Average Medicaid Office Visit Payments in Kingsburg, CA: $6.75
Avg. Paid
$6.75
Range
$0.05 – $19.95
Total Claims
35,947
Providers
14
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 Kingsburg, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Reedley Community Hospital
1781 Simpson Street |
$3.93 | 10,455 | 9,122 |
|
Kent Donald Riemer
2400 Sierra St |
$6.44 | 9,173 | 6,647 |
|
Amritpal Kaur Mundi
121 W Sierra St |
$12.06 | 7,746 | 6,934 |
|
Sy Sophamixay-Essegian
121 Sierra St |
$5.92 | 6,340 | 5,122 |
|
Katherine Austin
1251 Draper St |
$0.05 | 918 | 796 |
|
Tracey Hongthuy Nguyen
1401 Washington St |
$7.68 | 389 | 358 |
|
Vanessa Vazquez Vidal
121 W Sierra St |
$12.09 | 362 | 345 |
|
David J Grilione
1454 California St Ste A |
$0.64 | 222 | 124 |
|
Harjot Mattu
2400 Sierra St |
$18.50 | 159 | 159 |
|
Marikit Beth Smith
1364 Draper St |
$1.19 | 63 | 56 |
|
Samantha Lynn Besoyan
4177 Avenue 368 |
$10.49 | 51 | 49 |
|
Xeng Xai Xiong
121 W Sierra St |
$6.89 | 39 | 37 |
|
Kimberly Perez-Gutierrez
121 W Sierra Street |
$19.95 | 17 | 13 |
|
Erin Irene Marquez
1781 Simpson St |
$3.30 | 13 | 12 |
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 Kingsburg, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kingsburg, CA is $6.75 per claim, based on 35,947 claims from 14 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 Kingsburg, CA?
There are 14 Medicaid providers offering Office Visit related services in Kingsburg, CA according to public payment data.
What is the price range for Office Visit in Kingsburg, CA?
Medicaid reimbursement for Office Visit in Kingsburg, CA ranges from $0.05 to $19.95 per claim, with an average of $6.75. 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 Kingsburg, CA
Chiropractic Care
Avg $4.37
31,159 claims
Dental Cleaning & Exam
Avg $50.57
26,476 claims
Physical Therapy
Avg $0.45
22,408 claims
Eye Exam
Avg $11.06
15,537 claims
Dental Filling
Avg $69.44
7,061 claims
Ambulance Transport
Avg $114.81
4,004 claims
Urinalysis & Urine Tests
Avg $3.15
3,200 claims
Psychiatric Evaluation
Avg $48.39
1,598 claims