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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
Remelyn Ann Angeles Valera

400 W 30Th St

$45.15 12 12
Shishir Rao

2020 Zonal Ave # 720

$45.22 12 12
Derek Adam Scott

200 Ucla Medical Plz Ste 420

$64.15 12 12
Tammy Wong

1520 San Pablo St Ste 1000

$38.32 12 12
Suk-Joon Hong

4650 W Sunset Blvd

$0.00 12 12
Shuo Wang

4650 W Sunset Blvd

$181.18 12 12
Hyunwoo Paco Kang

1520 San Pablo St Ste 2000

$94.14 12 12
Utpal Niranjan Sandesara

757 Westwood Plaza, Internal Medicine

$0.00 12 12
Ram Kiran Alluri

1520 San Pablo St Ste 2000

$63.16 12 12
Ariella Cohan

2011 Wilshire Blvd

$17.22 12 12
Emma Claire Satterthwaite Muresianu

4650 W Sunset Blvd

$0.00 12 12
Tamara Silva Vera Pleshakov

4867 W Sunset Blvd

$0.00 12 12
Mathew Douglas Schur

1200 N State St

$139.58 12 12
Joseph Thomas Patterson

1520 San Pablo St Ste 2000

$0.00 12 12
Katherine Pocock

1520 San Pablo St Ste 1300

$264.17 12 12
Grand Gi & Endoscopy Group, Inc.

505 S Virgil Ave

$0.49 12 12
Kimiko Agari

1200 N State St

$30.00 12 12
Ala Arafa-Price

1171 S Robertson Blvd Ste 242

$0.00 12 12
Ma Jonette Panizales Balagtas

4650 W Sunset Blvd

$0.00 12 12
Omeed Warej

2080 Century Park E Ste 1405

$19.06 12 12
Nathaniel Mark Pedley

757 Westwood Plz Ste 7501

$0.00 12 12
Jacob Girgis

2010 Zonal Ave # 1P5

$0.00 12 12
Eric Yu-Hsien Lee

200 Ucla Medical Plz Ste 526

$0.00 12 12
Mellissa Angelica Ramirez

1716 E Century Blvd

$0.00 12 12
Eric E Gaylord

3750 Santa Rosalia Dr Ste 102

$3.05 12 12
Mayer B. Davidson

1760 East 120Th Street

$1.61 12 12
Lee Lin

1520 San Pablo St

$184.98 12 12
Lemuel Smith

434 S San Vicente Blvd

$20.31 12 12
Carmel Kadrnka

1200 N State St

$0.00 12 12
Sarah Elizabeth Hooks

6041 Cadillac Ave

$0.00 12 12
Laila I Muderspach

1516 San Pablo St

$0.00 12 12
Geraldine Michelle Navarro

200 Ucla Medical Plz Ste 365B

$18.12 12 12
American Eye Institute A Medical Corp

6330 San Vicente Blvd Ste 408

$5.68 12 12
Shobhana Gandhi M.D.,Inc

1300 N Vermont Ave

$56.84 12 12
Anne Hinton

1520 San Pablo St Ste 1300

$87.95 12 12
Lestina Cleone Price

4900 W Sunset Blvd

$0.00 12 12
Luis J Espinoza

7080 Hollywood Blvd

$0.00 12 12
Wellnest Emotional Health & Wellness

5054 S Vermont Ave

$456.68 12 12
Kevan Z. Craig

4650 W Sunset Blvd

$106.63 12 12
Leo Lieh-Kuo Chen

710 Westwood Plz Rm 1-240

$0.00 12 12
John Paul Brusky

4900 W Sunset Blvd

$125.00 12 12
De La Pena Eye Clinic, A Medical Group, Inc

139 S Alvarado St

$5.13 12 12
Jocelyn Dee

1200 N State St

$0.00 12 12
Southern California Health & Rehabilitation Program

8836 S Vermont Ave

$589.72 12 12
Jeffrey W. Brettler

6041 Cadillac Ave

$3.27 12 12
Cuong Huy Lam

4867 W Sunset Blvd

$75.00 12 12
David J Lee

757 Westwood Plz

$36.25 12 12
Neel Kamal Mann

1520 San Pablo St Ste 1000

$52.00 12 12
Alan L Nager

4650 W Sunset Blvd

$23.86 12 12
Shilpa Desai

1515 N Vermont 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 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