Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Irvine, CA: $41.92

Avg. Paid

$41.92

Range

$0.00 – $320.15

Total Claims

985,384

Providers

402

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 Irvine, CA

Provider	Avg. Paid	Claims	Patients
Mohsen S Alinaghian 62 Corporate Park	$15.83	12	12
Prohealth Partners A Medical Group Inc 113 Waterworks Way Ste 350	$74.68	12	12
Sumit Garg 850 Health Sciences Rd	$101.78	12	12
Annabelle Storch 850 Health Sciences Rd	$5.67	12	12
Spine And Pain Institute Of Orange County, Inc. 113 Waterworks Way	$3.12	12	12
Gennady Kolodenker 16405 Sand Canyon Ave	$0.00	12	12
Tiffanie Thy Do 6670 Alton Pkwy	$145.00	13	13
Diya Goorah Sandhu 1000 Fivepoint	$89.24	13	13
Andrew Phan 12 Villanova	$245.81	13	13
Christine Leehealey 4950 Barranca Pkwy	$16.90	13	13
Ziyad Bahije Jabaji 16405 Sand Canyon Ave Ste 280	$109.06	13	13
Jessica Shiu 118 Medical Surge 1	$39.78	13	13
Cyrus Sharuz Sedaghat 15775 Laguna Canyon Rd Ste 110	$0.00	13	12
Albert S Chang 501 Student Health	$4.82	14	13
Marit Kay Kreidel 6 Willard	$41.79	14	14
Layla Rubayi 17838 Fitch	$0.00	14	14
Matthew Wade 118 Med Surge I	$65.36	14	14
Peter C Kim Dpm Inc 4482 Barranca Pkwy Ste 228	$24.16	14	12
Denise Elaine Middleton 6670 Alton Pkwy	$138.21	14	14
Lawrence Ahn 14150 Culver Drive Ste. 100	$0.00	14	14
Harry Michael Moyses 16100 Sand Canyon Ave #130	$47.11	15	14
Jay Pravin Shah 6650 Alton Pkwy # 2	$71.67	15	13
Karen Matsumoto Deck 19722 Macarthur Blvd	$128.73	15	14
Amy Jo Purvis 1000 Fivepoint	$47.14	16	16
Jenny Nordin 16200 Sand Canyon Ave	$70.97	16	13
Parvin Shafa M D Inc 113 Waterworks Way Ste 100	$2.34	16	12
Katarina Veskovic Gottchalk Medical Plaza 1 Medcal Plaza	$26.21	16	14
Riiid Medical Group Irvine Inc 16100 Sand Canyon Ave Ste 240	$55.54	17	17
Ok S Ji 3 Corporate Park Ste 170	$297.78	17	12
Oliver Ross 6650 Alton Pkwy	$114.71	17	16
Xiangying Luo 101 Doverwood	$0.00	19	19
Hannah J Cho 250 E Yale Loop Ste G	$0.00	19	19
Ken Lin 850 Health Sciences Rd	$6.30	19	19
Jennie Quach 17305 Von Karman Ave Ste 101-107	$47.53	20	20
Jennifer Lee Dong 1190 Roosevelt	$36.31	21	12
Dorsa Babai 94 Mission	$12.50	24	24
Wanda Shok Yin Chang 6670 Alton Pkwy	$96.46	24	24
Jacob K Ahdoot Md Inc 15775 Laguna Canyon Rd	$38.36	25	25
Michael Yu Sy 1 Medical Plaza Drive	$79.91	26	26
Elika Kamdar 35 Creek Rd	$48.73	26	26
Lisa H Lim University Of California Irvine	$50.96	26	26
Shahrooz Bemanian 113 Waterworks Way Ste 155	$102.38	27	27
Noah Rodriguez 6650 Alton Pkwy	$102.04	27	25
Brian B Lo 7545 Irvine Center Dr Ste 200	$69.45	28	28
Katherine Anne Hom 856 Health Sciences Rd Ste 2600	$24.85	28	27
Amir B Rafizad 113 Waterworks Way	$30.49	29	25
Sina Firouzi 801 Spectrum Center Dr	$115.51	29	29
Alyssa Youngjee Kim Md A Prof Corp 14150 Culver Dr	$4.14	29	27
Pediatric Renal Medical Corporation 9 Candela	$79.10	29	29
Steven C Luh 6340 Irvine Blvd	$15.83	29	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 Irvine, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Irvine, CA is $41.92 per claim, based on 985,384 claims from 402 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 Irvine, CA?

There are 402 Medicaid providers offering Office Visit related services in Irvine, CA according to public payment data.

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

Medicaid reimbursement for Office Visit in Irvine, CA ranges from $0.00 to $320.15 per claim, with an average of $41.92. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Irvine, CA: $41.92

Providers Offering Office Visit in Irvine, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

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Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Irvine, CA

Physical Therapy

Dental Cleaning & Exam

Durable Medical Equipment (DME)

Psychiatric Evaluation

Behavioral & Mental Health Therapy

Nursing Facility Care

Non-Emergency Medical Transportation

Blood Work & Lab Tests