Average Medicaid Office Visit Payments in Laguna Hills, CA: $46.97
Avg. Paid
$46.97
Range
$0.00 – $1,082
Total Claims
261,023
Providers
137
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 Hills, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mozhgan Ashtari
23141 Moulton Pkwy 202 |
$54.68 | 29,471 | 18,887 |
|
Pain Management Associates, Inc.
24012 Calle De La Plata Ste 120 |
$72.76 | 17,141 | 16,462 |
|
Phillip Thomas Cohen
25401 Cabot Rd Ste 102 |
$49.45 | 16,171 | 8,765 |
|
Katherine Bao-Shian Lee
24431 Calle De La Louisa |
$104.89 | 14,280 | 12,378 |
|
John C Sun
24411 Health Center Dr Ste 600 |
$69.03 | 13,074 | 10,300 |
|
Jihan Ansari Pirsaraei
24953 Paseo De Valencia Bldg B |
$0.69 | 12,912 | 7,049 |
|
Paul Chao Yuan Sun
24411 Health Center Dr Ste 600 |
$67.08 | 11,227 | 8,938 |
|
Afshin S Gerayli
24953 Paseo De Valencia |
$3.28 | 11,178 | 10,781 |
|
Christopher Han-Lin Yian
24411 Health Center Dr Ste 600 |
$68.33 | 9,389 | 7,443 |
|
Shahryar Mousavi
24953 Paseo De Valencia |
$1.16 | 7,367 | 7,131 |
|
Blake Andrew Wylie
23181 Verdugo Dr Ste 103A |
$0.47 | 6,647 | 5,541 |
|
Manijeh Javaheri
23961 Calle De La Magdalena |
$41.73 | 6,443 | 5,998 |
|
Nellie Gail Urgent Care Medical Corp
27001 Moulton Pkwy |
$57.51 | 4,777 | 4,418 |
|
Performance Health Medical Group, Inc
25431 Cabot Rd |
$109.58 | 4,627 | 4,202 |
|
Mary Ann Wilkinson
23961 Calle De La Magdalena Ste 334 |
$5.49 | 4,533 | 4,304 |
|
Neyssan Tebyani
25200 La Paz Rd |
$122.67 | 4,227 | 3,997 |
|
Esrafil Abedi
23961 Calle De La Magdalena |
$76.96 | 3,423 | 2,693 |
|
Sea View Pediatric Medical Assoc. Inc.
23961 Calle De La Magdalena |
$32.59 | 3,372 | 3,119 |
|
Anthony Bui
23141 Moulton Pkwy Ste 213 |
$11.79 | 3,361 | 3,241 |
|
Caring Cardiology Medical Group
23521 Paseo De Valencia Ste 303 |
$0.96 | 3,360 | 3,204 |
|
Amir Abbas Pouradib
24012 Calle De La Plata Ste 120 |
$16.70 | 3,339 | 3,287 |
|
Scke, Inc
23141 Moulton Pkwy Ste 102 |
$3.75 | 3,317 | 3,022 |
|
Dennis S Phillips
24953 Paseo De Valencia |
$5.92 | 3,286 | 3,039 |
|
Jan E Mccann
23961 Calle De La Magdalena |
$35.29 | 3,235 | 2,632 |
|
Sapna Suresh
27001 Moulton Pkwy Ste A102 |
$60.04 | 3,216 | 1,858 |
|
Milan D Patel
24022 Calle De La Plata |
$16.99 | 3,017 | 2,886 |
|
Jason Pang
24712 Clarington Dr |
$2.79 | 2,787 | 2,277 |
|
Mary Kern
23141 Moulton Pkwy Ste 108 |
$96.69 | 2,538 | 2,512 |
|
Steven Jon Costales
24741 Alicia Pkwy Ste D |
$18.12 | 2,387 | 1,073 |
|
Mozhgan Ashtari Md Pc
23141 Moulton Pkwy Ste 202 |
$54.52 | 2,271 | 1,801 |
|
Jonathan Paul Auth
23961 Calle De La Magdalena |
$3.41 | 2,080 | 2,015 |
|
Homayon Iraninezhad
24221 Calle De La Louisa Ste 300 |
$70.03 | 1,670 | 1,495 |
|
Amarpal Chana
24022 Calle De La Plata |
$38.54 | 1,572 | 1,447 |
|
Farbod Farmand
23141 Verdugo Dr Ste 201 |
$33.34 | 1,539 | 1,497 |
|
Sabeen Munib
23181 La Cadena Dr Ste 101 |
$32.30 | 1,483 | 1,394 |
|
Gol Minoo Golshani
23961 Calle De La Magdalena Ste 200 |
$13.12 | 1,451 | 1,430 |
|
Jose Fernando Velasquez
23141 Verdugo Dr Ste 201 |
$8.57 | 1,235 | 1,182 |
|
Hohai Truong Van
24022 Calle De La Plata |
$30.35 | 1,195 | 1,176 |
|
Saddleback Medical Group Inc
24221 Calle De La Louisa |
$7.62 | 1,189 | 1,129 |
|
Khyati Pandya
24022 Calle De La Plata Ste 500 |
$82.71 | 1,138 | 1,047 |
|
South Orange County Cardiology Grp
24411 Health Center Dr |
$0.72 | 1,105 | 1,057 |
|
Yulian Khagi
23961 Calle De La Magdalena |
$35.95 | 1,059 | 946 |
|
Ali Dabestani
25401 Cabot Rd |
$21.68 | 1,027 | 977 |
|
Chee K. Ho
24953 Paseo De Valencia |
$47.25 | 1,022 | 776 |
|
Pinella Holder
24451 Health Center Dr |
$81.74 | 973 | 928 |
|
Brent Ridder
23961 Calle De La Magdalena |
$89.41 | 965 | 912 |
|
Lisa M.M. Pitino
23521 Paseo De Valencia |
$51.58 | 964 | 758 |
|
Bernard Elpedes
24321 Avenida De La Carlota |
$107.63 | 953 | 927 |
|
George Samuel Konugres
24012 Calle De La Plata |
$31.84 | 899 | 872 |
|
Mark Jason
25411 Cabot Rd |
$118.86 | 888 | 820 |
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 Hills, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Laguna Hills, CA is $46.97 per claim, based on 261,023 claims from 137 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 Hills, CA?
There are 137 Medicaid providers offering Office Visit related services in Laguna Hills, CA according to public payment data.
What is the price range for Office Visit in Laguna Hills, CA?
Medicaid reimbursement for Office Visit in Laguna Hills, CA ranges from $0.00 to $1,082 per claim, with an average of $46.97. 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 Hills, CA
Behavioral & Mental Health Therapy
Avg $112.80
128,538 claims
Blood Work & Lab Tests
Avg $3.27
108,539 claims
Physical Therapy
Avg $9.05
76,165 claims
X-Ray
Avg $4.85
63,422 claims
Psychiatric Evaluation
Avg $73.59
59,483 claims
Emergency Room Visit
Avg $51.53
58,477 claims
EKG / ECG (Electrocardiogram)
Avg $9.37
55,963 claims
Substance Abuse Treatment
Avg $90.88
37,423 claims