Average Medicaid Office Visit Payments in Los Gatos, CA: $21.01
Avg. Paid
$21.01
Range
$0.00 – $1,139
Total Claims
162,082
Providers
95
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 Gatos, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thinh Duy Mai
61 Victory Ln Ste A |
$17.12 | 29,093 | 23,761 |
|
Umme Hani Khuddus
15425 Los Gatos Blvd Ste 120 |
$7.45 | 26,551 | 18,876 |
|
Loriana Maria Cirlig
360 Dardanelli Ln |
$12.58 | 11,345 | 9,711 |
|
Afiya Walters Dyer
15400 Los Gatos Blvd |
$2.44 | 9,876 | 5,606 |
|
Deborah Rhae Salom
15100 Los Gatos Blvd Ste 4 |
$16.25 | 4,892 | 2,613 |
|
Anita Hirsch
400 Carlton Ave |
$148.09 | 4,671 | 3,949 |
|
Lydia Yun
14651 S Bascom Ave Ste 215 |
$13.69 | 4,584 | 2,852 |
|
Andrew Tang
14777 Los Gatos Blvd |
$2.53 | 4,169 | 2,357 |
|
Elizabeth Ann Ruben
15400 Los Gatos Blvd |
$2.83 | 3,976 | 2,223 |
|
Ying Cao
15400 National Ave |
$57.37 | 3,939 | 3,614 |
|
Susan Wilturner
14901 National Ave |
$2.54 | 3,864 | 2,251 |
|
Hogan H. Shy
15400 Los Gatos Blvd |
$4.66 | 3,671 | 1,787 |
|
Tony Masri
825 Pollard Rd Ste 100 |
$96.46 | 3,551 | 3,473 |
|
George C. Hsieh
14981 National Ave |
$0.42 | 3,296 | 3,053 |
|
Deepali Lal
812 Pollard Rd |
$0.60 | 3,161 | 1,846 |
|
Jessica Goza
15047 Los Gatos Blvd |
$47.83 | 2,370 | 2,130 |
|
Dan D Hopner
340 Dardanelli Ln |
$6.68 | 2,262 | 2,035 |
|
Mark Ira Golod
15720 Winchester Blvd |
$10.20 | 2,233 | 2,190 |
|
Christine Borowski
812 Pollard Rd Ste 1 |
$1.02 | 2,136 | 1,246 |
|
Timothy Scott Ulleseit
15425 Los Gatos Blvd Ste 120 |
$1.48 | 2,021 | 1,861 |
|
Ian J Barrett
800 Pollard Rd Ste C30 |
$5.80 | 1,995 | 1,896 |
|
Kyle Graham
14880 Los Gatos Blvd Fl 2 |
$44.01 | 1,981 | 1,129 |
|
John D Sangueza
555 Knowles Dr |
$7.36 | 1,777 | 1,519 |
|
Sanjivini Chittaranjan Keswani
320 Dardanelli Ln |
$25.14 | 1,548 | 1,409 |
|
Derek Kenneth Ko
223 W Main St Ste D |
$1.64 | 1,384 | 1,039 |
|
Annie Yeh
14777 Los Gatos Blvd Ste 201 |
$10.00 | 1,375 | 1,363 |
|
Bruce Ian Lerman
555 Knowles Dr Ste 117 |
$7.45 | 1,177 | 694 |
|
Poonam Vijayvargiya
15400 Los Gatos Blvd |
$5.33 | 1,176 | 1,098 |
|
Marina Yam
825 Pollard Rd |
$0.04 | 1,068 | 1,013 |
|
Linda C Lu
15215 National Ave |
$1.29 | 1,059 | 712 |
|
Peter Abaci
15047 Los Gatos Blvd Ste 200 |
$36.71 | 990 | 898 |
|
Yujin Lee
16185 Los Gatos Blvd Ste 205 |
$4.06 | 989 | 838 |
|
Kavitha Hubbard
18055 Idalyn Dr |
$35.14 | 916 | 903 |
|
Rashmi Arora
812 Pollard Rd Ste 1 |
$74.56 | 783 | 751 |
|
Peter T Lin
800 Pollard Rd |
$10.94 | 719 | 630 |
|
Jaisri Tomara Maharaj
15899 Los Gatos Almaden Rd Ste 12 |
$62.90 | 715 | 626 |
|
Ghazala Naheed Usmani
812 Pollard Rd Ste 1 |
$67.78 | 686 | 651 |
|
Manoj Saini
15400 Los Gatos Blvd |
$31.24 | 648 | 593 |
|
Arun Villivalam
15195 National Ave |
$105.00 | 644 | 640 |
|
Cindy Lau
15400 Los Gatos Blvd |
$12.30 | 644 | 629 |
|
Preston Landon Williams
14850 Oka Rd Apt 5 |
$0.85 | 595 | 437 |
|
Jennifer L Sorrell
15720 Winchester Blvd |
$32.98 | 594 | 593 |
|
Alexandra Clancy
800 Pollard Rd Ste A |
$27.04 | 568 | 558 |
|
Saumya Pandey
14251 Winchester Blvd Ste 200 |
$7.44 | 477 | 455 |
|
Susan Kay Bezecny
320 Dardanelli Ln |
$26.23 | 435 | 395 |
|
Yasaman Ahmadieh
15400 Los Gatos Blvd |
$0.00 | 368 | 312 |
|
Stuart Pearlman
320 Dardanelli Ln |
$32.56 | 328 | 301 |
|
Cristina Marie Glorioso Casas
15400 Los Gatos Blvd |
$14.46 | 300 | 286 |
|
John E Massey
15047 Los Gatos Blvd |
$52.72 | 299 | 261 |
|
John Wesley Emison
15780 Los Gatos Blvd |
$60.76 | 267 | 213 |
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 Gatos, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Los Gatos, CA is $21.01 per claim, based on 162,082 claims from 95 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 Gatos, CA?
There are 95 Medicaid providers offering Office Visit related services in Los Gatos, CA according to public payment data.
What is the price range for Office Visit in Los Gatos, CA?
Medicaid reimbursement for Office Visit in Los Gatos, CA ranges from $0.00 to $1,139 per claim, with an average of $21.01. 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 Gatos, CA
Behavioral & Mental Health Therapy
Avg $99.42
89,897 claims
Blood Work & Lab Tests
Avg $2.40
42,133 claims
Physical Therapy
Avg $13.59
38,668 claims
Vaccines & Immunizations
Avg $1.22
31,608 claims
Case Management Services
Avg $284.59
27,265 claims
Psychiatric Evaluation
Avg $76.49
20,441 claims
Nursing Facility Care
Avg $12.75
19,570 claims
Dental Cleaning & Exam
Avg $56.61
18,715 claims