Average Medicaid Office Visit Payments in Laguna Beach, CA: $30.85
Avg. Paid
$30.85
Range
$0.00 – $122.76
Total Claims
45,516
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 Laguna Beach, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jorge Rubal
362 3Rd St |
$27.30 | 16,546 | 13,076 |
|
Chau Minh Ngo
362 3Rd St |
$22.56 | 11,717 | 9,513 |
|
John Sanguedolce
310 Glenneyre St |
$44.82 | 7,195 | 6,151 |
|
Thomas C Bent
362 3Rd St |
$39.53 | 2,902 | 1,682 |
|
Laguna Beach Community Clinic, Inc.
362 3Rd St |
$14.13 | 2,354 | 2,083 |
|
Marcus D Yetter
31852 Coast Hwy Ste 105 |
$29.53 | 1,330 | 1,081 |
|
Charles Michael Parise
31852 Coast Hwy Ste 410 |
$23.49 | 732 | 696 |
|
Kumbirai Madiye
Mindworks Connection |
$119.80 | 594 | 533 |
|
Jared John Szymanski
370 Ocean Ave |
$0.03 | 431 | 419 |
|
Gayani Vatsala Desilva
32392 Coast Hwy |
$122.76 | 429 | 384 |
|
John W Zamarra
1750 S Coast Hwy Apt 13 |
$10.39 | 298 | 286 |
|
Leslie T Lochner
352 3Rd St |
$6.61 | 293 | 264 |
|
Anas M Aljammal
370 Ocean Ave |
$42.70 | 260 | 239 |
|
Laguna Beach Urgent Care, Inc.
32341 Coast Hwy |
$71.21 | 199 | 178 |
|
Larissa Isterabadi
31862 Coast Hwy |
$23.15 | 154 | 149 |
|
Ana Karina Salazar
362 3Rd St |
$0.00 | 40 | 40 |
|
Farnoush Cohanim Gidanian
2755 Park Ave |
$118.55 | 28 | 28 |
|
Simone Kayla Parmenter
1100 S Coast Hwy Ste 212 |
$24.16 | 14 | 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 Laguna Beach, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Laguna Beach, CA is $30.85 per claim, based on 45,516 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 Laguna Beach, CA?
There are 18 Medicaid providers offering Office Visit related services in Laguna Beach, CA according to public payment data.
What is the price range for Office Visit in Laguna Beach, CA?
Medicaid reimbursement for Office Visit in Laguna Beach, CA ranges from $0.00 to $122.76 per claim, with an average of $30.85. 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 Laguna Beach, CA
Blood Work & Lab Tests
Avg $2.34
135,237 claims
Emergency Room Visit
Avg $71.88
22,876 claims
Urinalysis & Urine Tests
Avg $0.86
22,212 claims
Dental Cleaning & Exam
Avg $62.42
14,866 claims
Dental Filling
Avg $62.80
12,377 claims
X-Ray
Avg $7.42
8,179 claims
EKG / ECG (Electrocardiogram)
Avg $8.77
6,460 claims
Culture & Microbiology Tests
Avg $1.36
4,748 claims