Average Medicaid Office Visit Payments in Laguna Woods, CA: $37.03
Avg. Paid
$37.03
Range
$0.36 – $77.93
Total Claims
75,853
Providers
22
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 Woods, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Orthowest
24331 El Toro Rd Ste 200 |
$58.06 | 29,594 | 27,902 |
|
Pedram Ansari Pirsaraei
24268 El Toro Road |
$0.44 | 19,862 | 12,957 |
|
Gautam Malhotra
24331 El Toro Rd Ste 200 |
$77.93 | 5,962 | 5,145 |
|
South County Orthopedic Specialists
24331 El Toro Rd |
$35.25 | 5,222 | 4,917 |
|
Vital Urgent Care, Inc
24301 Paseo De Valencia Ste R |
$53.13 | 4,390 | 3,801 |
|
Nathan Jerome Rudometkin
24361 El Toro Rd Ste 160 |
$30.23 | 1,623 | 1,525 |
|
Navid Geula
24331 El Toro Rd Ste 330 |
$52.03 | 1,353 | 1,296 |
|
Robert Lance Montgomery
24331 El Toro Rd Ste 200 |
$2.58 | 1,317 | 1,291 |
|
Amar Arun Patel
24331 El Toro Rd Ste 200 |
$11.10 | 1,145 | 1,013 |
|
Arshia Z Roohian
24331 El Toro Rd |
$2.10 | 1,050 | 1,005 |
|
Ari Youderian
24331 El Toro Rd Ste 200 |
$0.36 | 1,043 | 1,019 |
|
Arash Aminian
24331 El Toro Rd Ste 200 |
$0.79 | 826 | 802 |
|
Sunghee Kim
24268 El Toro Rd |
$37.86 | 606 | 603 |
|
Scott Michael Graham
24331 El Toro Rd Ste 200 |
$8.37 | 555 | 537 |
|
Christopher J Veneziano
24331 El Toro Rd |
$18.20 | 392 | 364 |
|
David Molho
24331 El Toro Rd Ste 200 |
$7.72 | 319 | 303 |
|
Bryce Alan Johnson
24331 El Toro Rd Ste 200 |
$42.39 | 214 | 214 |
|
Gilbert Caluag Roc
24331 El Toro Rd |
$34.17 | 187 | 187 |
|
Howard Kenneth Bland
24331 El Toro Rd Ste 330 |
$36.87 | 97 | 81 |
|
Stacy Renee Cohen-Barrera
24331 El Toro Rd Ste 200 |
$72.15 | 57 | 57 |
|
Arshia Roohian Dpm Inc.
24331 El Toro Road |
$24.80 | 25 | 24 |
|
Lonnie J Moskow
24331 El Toro Rd Ste 200 |
$3.14 | 14 | 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 Woods, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Laguna Woods, CA is $37.03 per claim, based on 75,853 claims from 22 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 Woods, CA?
There are 22 Medicaid providers offering Office Visit related services in Laguna Woods, CA according to public payment data.
What is the price range for Office Visit in Laguna Woods, CA?
Medicaid reimbursement for Office Visit in Laguna Woods, CA ranges from $0.36 to $77.93 per claim, with an average of $37.03. 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 Woods, CA
Dental Cleaning & Exam
Avg $37.80
28,588 claims
X-Ray
Avg $17.30
20,006 claims
Eye Exam
Avg $20.88
12,437 claims
Physical Therapy
Avg $5.07
3,840 claims
Prescription Medications
Avg $169.98
2,725 claims
Dental Filling
Avg $60.78
2,725 claims
Tooth Extraction
Avg $40.69
1,931 claims
Colonoscopy
Avg $0.20
1,629 claims