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 |
|---|---|---|---|
|
Joel Ramirez
124 S A St |
$0.99 | 313,395 | 250,706 |
|
Valley Children'S Hospital
9300 Valley Childrens Pl |
$58.52 | 102,815 | 96,775 |
|
Richard E Thistle
1250 E Almond Ave |
$4.50 | 92,001 | 78,517 |
|
Gamdur S Brar
2339 W Cleveland Ave Ste 101 |
$0.82 | 62,169 | 56,157 |
|
Madera Community Hospital
1250 E Almond Ave |
$0.04 | 59,724 | 50,354 |
|
Caleb Dajao Querol
344 E 6Th St |
$0.56 | 55,165 | 31,803 |
|
Guillermo Sandoval
344 E 6Th St |
$2.02 | 49,244 | 36,479 |
|
Madera Family Medical Group Inc.
1111 W 4Th St |
$0.41 | 47,373 | 41,171 |
|
Naeem A Siddiqi
924 Emily Way |
$57.63 | 44,309 | 40,995 |
|
Amritpal S Pannu
2339 Cleveland Ave |
$1.98 | 43,125 | 33,969 |
|
Camarena Health
344 E 6Th Street |
$24.58 | 42,034 | 34,900 |
|
Kenneth Bernstein
344 E 6Th St |
$6.39 | 36,560 | 32,391 |
|
Laraib Tabba
9300 Valley Childrens Pl # Sc05 |
$43.53 | 34,551 | 18,313 |
|
Aftab A Naz
1111 W 4Th St |
$5.70 | 31,010 | 26,539 |
|
Ishtiaque A Bangash
1111 W 4Th St |
$5.02 | 27,579 | 23,002 |
|
Mark R Rowe
9300 Valley Childrens Pl |
$79.86 | 18,971 | 17,985 |
|
Alfredo Miguel Garcia
363 E Almond Ave Ste 105 |
$4.69 | 18,407 | 17,330 |
|
Shaheen Sarthaj
124 S A St |
$0.82 | 18,281 | 12,500 |
|
Mayra Robinson Herasme
124 S A St |
$0.22 | 18,226 | 13,639 |
|
Shafi Ur Rahman
1111 W 4Th St |
$4.20 | 17,105 | 13,769 |
|
Joshua Paul Warolin
9300 Valley Childrens Pl |
$62.53 | 14,303 | 14,029 |
|
Tabish Aftab Naz
1111 W 4Th St |
$0.50 | 13,697 | 7,560 |
|
Syed A Hamid
1111 W 4Th St |
$32.80 | 13,436 | 12,763 |
|
Michelle Renee Perez
441 E Yosemite Ave |
$0.37 | 13,217 | 8,675 |
|
Edsel Arce-Hernandez
9300 Valley Childrens Pl |
$1.07 | 12,967 | 8,830 |
|
Rogelio M Hernandez
1130 Country Club Dr |
$4.11 | 12,116 | 8,881 |
|
Camarena Health
441 E Yosemite Ave |
$26.49 | 11,947 | 10,538 |
|
Naeem M. Akhtar
451 E Almond Ave Ste 103 |
$4.40 | 11,378 | 10,569 |
|
Esequiel Rodriguez
9300 Valley Childrens Pl # 16 |
$80.71 | 10,940 | 9,568 |
|
Mark F Barrett
9300 Valley Childrens Pl |
$6.24 | 10,614 | 9,717 |
|
Shaheen Khan
1111 W 4Th St |
$5.21 | 10,217 | 8,851 |
|
Muhammad Anwar
1210 E Almond Ave Ste B |
$1.70 | 10,150 | 6,935 |
|
Paul G Kratzer
201 South B St |
$15.88 | 10,087 | 7,931 |
|
Sudhakar Reddivalam
9300 Valley Childrens Pl |
$56.41 | 10,013 | 9,563 |
|
Thu-Ba Leba
9300 Valley Childrens Pl |
$66.82 | 9,769 | 9,203 |
|
Jill Christine Friebele
9300 Valley Childrens Pl |
$74.40 | 9,523 | 9,141 |
|
Planned Parenthood Mar Monte, Inc
500 E Almond Ave |
$0.16 | 9,423 | 8,493 |
|
Syed S. Kamal
9300 Valley Childrens Pl # Se13 |
$90.71 | 9,002 | 8,699 |
|
Jon E Oda
9300 Valley Childrens Pl # Fe10 |
$64.91 | 8,320 | 8,128 |
|
Chirag Patel
1130 Country Club Dr Ste E |
$0.35 | 8,187 | 7,318 |
|
Purushottam Arjun Gholve
9300 Valley Childrens Pl # Fe10 |
$63.78 | 8,142 | 8,051 |
|
Kevin Tiyaamornwong
505 E Almond Ave Ste 101 |
$0.20 | 7,966 | 6,435 |
|
Valley Children'S Hospital
9300 Valley Childrens Pl |
$1.72 | 7,808 | 7,485 |
|
Valley Children'S Hospital
9300 Valley Childrens Pl |
$4.84 | 7,638 | 7,314 |
|
Kerry Lee Loveland
9300 Valley Childrens Pl |
$66.10 | 7,595 | 7,436 |
|
Louis Hernandez
405 Riverside Dr |
$1.93 | 7,552 | 6,989 |
|
Vinod V Balasa
9300 Valley Childrens Pl |
$106.01 | 7,545 | 6,677 |
|
Naeem Akhtar Md Inc
451 E Almond Ave Ste 103 |
$0.22 | 7,410 | 7,226 |
|
Peter D. Witt
9300 Valley Childrens Pl |
$73.55 | 7,083 | 6,452 |
|
Erin Vaughn
9300 Valley Children'S Place |
$40.10 | 7,079 | 6,496 |
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