Average Medicaid Office Visit Payments in Lake Elsinore, CA: $9.75
Avg. Paid
$9.75
Range
$0.00 – $1,875
Total Claims
359,381
Providers
44
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 Lake Elsinore, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mawj Mustafa Kamal Al Ani
2499 E Lakeshore Dr |
$40.24 | 12 | 12 |
|
Southern California Primary Care Medical Group, Inc
31581 Canyon Estates Dr |
$0.00 | 15 | 14 |
|
Navdeep Kaur Gill
31581 Canyon Estates Dr |
$0.00 | 23 | 21 |
|
Niraj Prasad Gupta
31764 Casino Dr Ste 300 |
$40.14 | 25 | 25 |
|
Farid Saadat
425 Diamond Drive |
$4.24 | 28 | 27 |
|
Edil Evangelista
425 Diamond Dr Ste 105 |
$46.41 | 30 | 30 |
|
William Kerr
31571 Canyon Estates Dr |
$29.91 | 32 | 32 |
|
Cesar Augusto Mavila
30195 Fraser Dr |
$1.03 | 35 | 26 |
|
Tyrone Enrique Arce
121 South Main Street |
$0.00 | 37 | 25 |
|
Imelda Gutierrez-Hunt
30195 Fraser Dr |
$0.00 | 67 | 60 |
|
Rochelle Bui
425 Diamond Dr |
$22.27 | 72 | 68 |
|
Vista Community Clinic
30195 Fraser Dr |
$9.39 | 75 | 68 |
|
Christina Pantazopoulos
25351 Railroad Canyon Rd Ste 103 |
$49.89 | 86 | 82 |
|
Vincent Lieras
31581 Canyon Estates Dr |
$0.52 | 86 | 81 |
|
County Of Riverside
31760 & 31764 Casino Dr |
$1,875 | 176 | 175 |
|
Reginald R Peters
2499 E Lakeshore Dr |
$0.00 | 296 | 279 |
|
Shayla Casanova
425 Diamond Dr Ste 103 |
$8.30 | 301 | 285 |
|
Leslie Carol Bardessono
31764 Casino Dr # 300 |
$44.79 | 335 | 267 |
|
Sara Yusufaly
31739 Riverside Dr Ste A1 |
$0.00 | 346 | 195 |
|
Logan Hurst Loomis
31571 Canyon Estates Dr Ste 100 |
$82.91 | 889 | 868 |
|
Ashley Elizabeth Hiller
53097 Memorial St |
$86.95 | 920 | 891 |
|
Mohammad Imandoust
3762 Mission Trail Suite F |
$3.21 | 1,309 | 1,218 |
|
Diane Brown
506 West Grahan Avenue Suite 107 |
$0.08 | 1,415 | 1,361 |
|
Ryan Jacobs
31581 Canyon Estates Dr |
$9.40 | 2,016 | 2,008 |
|
David M Dobos
31764 Casino Dr Ste 300 |
$13.76 | 2,039 | 1,994 |
|
Mayra Leticia Padilla Arechiga
141 N Main St |
$0.26 | 2,195 | 1,348 |
|
Thomas Edward Oliveira
506 W Graham Ave |
$1.47 | 2,437 | 2,389 |
|
Adelaide Abiemo
425 Diamond Dr Ste 104&105 |
$32.05 | 3,654 | 3,574 |
|
Saif U Bajwa
425 Diamond Dr Ste 104 |
$15.38 | 4,967 | 4,313 |
|
Valerie Kay Vahdat
31361 Riverside Dr |
$0.54 | 5,650 | 5,056 |
|
Mohammad Reza Danesh
31581 Canyon Estates Dr |
$0.51 | 6,497 | 6,274 |
|
Larry N Francis
31361 Riverside Dr |
$16.45 | 9,977 | 8,351 |
|
Latiffah Abdullah Mcginness
32299 Wildomar Road |
$1.43 | 10,091 | 9,655 |
|
Monica Vidal
31361 Riverside Dr |
$1.12 | 10,453 | 9,675 |
|
Houssam Fayad
31569 Canyon Estates Dr Ste 225 |
$13.58 | 17,391 | 15,145 |
|
Kun Saville
31581 Canyon Estates Dr |
$0.79 | 17,797 | 14,100 |
|
Total Care Family Medical Center Of Lake Elsinore, Inc.
425 Diamond Drive |
$40.72 | 19,317 | 18,300 |
|
Jimmy Ninh Hoang Phan
425 Diamond Dr Ste 103 |
$6.24 | 23,826 | 21,217 |
|
Biplav Yadav
31361 Riverside Dr |
$1.71 | 25,971 | 17,811 |
|
Sandar Kyi
2499 E Lakeshore Dr |
$1.91 | 27,619 | 16,314 |
|
Michael C Lam
2499 E Lakeshore Dr |
$0.86 | 28,849 | 17,775 |
|
Naimah D. Powell
425 Diamond Drive |
$28.36 | 29,904 | 28,746 |
|
Clint Ketchel
30195 Fraser Dr |
$2.46 | 30,233 | 28,140 |
|
Minqi Hao
31361 Riverside Dr |
$4.39 | 71,888 | 43,788 |
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 Lake Elsinore, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lake Elsinore, CA is $9.75 per claim, based on 359,381 claims from 44 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 Lake Elsinore, CA?
There are 44 Medicaid providers offering Office Visit related services in Lake Elsinore, CA according to public payment data.
What is the price range for Office Visit in Lake Elsinore, CA?
Medicaid reimbursement for Office Visit in Lake Elsinore, CA ranges from $0.00 to $1,875 per claim, with an average of $9.75. 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 Lake Elsinore, CA
Case Management Services
Avg $144.98
96,649 claims
Behavioral & Mental Health Therapy
Avg $190.83
90,241 claims
Dental Cleaning & Exam
Avg $54.47
64,170 claims
Psychiatric Evaluation
Avg $228.88
62,170 claims
Substance Abuse Treatment
Avg $96.51
51,289 claims
Vaccines & Immunizations
Avg $3.89
50,859 claims
Eye Exam
Avg $19.83
31,740 claims
Urinalysis & Urine Tests
Avg $0.38
25,615 claims