Average Medicaid Office Visit Payments in Laguna Niguel, CA: $51.74
Avg. Paid
$51.74
Range
$0.00 – $113.31
Total Claims
52,406
Providers
25
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 Niguel, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Stuart C Seigel
30281 Golden Lantern |
$50.44 | 16,953 | 16,524 |
|
John Chu
5 Saint Isabella |
$86.94 | 10,981 | 10,823 |
|
Magdi S. Mikhael
43 Marseille |
$29.88 | 6,860 | 3,734 |
|
Amitpal Singh Kohli
30281 Golden Lantern |
$55.08 | 4,316 | 4,194 |
|
Susan Elizabeth Gillis
25500 Rancho Niguel Rd Ste 110 |
$1.39 | 3,593 | 3,322 |
|
Erin Elizabeth Parise
30110 Crown Valley Pkwy |
$36.47 | 1,680 | 1,509 |
|
Maryam Nemati
30281 Golden Lantern |
$90.60 | 1,480 | 1,379 |
|
Zahra Shahim
32341 Golden Lantern Ste D |
$39.75 | 1,333 | 1,133 |
|
Bassam R Bilal
30281 Golden Lantern |
$38.02 | 936 | 878 |
|
Vinay Mehta
28202 Cabot Rd Ste 105 |
$78.68 | 836 | 794 |
|
Christine Young Lee-Kim
28202 Cabot Rd Ste 105 |
$29.27 | 832 | 612 |
|
Dylan Hunt
13 Pointe San Pablo |
$26.27 | 532 | 508 |
|
Heidi Vivian Cipollone Herrera
25500 Rancho Niguel Rd Ste 110 |
$3.39 | 479 | 447 |
|
Jacqueline Marie Leon Leon
25500 Rancho Niguel Rd Ste 110 |
$5.25 | 382 | 344 |
|
Tanya Y Evans
27020 Alicia Pkwy |
$51.56 | 358 | 286 |
|
Geeta Grover
30131 Town Center Drive |
$47.18 | 284 | 280 |
|
Lorrie J Klein
30201 Golden Lantern Ste B |
$59.60 | 259 | 251 |
|
Travis Neighbor
30131 Town Center Dr Ste 135 |
$50.38 | 120 | 115 |
|
Tanya Y. Evans, Md, Inc.
27020 Alicia Pkwy Ste G |
$24.24 | 68 | 57 |
|
Jyotinkumar K Patel
30281 Golden Lantern |
$34.38 | 31 | 30 |
|
Cheryl L Kellogg
30131 Town Center Dr |
$63.57 | 31 | 31 |
|
Vinessa Gaerlan-Finch
29982 Ivy Glenn Dr Ste 203 |
$113.31 | 18 | 17 |
|
Mina Zarei
30131 Town Center Dr Ste 280 |
$100.32 | 16 | 16 |
|
Roupen Yaghsezian
22632 Ocean Way |
$0.00 | 16 | 16 |
|
Laurene L. Marshall
30131 Town Center Dr Ste 164 |
$60.00 | 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 Laguna Niguel, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Laguna Niguel, CA is $51.74 per claim, based on 52,406 claims from 25 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 Niguel, CA?
There are 25 Medicaid providers offering Office Visit related services in Laguna Niguel, CA according to public payment data.
What is the price range for Office Visit in Laguna Niguel, CA?
Medicaid reimbursement for Office Visit in Laguna Niguel, CA ranges from $0.00 to $113.31 per claim, with an average of $51.74. 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 Niguel, CA
Dental Cleaning & Exam
Avg $55.97
21,826 claims
Behavioral & Mental Health Therapy
Avg $139.90
20,111 claims
Eye Exam
Avg $20.66
14,960 claims
Psychiatric Evaluation
Avg $66.28
14,169 claims
Emergency Room Visit
Avg $73.54
5,576 claims
Physical Therapy
Avg $18.63
4,791 claims
X-Ray
Avg $7.79
4,643 claims
Pathology & Lab Services
Avg $45.29
4,043 claims