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
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 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
Columbus, OH
Avg $62.00
8,388,006 claims · 3806 providers
Other Procedures in Los Angeles, CA
Blood Work & Lab Tests
Avg $4.54
14,406,706 claims
Dental Cleaning & Exam
Avg $49.60
3,990,780 claims
X-Ray
Avg $17.59
3,407,369 claims
Behavioral & Mental Health Therapy
Avg $203.16
3,345,905 claims
Urinalysis & Urine Tests
Avg $2.44
3,302,824 claims
Vaccines & Immunizations
Avg $3.85
3,256,340 claims
Emergency Room Visit
Avg $84.68
3,238,140 claims
Substance Abuse Treatment
Avg $40.12
3,011,491 claims