Average Medicaid Office Visit Payments in King City, CA: $12.65
Avg. Paid
$12.65
Range
$0.00 – $634.47
Total Claims
298,073
Providers
23
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 King City, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Khuong Cun Phui
300 Canal St |
$2.66 | 98,363 | 84,757 |
|
Bruce Greenberg
210 Canal St |
$14.13 | 51,519 | 34,981 |
|
Juan Roderick Balza Pagsolingan
210 Canal St |
$22.52 | 28,763 | 21,576 |
|
Sandra Montijo
210 Canal St |
$16.35 | 21,526 | 12,937 |
|
Joshua Lawrence Deutsch
300 Canal St |
$12.91 | 12,958 | 9,775 |
|
Roy Schindelheim
210 Canal St |
$19.08 | 10,840 | 9,245 |
|
Lisa Norlander
300 Canal St |
$5.15 | 9,938 | 6,832 |
|
Jalia Tucker
122 E San Antonio Dr |
$5.42 | 9,763 | 7,792 |
|
Georgina Alejandra Centeno Duran
122 E San Antonio Dr |
$27.61 | 8,393 | 5,524 |
|
Jay M. Cooper
300 Canal St |
$16.50 | 7,898 | 5,196 |
|
Susana R Torres
122 E San Antonio Dr |
$16.55 | 7,451 | 4,619 |
|
Erin Elizabeth Bulleit
122 E San Antonio Dr |
$14.16 | 7,374 | 4,402 |
|
Ndika Fomukong
210 Canal St |
$0.08 | 5,253 | 4,588 |
|
Christina M. Zaro
400 Canal St |
$1.51 | 5,237 | 4,965 |
|
Clinica De Salud Del Valle De Salinas
122 San Antonio Drive |
$31.56 | 4,069 | 3,447 |
|
Southern Monterey County Memorial Hospital
300 Canal St |
$76.05 | 3,290 | 3,140 |
|
Roberto Cazar Tongson
212 Bassett St |
$5.66 | 2,498 | 2,248 |
|
Brunel Bredy
122 San Antonio Drive |
$30.18 | 1,592 | 1,549 |
|
Mitchell Morta
122 E San Antonio Dr |
$0.00 | 650 | 607 |
|
County Of Monterey Behavioral Health
200 Broadway St |
$634.47 | 369 | 332 |
|
Gilbert E. Flores
210 Canal St |
$119.25 | 229 | 102 |
|
Barbara Corinne Pekema
210 Canal St |
$15.98 | 87 | 82 |
|
Ian R. Farrell
210 Canal St |
$106.95 | 13 | 13 |
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 King City, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in King City, CA is $12.65 per claim, based on 298,073 claims from 23 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 King City, CA?
There are 23 Medicaid providers offering Office Visit related services in King City, CA according to public payment data.
What is the price range for Office Visit in King City, CA?
Medicaid reimbursement for Office Visit in King City, CA ranges from $0.00 to $634.47 per claim, with an average of $12.65. 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 King City, CA
Blood Work & Lab Tests
Avg $10.34
147,468 claims
Emergency Room Visit
Avg $73.24
64,484 claims
Physical Therapy
Avg $36.53
55,779 claims
Urinalysis & Urine Tests
Avg $2.49
54,193 claims
Vaccines & Immunizations
Avg $7.30
50,512 claims
Hearing Test (Audiometry)
Avg $8.20
28,056 claims
X-Ray
Avg $26.13
16,828 claims
Prescription Medications
Avg $8.64
16,527 claims