Average Medicaid Office Visit Payments in Lemon Grove, CA: $4.00
Avg. Paid
$4.00
Range
$0.01 – $51.89
Total Claims
87,524
Providers
13
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 Lemon Grove, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yuhee Kim
7592 Broadway |
$0.81 | 35,314 | 33,224 |
|
Selene Yuen
7967 Broadway |
$7.68 | 14,373 | 12,034 |
|
Gilberto Cota
7592 Broadway |
$0.01 | 13,590 | 11,241 |
|
Thesalonica Paige Hilliard
1815 Eldora St |
$10.06 | 7,510 | 7,013 |
|
Elizabeth Mae Hollo
7967 Broadway |
$0.07 | 6,146 | 5,821 |
|
Amira Abdullahi Sheikh Mohamed
Po Box 35 |
$1.27 | 2,776 | 2,508 |
|
Jessica Rose Toth
7592 Broadway |
$8.65 | 1,812 | 1,712 |
|
Sawyer James Hinson
7592 Broadway |
$51.89 | 1,720 | 1,507 |
|
David Eaton Fleming
7592 Broadway |
$6.99 | 1,611 | 1,525 |
|
Family Health Centers Of San Diego, Inc
7592 Broadway |
$4.42 | 1,359 | 1,279 |
|
Nishant Bhat
7828 Broadway Lane |
$9.77 | 855 | 806 |
|
Jorge De Leon
6547 Macarthur Dr |
$0.53 | 428 | 335 |
|
Eleanor M Mccart
1544 Watwood Rd |
$19.63 | 30 | 30 |
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 Lemon Grove, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lemon Grove, CA is $4.00 per claim, based on 87,524 claims from 13 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 Lemon Grove, CA?
There are 13 Medicaid providers offering Office Visit related services in Lemon Grove, CA according to public payment data.
What is the price range for Office Visit in Lemon Grove, CA?
Medicaid reimbursement for Office Visit in Lemon Grove, CA ranges from $0.01 to $51.89 per claim, with an average of $4.00. 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 Lemon Grove, CA
Ambulance Transport
Avg $71.46
131,280 claims
Home Health Visit
Avg $127.45
64,318 claims
Substance Abuse Treatment
Avg $205.57
49,889 claims
Chiropractic Care
Avg $8.38
25,904 claims
Physical Therapy
Avg $17.25
25,860 claims
Blood Work & Lab Tests
Avg $0.46
24,684 claims
Dental Cleaning & Exam
Avg $64.05
22,753 claims
Non-Emergency Medical Transportation
Avg $6.08
15,248 claims