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 |
|---|---|---|---|
|
Denise Diaz Aguayo
825 Pollard Rd Ste 208 |
$37.73 | 12 | 12 |
|
Mary Morrill Chuba
15720 Winchester Blvd |
$31.47 | 12 | 12 |
|
Nina Agrawal
15400 Los Gatos Blvd |
$0.00 | 12 | 12 |
|
Michael D Butcher
14651 S Bascom Ave |
$17.66 | 13 | 12 |
|
Anjali Sagdeo
15400 Los Gatos Blvd |
$22.34 | 14 | 12 |
|
Natalie K Stephan
360 Dardanelli Ln |
$31.76 | 17 | 17 |
|
Arthur Polussa
812 Pollard Rd # 5 |
$0.00 | 17 | 16 |
|
Thaichan Jobalia
15400 Los Gatos Blvd |
$35.93 | 20 | 19 |
|
George Whang
15400 Los Gatos Blvd |
$28.06 | 24 | 24 |
|
Peter A. Castillo
15215 National Ave Ste 104 |
$158.95 | 24 | 24 |
|
Raj S Kullar
15720 Winchester Blvd |
$54.51 | 25 | 25 |
|
Prachi Shukla Dixit
15400 Los Gatos Blvd |
$20.37 | 27 | 27 |
|
Chelsea Jennan Hendow
340 Dardanelli Ln Ste 10 |
$79.14 | 30 | 30 |
|
Christopher James Engelman
431 Monterey Ave |
$7.43 | 30 | 28 |
|
Zena Abby Levine
14911 National Ave Suite #4 |
$0.00 | 30 | 28 |
|
Swati Sardiwal
15400 Los Gatos Blvd |
$37.31 | 32 | 31 |
|
Shih-Ting Chiu
15055 Los Gatos Blvd Ste 100 |
$181.00 | 40 | 38 |
|
Karsten Matthias Heil
1484 Pollard Rd # 3064 |
$0.00 | 44 | 42 |
|
David Eirin Oji
555 Knowles Dr Ste 211 |
$31.10 | 50 | 49 |
|
Ronald G Kite
700 W Parr Ave |
$0.00 | 54 | 38 |
|
Jessica Hsu
14651 S Bascom Ave Ste 215 |
$1.55 | 65 | 62 |
|
Indira Rani Singh
14251 Winchester Blvd Ste 200 |
$0.00 | 68 | 52 |
|
Darla B Gallentine
15400 Los Gatos Blvd |
$84.69 | 70 | 65 |
|
Tejinder Mohan Kalra
14777 Los Gatos Blvd Ste 200 |
$78.78 | 78 | 76 |
|
Nha Thanh Pham
555 Knowles Dr Ste 220 |
$15.95 | 78 | 68 |
|
Neha J Eden
640 Blossom Hill Rd |
$41.26 | 82 | 79 |
|
Kiranvir Mangat
15400 Los Gatos Blvd |
$0.00 | 83 | 81 |
|
Orthonorcal, Inc.
340 Dardanelli Ln Ste 10 |
$14.43 | 84 | 75 |
|
Edward Michael Brooks
15400 Los Gatos Blvd |
$29.36 | 87 | 76 |
|
Lawrence Chen
555 Knowles Dr Ste 117 |
$3.47 | 105 | 76 |
|
Alla P Rozova
15425 Los Gatos Blvd Ste 120 |
$26.64 | 128 | 110 |
|
Christine Johanna Yen
15400 Los Gatos Blvd |
$50.17 | 134 | 99 |
|
Edith Haghnazarian
15899 Los Gatos Almaden Rd Ste 4 |
$16.86 | 135 | 134 |
|
Teresa T Wu
14777 Los Gatos Blvd Ste 201 |
$15.78 | 135 | 121 |
|
Faranak Pourghasemi
14981 National Ave Ste 2 |
$1.83 | 137 | 120 |
|
Michelle Nguyen
14901 National Ave |
$1.25 | 149 | 147 |
|
University Healthcare Alliance
14777 Los Gatos Blvd Fl 2 |
$16.58 | 155 | 139 |
|
Paul Hyon-Uk Kim
340 Dardanelli Ln Ste 10 |
$8.71 | 160 | 108 |
|
Michael Brandon Baule
15425 Los Gatos Blvd Ste 120 |
$81.78 | 174 | 164 |
|
Ryan Basham
212 Oak Meadow Dr |
$6.09 | 179 | 175 |
|
Allison Lee Remesz
14251 Winchester Blvd Ste 200 |
$55.20 | 197 | 181 |
|
Pacific Clinics
499 Loma Alta Ave |
$1,139 | 206 | 195 |
|
Kavipriya Umapathy
123 Vasona Oaks Dr |
$2.12 | 207 | 205 |
|
Azar Dastgah
14651 S Bascom Ave |
$0.24 | 246 | 222 |
|
Gregory Francis Lum
15000 Los Gatos Blvd Ste 3 |
$9.64 | 247 | 210 |
|
John Wesley Emison
15780 Los Gatos Blvd |
$60.76 | 267 | 213 |
|
John E Massey
15047 Los Gatos Blvd |
$52.72 | 299 | 261 |
|
Cristina Marie Glorioso Casas
15400 Los Gatos Blvd |
$14.46 | 300 | 286 |
|
Stuart Pearlman
320 Dardanelli Ln |
$32.56 | 328 | 301 |
|
Yasaman Ahmadieh
15400 Los Gatos Blvd |
$0.00 | 368 | 312 |
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