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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Los Angeles, CA: $24.20

Avg. Paid

$24.20

Range

$0.00 – $1,261

Total Claims

16,948,065

Providers

5,565

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 Angeles, CA

Provider Avg. Paid Claims Patients
County Of Los Angeles

2051 Marengo St

$2.79 596,313 488,934
The Regents Of The University Of California

200 Medical Plaza

$47.31 185,629 159,456
Mike Mansour Rostami

1119 N Western Ave Ste G

$0.57 148,229 46,286
Stanislaus Okpako Awariefe

1039 W Florence Ave

$1.75 119,814 68,260
Healthcare Partners Affiliates Medical Group

1120 W Washington Blvd

$113.47 118,564 111,005
David Luna

5205 Melrose Ave

$0.90 105,239 74,490
Geoffrey B Trenkle

1700 E Cesar E Chavez Ave Ste 2500

$59.68 101,782 94,832
Edgar Alexander Chavez

1005 E Washington Blvd Ste A

$2.57 95,384 57,947
Usc Care Medical Group, Inc

1520 San Pablo St

$25.06 92,457 83,185
Maurice Levy

1125 S Beverly Dr

$8.92 80,020 29,241
Jose L Perez

4425 S Central Ave

$1.03 78,895 70,111
Isaias Paja

1800 Wilshire Blvd

$15.25 77,989 56,822
Daniel Taheri

10884 Santa Monica Blvd

$46.67 75,636 70,070
Luis A Guzman

1720 E Cesar E Chavez Ave

$9.47 75,526 44,442
Jonathan Olumoya

2801 S San Pedro St

$1.16 75,146 53,432
Northeast Community Clinic

1414 S Grand Ave Ste 380

$0.10 73,616 65,349
Nejat Rostami

1080 N Western Ave

$25.06 71,877 58,487
Paul Gregerson

522 S San Pedro St

$0.63 63,153 56,386
Cedars-Sinai Medical Care Foundation

6500 Wilshire Blvd Fl 15

$21.28 59,863 55,696
Afshin Akhavan

530 E Washington Blvd

$19.52 59,085 53,040
Shafeeq S Shamsid-Deen

5970 S Central Ave

$3.76 58,422 41,741
Deborah Glupczynski

Po Box 66610

$102.17 54,748 53,053
Christopher Tsung Lung Ho

420 E 3Rd St

$43.79 54,147 53,467
Kenoye R. Uku

6041 Cadillac Ave

$2.69 53,907 31,702
Kelly Lee Jones

1400 S Grand Ave

$0.78 52,193 33,974
Emma Jane Hiscocks

3921 W Sunset Blvd Fl 2

$98.71 51,393 47,268
Altamed Health Services Corporation

6210 Whittier Blvd

$26.21 51,169 45,021
Robert Key Bolan

1625 Schrader Blvd

$0.08 50,294 46,036
Kemi Price

245 S Fetterly Ave

$0.64 50,255 37,653
Steven Ghalili

648 E 21St St

$3.43 49,831 45,353
Leopoldo G. Hernandez

3406 Whittier Blvd

$25.84 49,226 48,815
Kevin Jeffrey Pelton

1700 E. Cesar Chavez Ave.

$72.75 49,117 46,709
Nagy Khalil

1557 E Florence Ave

$7.58 48,034 44,526
Luis E Lopez

1530 S Olive St

$0.23 47,320 33,006
Gary You-Gang Chen

1414 S. Grand Ave

$92.31 47,171 44,791
Michael Gitter

1762 Westwood Bvld #300

$0.60 45,833 41,414
Babak Bobby Rostami

1080 N Western Ave

$0.25 44,984 35,865
Ragaie Hakim

1557 E Florence Ave

$7.85 44,701 41,530
Mohamad J Yaghi

4301 S Figueroa St , # F

$23.68 44,403 39,018
Max Franklin Lebow

9601 S Sepulveda Blvd

$50.30 43,496 42,098
Benjamin A Leshin

1127 Wilshire Blvd Ste 800

$41.07 42,514 40,958
Vallorie J Saulsberry

400 W 30Th Street

$93.79 41,085 39,773
Norma C Salceda

1535 S Western Ave Ste G

$14.36 40,758 38,476
Victor Kong

3727 W 6Th St

$0.34 39,650 36,458
Robert Poquechoque

1630 Hilts Ave Apt 104

$0.55 39,028 24,240
San Judas Medical Group Ipa

1075 N Western Ave

$0.14 38,887 32,749
Ron Javdan

3631 Crenshaw Blvd Ste 109

$3.85 37,811 31,660
Zhanna Feldsher

2928 E Cesar E Chavez Ave

$8.23 37,551 23,767
Anthony Albert Scaduto

403 W Adams Blvd

$30.93 37,392 36,223
Maria Del Rosario Penaloza

5427 Whittier Blvd

$0.23 37,084 25,826

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 Angeles, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Los Angeles, CA is $24.20 per claim, based on 16,948,065 claims from 5565 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 Angeles, CA?

There are 5565 Medicaid providers offering Office Visit related services in Los Angeles, CA according to public payment data.

What is the price range for Office Visit in Los Angeles, CA?

Medicaid reimbursement for Office Visit in Los Angeles, CA ranges from $0.00 to $1,261 per claim, with an average of $24.20. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Los Angeles, CA