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 |
|---|---|---|---|
|
County Of Orange
23046 Avenida De La Carlota Ste 500 |
$1,082 | 12 | 12 |
|
Scott Allan Roof
24712 Avondale Dr |
$85.04 | 12 | 12 |
|
Diva Md
23152 Verdugo Dr Ste 102 |
$32.51 | 13 | 13 |
|
Cuong Phu Ly
24221 Calle De La Louisa |
$41.02 | 13 | 12 |
|
Robert Lee
23041 Avenida De La Carlota |
$84.68 | 14 | 13 |
|
Michele Moscarello
23422 Mill Creek Dr Ste 220 |
$173.89 | 15 | 15 |
|
Suchitra Mohindra
26538 Moulton Pkwy Ste 38E |
$14.64 | 15 | 15 |
|
Yong-Sik Kim
24221 Calle De La Louisa Ste 200 |
$30.19 | 18 | 17 |
|
Bonnie B Martin
24401 Health Center Dr., Suite 300 |
$4.40 | 20 | 15 |
|
Farzad Massoudi
23961 Calle De La Magdalena Ste 405 |
$24.32 | 25 | 24 |
|
Gregory Jason Lam
23961 Calle De La Magdalena Ste 200 |
$47.13 | 27 | 27 |
|
Richard D Fan
23041 Avenida De La Carlota Fl 4 |
$0.00 | 28 | 28 |
|
Rollin M Green
24012 Calle De La Plata Ste 200 |
$35.60 | 28 | 28 |
|
Brian Hwang
23961 Calle De La Magdalena Ste 405 |
$0.00 | 29 | 29 |
|
Michelle Lauren Tom
24451 Health Center Dr |
$54.47 | 30 | 28 |
|
Kookootsedes Medical Pc
25411 Cabot Rd Ste 109 |
$61.26 | 33 | 32 |
|
Timothy Lanier
23412 Moulton Pkwy Ste 120 |
$0.00 | 39 | 39 |
|
George M Salib
24422 Avenida De La Carlota Ste 110 |
$81.12 | 39 | 38 |
|
Farzad Massoudi Md Incorporated
23961 Calle De La Magdalena Ste 405 |
$22.20 | 44 | 42 |
|
David Nah
25431 Cabot Rd Ste 118 |
$93.31 | 45 | 45 |
|
Yanling Song
23961 Calle De La Magdalena |
$95.56 | 45 | 43 |
|
Hussien Saab
23141 Verdugo Dr Ste 201 |
$28.54 | 45 | 44 |
|
Alexander John Velarde
25431 Cabot Rd Ste 110 |
$110.32 | 51 | 49 |
|
Debbie Prickett
23961 Calle De La Magdalena Ste 500 |
$189.43 | 56 | 49 |
|
Jason A Liauw
23961 Calle De La Magdalena Ste 405 |
$0.00 | 58 | 56 |
|
Jennifer Anne Dobrinen
23181 Verdugo Dr Ste 103A |
$0.41 | 59 | 48 |
|
Priyal Pragnesh Dholakiya
24401 Health Center Drive, Suite 200 |
$27.42 | 70 | 68 |
|
Stacy Norman
22972 Moulton Pkwy Ste 106 |
$62.65 | 72 | 68 |
|
Dean A Le
23961 Calle De La Magdalena |
$0.00 | 74 | 74 |
|
Nehal G Patel
23141 Verdugo Dr Ste 201 |
$24.45 | 78 | 76 |
|
Neda Arjomandi Podiatry Inc
24022 Calle De La Plata Ste 410 |
$37.58 | 81 | 63 |
|
Aaron Spitz
23961 Calle De La Magdalena Ste 500 |
$86.70 | 82 | 79 |
|
Kenneth J Vanderbeck
23181 Verdugo Dr Ste 103A |
$87.39 | 85 | 82 |
|
Marwan Edris Md A Professional Corporation
25283 Cabot Rd Ste 106 |
$10.17 | 110 | 95 |
|
Sara Kajbaf
27192 Hidden Trail Rd |
$16.68 | 112 | 109 |
|
Moses M Kim
23961 Calle De La Magdalena Ste 500 |
$114.15 | 125 | 121 |
|
Kristina B Nylander
24422 Avenida De La Carlota Ste 130 |
$2.32 | 129 | 122 |
|
Shahrokh Poormehr
24953 Paseo De Valencia, #22A |
$58.64 | 136 | 94 |
|
Thomas G. Hirose
24407 Calle De La Louisa Ste 100 |
$2.76 | 138 | 103 |
|
Don T. Bui
23961 Calle De La Magdalena Ste 500 |
$115.68 | 154 | 144 |
|
Claudia Montana-Collins
23521 Paseo De Valencia Ste 305 |
$44.27 | 155 | 151 |
|
Ghasak Amer Mahmood
24012 Calle De La Plata |
$47.65 | 156 | 150 |
|
Lisa L. Majer
24411 Health Center Dr |
$94.03 | 164 | 153 |
|
Charles William Gustav Eifrig
23521 Paseo De Valencia |
$51.64 | 169 | 164 |
|
Swapna Vayuvegula Phadnis
23141 Verdugo Dr Ste 201 |
$0.77 | 170 | 164 |
|
Amin Sharif
27001 Moulton Pkwy Ste A102 |
$78.04 | 170 | 160 |
|
Inderpal Singh Gujral
24953 Paseo De Valencia |
$18.21 | 173 | 172 |
|
Brian Takemoto Kim
24401 Calle De La Louisa |
$71.14 | 176 | 162 |
|
Josh Matthew Randall
23961 Calle De La Magdalena Ste 500 |
$87.20 | 176 | 168 |
|
John Hwang
23521 Paseo De Valencia |
$75.37 | 176 | 135 |
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