Average Medicaid Office Visit Payments in Lakeport, CA: $17.40
Avg. Paid
$17.40
Range
$0.00 – $254.44
Total Claims
164,019
Providers
45
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 Lakeport, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lake County Tribal Health Consortium Inc.
925 Bevins Ct |
$0.01 | 61,464 | 52,843 |
|
Sutter Bay Hospitals
5196 Hill Rd E |
$43.56 | 15,550 | 13,803 |
|
Lake County Tribal Health Consortium, Inc.
359 Lakeport Blvd |
$0.00 | 15,249 | 13,464 |
|
Sutter Bay Hospitals
5176 Hill Rd E |
$4.62 | 13,680 | 12,607 |
|
Xochilt Josefina Morales De Martinez
991 Parallel Dr |
$18.56 | 7,760 | 4,479 |
|
Alan D Sampson
987 Parallel Dr |
$48.21 | 5,531 | 5,190 |
|
Charles Joseph Seage
5335 Lakeshore Blvd |
$1.06 | 5,301 | 3,184 |
|
Stephen Peter Bradley
5375 Lakeshore Blvd |
$72.81 | 4,578 | 4,497 |
|
Javier Arroyo
5335 Lakeshore Blvd |
$0.33 | 4,440 | 3,376 |
|
Sutter Bay Hospitals
5176 Hill Rd. E |
$254.44 | 3,967 | 2,390 |
|
Adelina B Stateva
175 Park St |
$15.43 | 2,369 | 1,678 |
|
Mary Benson
987 Parallel Dr Ste C |
$5.16 | 2,157 | 2,040 |
|
Nicolaus Gus Rosete
4913 Helbush Dr |
$0.00 | 2,112 | 1,529 |
|
Mark Turrill
5150 Hill Rd E Ste F |
$48.17 | 1,774 | 1,736 |
|
Terri L Turner
925 Bevins Court |
$3.07 | 1,733 | 1,445 |
|
Mendocino Community Health Clinic, Inc.
5335 Lakeshore Blvd |
$0.81 | 1,697 | 1,632 |
|
Erik Kristopher Smith
925 Bevins Ct |
$1.80 | 1,545 | 1,488 |
|
Charissa M Barsos
925 Bevins Ct |
$1.72 | 1,482 | 1,347 |
|
Nardia Sokol
175 Park St |
$31.34 | 1,449 | 1,311 |
|
Elyse Midori Donald
5150 Hill Rd E Ste B |
$0.00 | 1,261 | 1,222 |
|
Keith Phillip Donald
5196 Hill Rd E |
$56.44 | 1,164 | 1,110 |
|
Karen J Kennedy
5335 Lakeshore Blvd |
$0.19 | 838 | 789 |
|
Helen Vernetta Johnson
987 Parallel Dr |
$18.67 | 809 | 720 |
|
Ronald J Botelho
925 Bevins Ct |
$23.93 | 806 | 637 |
|
Gregory Sean Hadfield
5144 Hill Rd E |
$2.30 | 720 | 666 |
|
John Regis Minotti
801 11Th St |
$13.80 | 687 | 602 |
|
Peter George Stanley
166 D St |
$3.06 | 582 | 552 |
|
Mark L Gardner
475 N Forbes St |
$26.72 | 493 | 457 |
|
Michael Villongco
801 11Th St |
$1.15 | 461 | 288 |
|
Wayne H Scheidemann
755 11Th St |
$0.14 | 386 | 309 |
|
Alexander Iwan-Smereka Ludwig
5196 Hill Rd E Ste 300 |
$0.95 | 312 | 171 |
|
Brittany Renee Cole
487 S Main St |
$53.48 | 217 | 216 |
|
Adventist Health Clearlake Hospital Inc
487 S Main St |
$1.76 | 207 | 202 |
|
James Roger Kahn
5144 Hill Rd E |
$2.27 | 201 | 137 |
|
Matthew Mcquaid
5150 Hill Rd E |
$0.49 | 194 | 157 |
|
Daniel Gene Lewis
1971 Riggs Rd |
$20.62 | 170 | 166 |
|
Frederick L Johnson
987 Parallel Dr |
$0.68 | 162 | 153 |
|
Tiffani Fawn Strickland
987 Parallel Dr Ste C |
$50.42 | 108 | 105 |
|
Harneet Singh Bath
5150 Hill Rd E |
$2.23 | 102 | 91 |
|
Linda Wasserman
5335 Lakeshore Blvd |
$78.73 | 82 | 72 |
|
Adventist Health Clearlake Hospital, Inc
801 11Th St |
$8.40 | 72 | 70 |
|
Jaques Ngakam
801 11Th St |
$30.20 | 56 | 54 |
|
Northern California Medical Assoc Inc
55 1St St |
$10.39 | 42 | 42 |
|
Erin E Thurman
5150 Hill Rd E Ste E |
$92.15 | 37 | 36 |
|
Parkview Podiatry
175 Park St |
$0.00 | 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 Lakeport, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lakeport, CA is $17.40 per claim, based on 164,019 claims from 45 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 Lakeport, CA?
There are 45 Medicaid providers offering Office Visit related services in Lakeport, CA according to public payment data.
What is the price range for Office Visit in Lakeport, CA?
Medicaid reimbursement for Office Visit in Lakeport, CA ranges from $0.00 to $254.44 per claim, with an average of $17.40. 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 Lakeport, CA
Emergency Room Visit
Avg $221.54
104,687 claims
Blood Work & Lab Tests
Avg $13.29
97,990 claims
Durable Medical Equipment (DME)
Avg $53.45
61,127 claims
Psychiatric Evaluation
Avg $30.23
47,402 claims
Chiropractic Care
Avg $138.20
42,330 claims
Dental Cleaning & Exam
Avg $29.59
36,403 claims
Physical Therapy
Avg $16.80
31,281 claims
X-Ray
Avg $48.87
28,942 claims