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 |
|---|---|---|---|
|
Shishir Rao
2020 Zonal Ave # 720 |
$45.22 | 12 | 12 |
|
Southern California Health & Rehabilitation Program
8836 S Vermont Ave |
$589.72 | 12 | 12 |
|
Derek Adam Scott
200 Ucla Medical Plz Ste 420 |
$64.15 | 12 | 12 |
|
Jeffrey W. Brettler
6041 Cadillac Ave |
$3.27 | 12 | 12 |
|
Cuong Huy Lam
4867 W Sunset Blvd |
$75.00 | 12 | 12 |
|
Tammy Wong
1520 San Pablo St Ste 1000 |
$38.32 | 12 | 12 |
|
David J Lee
757 Westwood Plz |
$36.25 | 12 | 12 |
|
Suk-Joon Hong
4650 W Sunset Blvd |
$0.00 | 12 | 12 |
|
Neel Kamal Mann
1520 San Pablo St Ste 1000 |
$52.00 | 12 | 12 |
|
Shuo Wang
4650 W Sunset Blvd |
$181.18 | 12 | 12 |
|
Alan L Nager
4650 W Sunset Blvd |
$23.86 | 12 | 12 |
|
Shilpa Desai
1515 N Vermont Ave |
$0.00 | 12 | 12 |
|
Hyunwoo Paco Kang
1520 San Pablo St Ste 2000 |
$94.14 | 12 | 12 |
|
Richard L Lubman
1520 San Pablo St |
$43.49 | 12 | 12 |
|
Anat Erdreich Epstein
4650 W Sunset Blvd |
$106.63 | 12 | 12 |
|
Abby E. Gross
4733 W Sunset Blvd |
$55.42 | 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 |
|
Eric E Gaylord
3750 Santa Rosalia Dr Ste 102 |
$3.05 | 12 | 12 |
|
Ariella Cohan
2011 Wilshire Blvd |
$17.22 | 12 | 12 |
|
Emma Claire Satterthwaite Muresianu
4650 W Sunset Blvd |
$0.00 | 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 |
|
Tamara Silva Vera Pleshakov
4867 W Sunset Blvd |
$0.00 | 12 | 12 |
|
Carmel Kadrnka
1200 N State St |
$0.00 | 12 | 12 |
|
Mathew Douglas Schur
1200 N State St |
$139.58 | 12 | 12 |
|
Sarah Elizabeth Hooks
6041 Cadillac Ave |
$0.00 | 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 |
|
Laila I Muderspach
1516 San Pablo St |
$0.00 | 12 | 12 |
|
Geraldine Michelle Navarro
200 Ucla Medical Plz Ste 365B |
$18.12 | 12 | 12 |
|
Grand Gi & Endoscopy Group, Inc.
505 S Virgil Ave |
$0.49 | 12 | 12 |
|
American Eye Institute A Medical Corp
6330 San Vicente Blvd Ste 408 |
$5.68 | 12 | 12 |
|
Anne Hinton
1520 San Pablo St Ste 1300 |
$87.95 | 12 | 12 |
|
Kimiko Agari
1200 N State St |
$30.00 | 12 | 12 |
|
Shobhana Gandhi M.D.,Inc
1300 N Vermont Ave |
$56.84 | 12 | 12 |
|
Lestina Cleone Price
4900 W Sunset Blvd |
$0.00 | 12 | 12 |
|
Ala Arafa-Price
1171 S Robertson Blvd Ste 242 |
$0.00 | 12 | 12 |
|
Luis J Espinoza
7080 Hollywood Blvd |
$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 |
|
Wellnest Emotional Health & Wellness
5054 S Vermont Ave |
$456.68 | 12 | 12 |
|
Kevan Z. Craig
4650 W Sunset Blvd |
$106.63 | 12 | 12 |
|
Remelyn Ann Angeles Valera
400 W 30Th St |
$45.15 | 12 | 12 |
|
Leo Lieh-Kuo Chen
710 Westwood Plz Rm 1-240 |
$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
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