Average Medicaid Office Visit Payments in La Jolla, CA: $47.42
Avg. Paid
$47.42
Range
$0.00 – $224.91
Total Claims
400,355
Providers
283
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 La Jolla, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Rami Michael
9850 Genesee Ave Ste 900 |
$0.41 | 26,749 | 20,388 |
|
Gilbert Ryan Dominguez
9850 Genesee Ave |
$50.82 | 24,828 | 23,443 |
|
Andrew Fernandez
10666 N. Torrey Pines Rd. |
$0.53 | 20,535 | 14,879 |
|
Barbara Susan Levy
1485 Deer Hill Ct |
$109.55 | 18,699 | 18,514 |
|
Mario Luis Salguero Galland
8950 Villa La Jolla Dr Ste B214 |
$4.94 | 18,038 | 9,351 |
|
Dorothy Liu-Barbaro
9500 Gilman Dr |
$0.72 | 16,705 | 15,877 |
|
Chrysten Elizabeth Cunningham
2386 Avenida De La Playa |
$114.55 | 16,462 | 16,036 |
|
Scripps Health
10666 N Torrey Pines Rd |
$26.32 | 13,535 | 11,762 |
|
Maureen Erin Farrell
9300 Campus Point Dr |
$116.80 | 10,464 | 10,331 |
|
Enass Eskander Rickards
4130 La Jolla Village Dr |
$122.68 | 8,930 | 8,783 |
|
Arij Faksh
9333 Genesee Avenue |
$113.19 | 8,442 | 8,356 |
|
Alexander A Krakovsky
7946 Ivanhoe Ave Ste 106 |
$77.62 | 8,150 | 7,487 |
|
Karen A. Mcgowan
5726 La Jolla Blvd |
$12.06 | 7,896 | 7,248 |
|
A. Lyle Rosenfield
4130 La Jolla Village Dr |
$94.31 | 7,329 | 7,240 |
|
Kelly Regina Culwell
9300 Campus Point Dr |
$115.26 | 6,853 | 6,802 |
|
Yevheniya Khrobust
9850 Genesee Ave |
$8.12 | 6,348 | 6,042 |
|
Tiffany Alexis Castillo
9500 Gilman Drive |
$4.21 | 5,938 | 5,204 |
|
Maria R Capetanakis
4150 Regents Park Row Ste 355 |
$0.21 | 5,123 | 4,642 |
|
Arjang K Miremadi
7702 Ivanhoe Ave |
$34.67 | 5,032 | 4,804 |
|
Brook L Brouha
7300 Girard Ave |
$64.26 | 4,796 | 4,608 |
|
Arnoldas Ceponis
9350 Campus Point Dr Ste 2B |
$32.17 | 4,016 | 3,934 |
|
Jad Omran
9452 Medical Center Dr # 7411 |
$56.16 | 3,821 | 3,785 |
|
Claudio Marcelo Demb
8950 Villa La Jolla Dr Ste C230 |
$59.46 | 3,819 | 3,594 |
|
James Phillip Andry
9834 Genesee Ave Ste 228 |
$75.55 | 3,682 | 3,457 |
|
Megan Tresenriter
10710 N Torrey Pines Rd |
$6.89 | 3,582 | 3,396 |
|
Ali Bagheri
10666 N Torrey Pines Rd |
$118.57 | 3,182 | 3,104 |
|
Ana Maria Grijalvo Perez
9350 Campus Point Dr |
$129.76 | 3,074 | 2,906 |
|
Felipe Orlando Camero Amortegui
7300 Girard Ave Ste 106 |
$3.45 | 2,861 | 2,654 |
|
Angela An-Chi Chang
9834 Genesee Ave |
$115.07 | 2,822 | 2,759 |
|
Scripps Clinic Medical Group, Inc
10666 N. Torrey Pines Rd. |
$33.57 | 2,755 | 2,410 |
|
Kendall Radburns Roberts
9850 Genesee Ave |
$4.40 | 2,615 | 2,440 |
|
Eric S Skoblar
9500 Gilman Dr |
$40.71 | 2,588 | 1,760 |
|
Cheryl Christine Saenz
3855 Health Sciences Dr |
$42.35 | 2,537 | 2,269 |
|
Marcus Lejon Williams
10666 N Torrey Pines Road |
$34.88 | 2,488 | 2,338 |
|
Andrei C Fodoreanu
7514 Girard Ave Ste 1405 |
$5.60 | 2,481 | 2,371 |
|
Christian Francis Archambault
7300 Grand Ave |
$5.57 | 2,437 | 2,256 |
|
Nasrin Arbabi
5688 Desert View Dr |
$3.25 | 2,395 | 2,242 |
|
Richard Bruce Schwab
3855 Health Sciences Dr |
$44.74 | 2,299 | 2,054 |
|
John Lee Otis
4150 Regents Park Row |
$5.20 | 2,288 | 2,004 |
|
Shannon Snyder
10710 N Torrey Pines Rd |
$7.20 | 2,277 | 1,933 |
|
Angelique Richardson
3855 Health Sciences Dr |
$48.16 | 2,110 | 1,903 |
|
Mark M. Boiskin
9834 Genesee Ave |
$28.18 | 2,089 | 2,049 |
|
Daniel Scott Glasser
9898 Genesee Ave |
$0.26 | 2,077 | 1,693 |
|
Sunil Bhoyrul
9850 Genesee Ave |
$37.79 | 2,046 | 2,018 |
|
Benjamin Yuh
10710 N Torrey Pines Rd |
$97.84 | 1,879 | 1,814 |
|
Ryan Loreno Lym
7300 Girard Ave Ste 106 |
$5.37 | 1,862 | 1,778 |
|
Sarah Galadriel Boles
3855 Health Sciences Dr |
$44.31 | 1,753 | 1,591 |
|
Diana Lola Paddock
9300 Campus Point Dr |
$1.48 | 1,741 | 1,583 |
|
Mehrdad Mark Mofid
4150 Regents Park Row |
$180.42 | 1,654 | 1,589 |
|
Edna Iris Flores
9850 Genesee Ave Ste 560 |
$38.77 | 1,619 | 1,442 |
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 La Jolla, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in La Jolla, CA is $47.42 per claim, based on 400,355 claims from 283 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 La Jolla, CA?
There are 283 Medicaid providers offering Office Visit related services in La Jolla, CA according to public payment data.
What is the price range for Office Visit in La Jolla, CA?
Medicaid reimbursement for Office Visit in La Jolla, CA ranges from $0.00 to $224.91 per claim, with an average of $47.42. 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 La Jolla, CA
X-Ray
Avg $9.48
195,991 claims
Emergency Room Visit
Avg $75.86
141,788 claims
Blood Work & Lab Tests
Avg $7.53
117,443 claims
EKG / ECG (Electrocardiogram)
Avg $12.31
77,431 claims
CT Scan (Computed Tomography)
Avg $57.83
61,848 claims
Psychiatric Evaluation
Avg $36.00
50,998 claims
Urinalysis & Urine Tests
Avg $2.93
49,341 claims
Ultrasound
Avg $39.93
49,027 claims