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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
Holly Carolyn Weil

4733 W Sunset Blvd Fl 3

$35.83 12 12
Bethel Eye Center Medical Corporation

266 S Harvard Blvd

$37.83 12 12
Melissa Ellen Ho

1200 N State Street Clinic Tower

$98.79 12 12
Brian Raffetto

1200 N State St Rm A7D

$72.51 12 12
Stephen Quach

2051 Marengo St

$0.00 12 12
Bess Michelle Biscocho Estrada

4733 W Sunset Blvd Fl 3

$105.00 12 12
Lynn Shi

100 Stein Plz Fl 1

$54.29 12 12
Saman Setareh-Shenas

8631 W 3Rd St Ste 540

$0.00 12 12
Bahareh Ravandi

4650 W Sunset Blvd

$45.96 12 12
Bruce Chy

4650 W Sunset Blvd

$0.00 12 12
Daniel Chendana Sukato

200 Ucla Medical Plz Ste 550

$62.50 12 12
Luis Enrique Salazar

4900 W Sunset Blvd

$70.30 12 12
Maria Elizabeth Nelson

1450 San Pablo St Ste 6200

$33.82 12 12
Majid Husain

200 Ucla Medical Plaza

$0.00 12 12
Stacey Pun

1127 Wilshire Blvd Ste 600

$38.75 12 12
Carrie Joann Estuar

127 S San Vicente Blvd

$52.52 12 12
Meghan Grayce Janette

4650 W Sunset Blvd

$0.00 12 12
Hector Duenas Gonzalez

2524 S Figueroa St

$7.90 12 12
Ann Jea Lee

1450 San Pablo St Ste 6200

$0.00 12 12
Maha Al Baghdadi

700 Tiverton Ave # 7-155

$152.54 12 12
Vanessa Dorismond

8631 W 3Rd St # 840E

$82.74 12 12
Caroline Nkemdilim Opene

10250 Santa Monica Blvd Ste 2440

$42.25 12 12
Mikhaela Cielo

1200 N State St

$0.00 12 12
Monique Marie Gutierrez

1120 W Washington Blvd

$147.50 12 12
Los Angeles County Department Of Mental Health

510 S Vermont Ave

$686.72 12 12
Leonardo A Farol Iii

4733 W Sunset Blvd

$47.92 12 12
Adrian D. Mirea

4733 W Sunset Blvd

$51.25 12 12
Stacey Weinstein

Ronald Reagan Ucla Medical Ctr

$0.00 12 12
Marty Reed

1200 N State St

$30.83 12 12
Carla Elaine Herriford

6200 Wilshire Blvd

$0.00 12 12
Stanley Keith Frencher

1670 E 120Th St

$43.11 12 12
Harkirat Singh Chahal

757 Westwood Plz Ste 3325

$153.30 12 12
Winnie Huang

6041 Cadillac Ave

$0.00 12 12
Access Healthcare Associates A Medical Corporation

9233 W. Pico Blvd.

$2.83 12 12
Pacific Clinics

815 N El Centro Ave

$1,233 12 12
Jeffrey Scott Goodman

8635 W 3Rd St Ste 480W

$25.72 12 12
Guy D Paiement

444 S San Vicente Blvd

$24.86 12 12
Charles F. Schmitz

4733 W Sunset Blvd

$1.67 12 12
Andrew Church Balfour

555 S Broadway

$11.52 12 12
Peter H. Lee

4220 W 3Rd St Ste 203

$0.00 12 12
Para Los Ninos

849 E 6Th St

$918.36 12 12
Hira Lal Jindal

711 W College St

$0.00 12 12
Kim-Huong Tran

4733 W Sunset Blvd

$206.29 12 12
Gabriel Zada

1520 San Pablo St Ste 3800

$40.70 12 12
Yvonne Stephanie Tsai

10833 Le Conte Ave

$12.92 12 12
Mark Wilfred Tamarin

8540 S Sepulveda Blvd

$0.00 12 12
Maricela Rodriguez-Gutierrez

4900 Sunset Blvd 5Th Floor

$0.00 12 12
Austin J Ma

1700 E Cesar E Chavez Ave Ste 3500

$1.98 12 12
Daniel A. Oakes

1520 San Pablo St

$8.07 12 12
Stephen James Torres

11710 Wilshire Blvd

$74.65 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