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
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