Average Medicaid Office Visit Payments in Los Altos, CA: $41.25
Avg. Paid
$41.25
Range
$0.00 – $457.23
Total Claims
25,197
Providers
23
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 Los Altos, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shadia Karim
370 Distel Cir |
$4.17 | 8,864 | 5,289 |
|
Myrna Maria Mungal
842 Altos Oaks Dr |
$2.05 | 3,191 | 1,874 |
|
Michelle Yixiao Engle
960 N San Antonio Rd Ste 101 |
$3.07 | 2,936 | 1,659 |
|
Kevin M. White
4546 El Camino Real Ste B7 |
$275.72 | 2,414 | 2,109 |
|
Parvathi Nanjundiah
4546 El Camino Real Ste B7 |
$33.80 | 1,839 | 1,747 |
|
Joann Mundin
4966 El Camino Real Ste 224 |
$75.98 | 1,065 | 958 |
|
Hardeep Singh Ahluwalia
659 Fremont Ave |
$116.73 | 906 | 882 |
|
Kathleen Babington
370 Distel Cir |
$10.07 | 803 | 718 |
|
Barry Y.P. Fung
4906 El Camino Real |
$14.70 | 722 | 719 |
|
Hannah Iwan
370 Distel Cir |
$4.26 | 580 | 454 |
|
Melanie T Norris
370 Distel Cir |
$6.43 | 567 | 536 |
|
Holly W Chow
370 Distel Cir |
$79.73 | 272 | 266 |
|
Ganna Baetge
827 Altos Oaks Dr Ste 4 |
$4.98 | 245 | 222 |
|
Mark Morishige
763 Altos Oaks Dr Ste 2 |
$32.44 | 210 | 197 |
|
Swapnil Khurana
4546 El Camino Real Ste B7 |
$25.23 | 204 | 190 |
|
Patricia Roukee Sitnitsky
827 Altos Oaks Dr Ste 4 |
$0.19 | 202 | 192 |
|
Samina S. Husaini
763 Altos Oaks Dr |
$19.79 | 55 | 52 |
|
Melissa Ann Baxter
921 Yorkshire Dr |
$0.00 | 30 | 30 |
|
Romina Davarpanah
370 Distel Cir |
$41.93 | 29 | 28 |
|
Karthikeyan Viswanathan
4546 El Camino Real Ste B7 |
$457.23 | 22 | 21 |
|
David A Berman
4300 El Camino Real Ste 100 |
$0.00 | 15 | 15 |
|
Divya Rathna Viswanathan
370 Distel Cir |
$28.06 | 14 | 13 |
|
Mohammed S. Mollah
851 Fremont Ave |
$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 Los Altos, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Los Altos, CA is $41.25 per claim, based on 25,197 claims from 23 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 Los Altos, CA?
There are 23 Medicaid providers offering Office Visit related services in Los Altos, CA according to public payment data.
What is the price range for Office Visit in Los Altos, CA?
Medicaid reimbursement for Office Visit in Los Altos, CA ranges from $0.00 to $457.23 per claim, with an average of $41.25. 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 Los Altos, CA
Dental Cleaning & Exam
Avg $54.80
34,994 claims
Eye Exam
Avg $6.15
21,209 claims
Vaccines & Immunizations
Avg $9.67
5,568 claims
Psychiatric Evaluation
Avg $93.82
3,091 claims
Dental Filling
Avg $68.46
2,441 claims
Mammogram
Avg $48.35
2,387 claims
EKG / ECG (Electrocardiogram)
Avg $5.09
2,160 claims
Urinalysis & Urine Tests
Avg $0.88
1,836 claims