Average Medicaid Office Visit Payments in Madera, CA: $24.94
Avg. Paid
$24.94
Range
$0.00 – $841.05
Total Claims
1,930,557
Providers
312
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 Madera, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sanmaan Kaur Basraon
9300 Valley Childrens Pl |
$11.81 | 12 | 12 |
|
Jennie Christine Daly
9300 Valley Childrens Pl |
$109.39 | 13 | 13 |
|
Lee James Walsh
1653 N Schnoor Ave Ste 107 |
$0.00 | 13 | 13 |
|
Specialty Medical Group Central California - Dept Of Surgery
9300 Valley Childrens Pl |
$11.98 | 13 | 13 |
|
Camarena Health
760 E Almond Ave |
$0.00 | 13 | 13 |
|
Pamela Rebecca Marsh
9300 Valley Childrens Pl |
$125.90 | 13 | 13 |
|
Navjot Kaur Sidhu
Valley Children'S Medical Group Charlie Mitchell Clinic |
$23.01 | 15 | 15 |
|
James Vincent Prochazka
9300 Valley Childrens Pl |
$32.90 | 16 | 13 |
|
Shagufta Nazir Khan
1250 E Almond Ave |
$0.00 | 17 | 13 |
|
United California Surgical Forum Inc.
1000 E Almond Ave |
$0.00 | 17 | 17 |
|
Carol Andrea Cramer
9300 Valley Childrens Pl |
$0.00 | 18 | 15 |
|
Hasti Sanandajifar
9300 Valley Childrens Pl |
$117.37 | 18 | 15 |
|
Mohammad Afzal Arain Md Inc
1019 W Yosemite Ave |
$0.00 | 19 | 13 |
|
Faith Hill
740 E Almond Ave |
$44.50 | 20 | 19 |
|
Philip W. Hyden
9300 Valley Childrens Pl |
$22.67 | 20 | 12 |
|
Yoshihiro Ozaki
9300 Valley Childrens Place |
$1.76 | 26 | 19 |
|
Alexander Stempel
1250 E Almond Ave |
$27.91 | 27 | 27 |
|
David Kenneth Tomajan
9300 Valley Children'S Pl |
$165.05 | 27 | 27 |
|
Jessica Rose Harrison
9300 Valley Childrens Pl |
$54.55 | 29 | 27 |
|
Aram Shemmassian
9300 Valley Childrens Pl |
$0.00 | 38 | 37 |
|
Stacey Apostol
9300 Valley Childrens Pl |
$66.26 | 42 | 42 |
|
Terea Ann Giannetta
9300 Valley Childrens Pl |
$66.43 | 44 | 42 |
|
Jennifer Fellini Roberts
9300 Valley Childrens Pl |
$0.00 | 51 | 46 |
|
Wan-Keung Chen
9300 Valley Children'S Place Mb18 |
$140.52 | 57 | 55 |
|
Specialty Medical Group Central California Inc - Dept Of Oncology
9300 Valley Childrens Pl |
$20.63 | 61 | 56 |
|
Wendy Michele Nagle
9300 Valley Childrens Pl |
$58.48 | 64 | 64 |
|
Devonna M. Kaji
9300 Valley Childrens Pl |
$43.32 | 67 | 67 |
|
Affiliated Physician Practice Inc
1280 E Almond Avenue |
$0.00 | 68 | 61 |
|
Craig F Stark
9300 Valley Childrens Pl # Fe16 |
$19.39 | 74 | 58 |
|
Specialty Medical Group Central California Inc. - Dept Of Neurology
9300 Valley Childrens Pl |
$1.50 | 74 | 73 |
|
Catherine K. Beaumier
9300 Valley Children'S Pl. |
$91.97 | 75 | 75 |
|
Ramnit Chahal
363 E Almond Ave Ste 101 |
$142.02 | 77 | 73 |
|
Berkley Randolph Powell
9300 Valley Childrens Pl |
$65.73 | 81 | 74 |
|
Lisa S. Sicherman
9300 Valley Childrens Pl |
$2.66 | 83 | 74 |
|
Daniel Anibal Orellana
9300 Valley Childrens Pl # Sc05 |
$53.25 | 84 | 82 |
|
Jeffrey A Hessman
1111 W 4Th St |
$3.36 | 90 | 83 |
|
Mazen Issam Abbas
9300 Valley Childrens Pl # Se09 |
$73.00 | 92 | 91 |
|
Dana Shprung
9300 Valley Childrens Pl |
$111.60 | 92 | 90 |
|
Terri Dickey
344 E 6Th St |
$0.00 | 97 | 97 |
|
Adriana Etcheverry
9300 Valley Childrens Pl |
$7.94 | 102 | 101 |
|
Tracy Chin
9300 Valley Childrens Pl |
$79.96 | 107 | 106 |
|
William Ballard Sharp
9300 Valley Childrens Pl |
$3.08 | 114 | 109 |
|
Brent Anthony Feudale
9300 Valley Childrens Pl # Fc06 |
$95.44 | 117 | 115 |
|
Becky L Bockenhauer
9300 Valley Childrens Pl |
$173.39 | 122 | 122 |
|
Tahir Hassan
708 W Yosemite Ave |
$4.45 | 124 | 105 |
|
Stephanie Hall
209 E 7Th St |
$36.06 | 129 | 113 |
|
Frank Paul Chimienti
344 E 6Th St |
$0.00 | 131 | 127 |
|
Cassandra Lee Anderson
9300 Valley Childrens Pl |
$53.37 | 137 | 137 |
|
Jennifer Anne Case
9300 Valley Childrens Pl # Sc05 |
$80.17 | 139 | 117 |
|
John R. Kinnison
9300 Valley Childrens Pl |
$134.72 | 140 | 136 |
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 Madera, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Madera, CA is $24.94 per claim, based on 1,930,557 claims from 312 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 Madera, CA?
There are 312 Medicaid providers offering Office Visit related services in Madera, CA according to public payment data.
What is the price range for Office Visit in Madera, CA?
Medicaid reimbursement for Office Visit in Madera, CA ranges from $0.00 to $841.05 per claim, with an average of $24.94. 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 Madera, CA
Emergency Room Visit
Avg $40.89
493,699 claims
Blood Work & Lab Tests
Avg $7.48
488,574 claims
Vaccines & Immunizations
Avg $1.28
430,077 claims
Urinalysis & Urine Tests
Avg $1.78
422,899 claims
X-Ray
Avg $10.71
379,088 claims
Ultrasound
Avg $38.47
246,405 claims
Physical Therapy
Avg $3.07
187,098 claims
Dental Cleaning & Exam
Avg $49.25
167,654 claims