Average Medicaid Office Visit Payments in Los Banos, CA: $21.12
Avg. Paid
$21.12
Range
$0.00 – $956.98
Total Claims
585,391
Providers
53
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 Banos, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Karthikeya Devireddy
311 W I St |
$10.78 | 309,772 | 182,473 |
|
Sutter Valley Hospitals
1253 W I St |
$36.49 | 91,579 | 77,774 |
|
Gopi Krishna Polasa Venkata
311 W I St |
$4.93 | 18,665 | 11,185 |
|
Monif Moussa Matouk
400 W I St Ste C |
$43.32 | 16,999 | 11,201 |
|
Arvindselvan Mohanaselvan
311 W I St |
$9.99 | 16,566 | 8,810 |
|
Christopher P. Costa
821 Texas Ave |
$1.24 | 16,182 | 14,883 |
|
Sarah Ann S Matouk
400 W I St Ste C |
$34.59 | 13,718 | 8,208 |
|
Donald Kettyls
311 W I St |
$13.29 | 11,877 | 7,113 |
|
Shaheer Hamid
311 West I Street |
$13.63 | 8,829 | 5,311 |
|
Benny Lee Wright
502 Washington Ave |
$93.93 | 8,565 | 8,223 |
|
Johann-Christian Abordo
821 Texas Ave |
$56.27 | 7,996 | 7,383 |
|
Tenzin Ngadon
821 Texas Ave |
$0.01 | 7,805 | 4,635 |
|
Sina Aghaie
311 W I St |
$3.28 | 7,048 | 4,931 |
|
Stefan Elazier
311 W I St |
$13.81 | 6,700 | 4,223 |
|
Stephen J Georgiou
502 Washington Ave |
$83.83 | 6,687 | 6,406 |
|
Daniel L Eustace
311 W I St |
$0.39 | 5,241 | 3,930 |
|
Liautaud Morin Prophete
502 Washington Ave |
$86.95 | 4,790 | 4,271 |
|
Ghassan Saeb
520 W I St |
$5.88 | 4,497 | 3,566 |
|
Sutter Valley Hospitals
520 W I St |
$54.16 | 3,046 | 2,385 |
|
Scott Kevin Russell
312 W J St |
$77.03 | 2,844 | 2,839 |
|
Daniel E Hardy
801 W L St |
$12.27 | 1,938 | 1,641 |
|
Dmitri De La Cruz
311 W I St |
$0.04 | 1,415 | 1,347 |
|
Alireza Shams
2520 E Pacheco Blvd |
$6.83 | 1,197 | 787 |
|
Marilou Tabaranza Menor
312 W J St |
$76.48 | 997 | 995 |
|
Yashesh Goradia
312 W J St |
$75.34 | 928 | 925 |
|
Lara Avedian
520 W. Street |
$5.32 | 905 | 893 |
|
Golden Valley Health Center
821 Texas Ave |
$72.95 | 855 | 844 |
|
County Of Merced
40 W G St |
$447.77 | 719 | 712 |
|
Abhijit Shaligram
807 Illinois Ave |
$128.39 | 708 | 342 |
|
Walker A Wynkoop
807 Illinois Ave |
$78.75 | 658 | 649 |
|
Robert William Thrailkill
520 West 'I' Street |
$40.21 | 579 | 574 |
|
Rodolfo M Garcia
808 Iowa Ave |
$3.98 | 489 | 417 |
|
Jayesh Mahesh Bellara
1400 S Mercey Springs Rd Ste I |
$85.46 | 481 | 481 |
|
Naitte P. Jordan
400 W I St |
$1.14 | 481 | 231 |
|
Ignacio Protto
312 W J St |
$71.94 | 473 | 471 |
|
Sport & Rehab Physical Therapy Incorporated
312 W J St |
$81.86 | 409 | 409 |
|
Dasaratha Vemireddy
916 I St |
$12.66 | 396 | 357 |
|
Surgical Affiliates Of California
807 Illinois Ave |
$17.50 | 377 | 360 |
|
Suzanne J White
285 Mercey Springs Rd Ste D |
$7.78 | 332 | 302 |
|
Marlou Russel Soriano Garces
312 W J St |
$67.02 | 329 | 329 |
|
County Of Merced
40 W G St Ste A-E |
$956.98 | 243 | 241 |
|
Karthikeya Devireddy Md Inc
311 W I St |
$42.33 | 203 | 189 |
|
Nathaniel Margate
312 W J St |
$76.22 | 189 | 188 |
|
Vijay Devireddy
311 W I St |
$29.82 | 125 | 91 |
|
Sohail Mamdani
808 Iowa Ave |
$5.54 | 101 | 74 |
|
Golden Valley Health Centers
821 Texas Ave |
$0.00 | 91 | 78 |
|
Kd Medical Group,Inc.
311 W I St |
$13.68 | 88 | 81 |
|
Jason Rinaldo Mevi
245 H St |
$13.73 | 86 | 77 |
|
Calvin Tan
725 I St |
$18.50 | 61 | 61 |
|
Leland Roy Estrella
520 W I St |
$159.10 | 44 | 42 |
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 Banos, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Los Banos, CA is $21.12 per claim, based on 585,391 claims from 53 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 Banos, CA?
There are 53 Medicaid providers offering Office Visit related services in Los Banos, CA according to public payment data.
What is the price range for Office Visit in Los Banos, CA?
Medicaid reimbursement for Office Visit in Los Banos, CA ranges from $0.00 to $956.98 per claim, with an average of $21.12. 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
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 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
Other Procedures in Los Banos, CA
Physical Therapy
Avg $34.61
257,833 claims
Blood Work & Lab Tests
Avg $11.71
237,253 claims
Emergency Room Visit
Avg $72.18
161,825 claims
Vaccines & Immunizations
Avg $8.86
88,640 claims
Urinalysis & Urine Tests
Avg $4.07
81,425 claims
X-Ray
Avg $24.66
43,868 claims
Chiropractic Care
Avg $33.47
24,591 claims
Behavioral & Mental Health Therapy
Avg $159.99
23,813 claims