Average Medicaid Office Visit Payments in Ladera Ranch, CA: $26.58
Avg. Paid
$26.58
Range
$0.31 – $98.64
Total Claims
28,443
Providers
18
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 Ladera Ranch, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jessica Blair
333 Corporate Dr Ste 200 |
$0.41 | 8,212 | 7,256 |
|
Mitchell Joseph Wainwright
800 Corporate Dr Ste 100 |
$39.15 | 7,289 | 6,478 |
|
Miranda Faith De Luna
27522 Antonio Pkwy Ste P3 |
$40.44 | 4,873 | 4,039 |
|
Mussarat Abidi
333 Corporate Drive |
$26.98 | 1,973 | 1,579 |
|
Leann Arleen Williams
600 Corporate Dr Ste 110 |
$58.68 | 1,714 | 1,589 |
|
Sun Medical Group, Inc
27522 Antonio Pkwy Ste P3 |
$29.22 | 1,293 | 998 |
|
Kenson Lo
777 Corporate Dr |
$6.21 | 1,125 | 1,086 |
|
John Mersch
777 Corporate Dr |
$2.37 | 573 | 552 |
|
Sung Whee Kim
333 Corporate Dr Ste 260 |
$98.64 | 521 | 500 |
|
John J Miller
2 Franciscan Ct |
$1.13 | 371 | 371 |
|
Maria Andruzzi Ambrosini
333 Corporate Dr Ste 200 |
$69.27 | 161 | 143 |
|
Parisa Shirkhani
27522 Antonio Pkwy Ste P3 |
$28.02 | 155 | 149 |
|
Meena Tanwar-Ahuja
333 Corporate Dr Ste 200 |
$0.31 | 77 | 75 |
|
Christine M Comulada
333 Corporate Dr Ste 200 |
$3.00 | 42 | 40 |
|
Amy Cox
800 Corporate Dr |
$47.02 | 27 | 27 |
|
Robert James Spencer
333 Corporate Dr Ste 230 |
$25.01 | 13 | 13 |
|
Catherine Loomis
27522 Antonio Pkwy Ste P3 |
$85.19 | 12 | 12 |
|
Lindsey Law
333 Corporate Dr Ste 260 |
$9.35 | 12 | 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 Ladera Ranch, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ladera Ranch, CA is $26.58 per claim, based on 28,443 claims from 18 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 Ladera Ranch, CA?
There are 18 Medicaid providers offering Office Visit related services in Ladera Ranch, CA according to public payment data.
What is the price range for Office Visit in Ladera Ranch, CA?
Medicaid reimbursement for Office Visit in Ladera Ranch, CA ranges from $0.31 to $98.64 per claim, with an average of $26.58. 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 Ladera Ranch, CA
Dental Cleaning & Exam
Avg $58.61
25,974 claims
Speech Therapy
Avg $4.60
8,419 claims
Dental Filling
Avg $78.25
6,871 claims
Vaccines & Immunizations
Avg $12.67
3,929 claims
X-Ray
Avg $5.91
3,313 claims
Physical Therapy
Avg $0.06
2,660 claims
CT Scan (Computed Tomography)
Avg $45.13
1,978 claims
Tooth Extraction
Avg $95.12
1,275 claims