Average Medicaid Office Visit Payments in Lake Forest, CA: $34.19
Avg. Paid
$34.19
Range
$1.29 – $916.70
Total Claims
57,597
Providers
28
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 Forest, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James L. Kay, D.O., P.C.
24432 Muirlands Blvd |
$23.93 | 9,781 | 9,374 |
|
James Leon Kay
24432 Muirlands Blvd |
$16.04 | 7,054 | 6,315 |
|
Mohammed Mahmood Ali
23672 Birtcher Dr |
$32.83 | 5,828 | 3,757 |
|
Portola Medical Services Pc
29100 Portola Pkwy |
$53.65 | 5,614 | 5,277 |
|
Adel Boutros
22611 Lake Forest Dr |
$21.54 | 5,159 | 4,593 |
|
Regina Brown
23321 El Toro Rd |
$5.71 | 4,736 | 4,475 |
|
Terence Chu
23321 El Toro Rd |
$6.30 | 3,344 | 3,127 |
|
Karen Rightler
23361 El Toro Rd Ste 217 |
$103.40 | 3,095 | 2,817 |
|
Southern Orange County Pediatric Associates, Inc.
23321 El Toro Rd |
$32.66 | 2,499 | 2,282 |
|
Jay Pun Lee
23785 El Toro Rd |
$41.25 | 2,482 | 2,294 |
|
Health And Wellness Center, Inc.
23672 Birtcher Rd. |
$36.21 | 2,173 | 1,900 |
|
Moulton Family Medical, Inc.
22611 Lake Forest Dr. #C-4 |
$62.83 | 1,522 | 1,393 |
|
Gul A Zikria
22722 Lambert St Ste 1710 |
$21.53 | 1,324 | 934 |
|
Camino Health Center
22481 Aspan St Ste A |
$1.70 | 555 | 519 |
|
Orange County Association For Mental Health
22471 Aspan St |
$67.79 | 439 | 417 |
|
Catvy Ngoc Nguyen
22471 Aspan St Ste 103 |
$23.30 | 419 | 342 |
|
Katherine Danielle Williamson
23321 El Toro Rd |
$4.33 | 328 | 305 |
|
Kim Thu Tang
23832 Rockfield Blvd Ste 210 |
$38.35 | 267 | 222 |
|
Eric Howard Ball
23321 El Toro Road |
$1.29 | 224 | 219 |
|
Seneca Family Of Agencies
22942 El Toro Rd |
$916.70 | 202 | 170 |
|
Lauren Jill Birkinshaw
23653 El Toro Rd |
$19.10 | 150 | 150 |
|
Carrie J. Diramio
22481 Aspan St Ste A |
$57.96 | 138 | 128 |
|
Timothy Vu
22621 Lake Forest Dr Ste D1 |
$70.90 | 111 | 108 |
|
Kim Tang, M.D., Inc.
23832 Rockfield Blvd Ste 210 |
$21.89 | 54 | 54 |
|
Sam Van Truong
23832 Rockfield Blvd Ste 220 |
$44.05 | 42 | 42 |
|
Molly Anne Churlonis
29100 Portola Pkwy Ste G |
$73.08 | 26 | 26 |
|
Roudabeh Rahbar
570 Escenico |
$78.23 | 19 | 19 |
|
Ella Ashabi
23722 Birtcher Dr |
$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 Lake Forest, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lake Forest, CA is $34.19 per claim, based on 57,597 claims from 28 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 Forest, CA?
There are 28 Medicaid providers offering Office Visit related services in Lake Forest, CA according to public payment data.
What is the price range for Office Visit in Lake Forest, CA?
Medicaid reimbursement for Office Visit in Lake Forest, CA ranges from $1.29 to $916.70 per claim, with an average of $34.19. 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 Forest, CA
Dental Cleaning & Exam
Avg $52.23
126,347 claims
Home Health Visit
Avg $201.47
75,765 claims
Dental Filling
Avg $63.13
38,658 claims
Psychiatric Evaluation
Avg $110.80
29,555 claims
Physical Therapy
Avg $20.69
27,941 claims
Vaccines & Immunizations
Avg $7.48
21,506 claims
Case Management Services
Avg $219.46
19,515 claims
Hearing Test (Audiometry)
Avg $12.08
12,534 claims