
$1.17 | 6,327 | 3,801 |
|
Juana Rosa Alvarez
1381 University St |
$2.02 | 6,552 | 3,823 |
|
Seth Ammerman
1381 University St |
$1.62 | 7,131 | 3,027 |
|
Ember Keighley
1381 University St |
$2.44 | 8,778 | 5,224 |
|
Carey Robert Terry
1381 University St |
$2.29 | 15,131 | 7,478 |
|
Cassandra Heller
1381 University St |
$1.68 | 15,807 | 8,546 |
|
Gary Pace
1381 University St |
$4.16 | 27,199 | 15,707 |
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 Healdsburg, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Healdsburg, CA is $9.74 per claim, based on 137,291 claims from 42 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 Healdsburg, CA?
There are 42 Medicaid providers offering Office Visit related services in Healdsburg, CA according to public payment data.
What is the price range for Office Visit in Healdsburg, CA?
Medicaid reimbursement for Office Visit in Healdsburg, CA ranges from $0.32 to $161.33 per claim, with an average of $9.74. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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Avg $81.86
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Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Avg $82.40
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Avg $47.53
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Avg $48.27
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Avg $54.47
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Other Procedures in Healdsburg, CA
Emergency Room Visit
Avg $112.49
53,202 claims
Psychiatric Evaluation
Avg $14.60
28,056 claims
Chiropractic Care
Avg $20.36
23,558 claims
Blood Work & Lab Tests
Avg $9.04
12,610 claims
Ambulance Transport
Avg $114.75
7,970 claims
Urinalysis & Urine Tests
Avg $2.95
7,756 claims
Speech Therapy
Avg $16.44
6,170 claims
Physical Therapy
Avg $116.81
5,714 claims