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Based on public Medicaid payment data.

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

Other Procedures in Los Banos, CA