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Based on public Medicaid payment data.

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
Ella Ashabi

23722 Birtcher Dr

 $60.00 12 12
Roudabeh Rahbar

570 Escenico

 $78.23 19 19
Molly Anne Churlonis

29100 Portola Pkwy Ste G

 $73.08 26 26
Sam Van Truong

23832 Rockfield Blvd Ste 220

 $44.05 42 42
Kim Tang, M.D., Inc.

23832 Rockfield Blvd Ste 210

 $21.89 54 54
Timothy Vu

22621 Lake Forest Dr Ste D1

 $70.90 111 108
Carrie J. Diramio

22481 Aspan St Ste A

 $57.96 138 128
Lauren Jill Birkinshaw

23653 El Toro Rd

 $19.10 150 150
Seneca Family Of Agencies

22942 El Toro Rd

 $916.70 202 170
Eric Howard Ball

23321 El Toro Road

 $1.29 224 219
Kim Thu Tang

23832 Rockfield Blvd Ste 210

 $38.35 267 222
Katherine Danielle Williamson

23321 El Toro Rd

 $4.33 328 305
Catvy Ngoc Nguyen

22471 Aspan St Ste 103

 $23.30 419 342
Orange County Association For Mental Health

22471 Aspan St

 $67.79 439 417
Camino Health Center

22481 Aspan St Ste A

 $1.70 555 519
Gul A Zikria

22722 Lambert St Ste 1710

 $21.53 1,324 934
Moulton Family Medical, Inc.

22611 Lake Forest Dr. #C-4

 $62.83 1,522 1,393
Health And Wellness Center, Inc.

23672 Birtcher Rd.

 $36.21 2,173 1,900
Jay Pun Lee

23785 El Toro Rd

 $41.25 2,482 2,294
Southern Orange County Pediatric Associates, Inc.

23321 El Toro Rd

 $32.66 2,499 2,282
Karen Rightler

23361 El Toro Rd Ste 217

 $103.40 3,095 2,817
Terence Chu

23321 El Toro Rd

 $6.30 3,344 3,127
Regina Brown

23321 El Toro Rd

 $5.71 4,736 4,475
Adel Boutros

22611 Lake Forest Dr

 $21.54 5,159 4,593
Portola Medical Services Pc

29100 Portola Pkwy

 $53.65 5,614 5,277
Mohammed Mahmood Ali

23672 Birtcher Dr

 $32.83 5,828 3,757
James Leon Kay

24432 Muirlands Blvd

 $16.04 7,054 6,315
James L. Kay, D.O., P.C.

24432 Muirlands Blvd

 $23.93 9,781 9,374

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