Average Medicaid Office Visit Payments in Hilmar, CA: $7.51
Avg. Paid
$7.51
Range
$1.91 – $644.02
Total Claims
60,475
Providers
7
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 Hilmar, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ronald V. Bjarnason Do Inc
8397 N. Lander Ave |
$25.69 | 88 | 79 |
|
Dana Eric Berry
7970 Lander Ave |
$644.02 | 115 | 103 |
|
Merced Faculty Associates Medical Group Incorporated
19901 1St St |
$1.91 | 1,481 | 1,284 |
|
Sharnjeet Dosanjh
7970 Lander Ave |
$26.14 | 2,181 | 2,130 |
|
Ronald V Bjarnason
8397 N Lander Ave |
$4.36 | 3,216 | 2,922 |
|
Livingston Community Health
7970 Lander Ave |
$8.17 | 5,752 | 5,452 |
|
Oscar Vladimir Ramos
19901 First St Ste 4 |
$5.39 | 47,642 | 43,464 |
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 Hilmar, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hilmar, CA is $7.51 per claim, based on 60,475 claims from 7 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 Hilmar, CA?
There are 7 Medicaid providers offering Office Visit related services in Hilmar, CA according to public payment data.
What is the price range for Office Visit in Hilmar, CA?
Medicaid reimbursement for Office Visit in Hilmar, CA ranges from $1.91 to $644.02 per claim, with an average of $7.51. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Hilmar, CA
Urinalysis & Urine Tests
Avg $2.15
8,659 claims
Vaccines & Immunizations
Avg $24.78
6,852 claims
Hearing Test (Audiometry)
Avg $28.34
4,957 claims
Pregnancy & Prenatal Care
Avg $104.27
2,070 claims
Blood Work & Lab Tests
Avg $5.60
1,532 claims
Psychiatric Evaluation
Avg $48.22
532 claims
Dental Cleaning & Exam
Avg $35.82
512 claims
Prescription Medications
Avg $1.12
93 claims