Average Medicaid Office Visit Payments in Martinez, CA: $6.96
Avg. Paid
$6.96
Range
$0.00 – $682.00
Total Claims
951,501
Providers
251
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 Martinez, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Huy Dao
200 Muir Rd |
$12.94 | 22,992 | 13,111 |
|
Sarah Ellen Mcneil
2500 Alhambra Ave |
$95.01 | 22,937 | 21,528 |
|
Aesil Cheun
597 Center Ave |
$1.67 | 17,173 | 10,900 |
|
Natasha Joanne Pinto
2500 Alhambra Ave |
$0.00 | 15,158 | 8,417 |
|
Amy Gordon
2500 Alhambra Ave |
$0.12 | 14,666 | 7,785 |
|
Karen Loraine Weiss
1146 Delacy Ave |
$0.23 | 13,220 | 7,326 |
|
Courtney A Wright
2500 Alhambra Ave |
$88.73 | 12,556 | 12,384 |
|
Rebecca Young Lee
2500 Alhambra Ave |
$88.49 | 11,862 | 9,343 |
|
Erica Kjersten Benson
2500 Alhambra Ave |
$0.78 | 11,472 | 5,751 |
|
Jason Reinking
2500 Alhambra Ave |
$3.35 | 11,146 | 6,168 |
|
Mauricio Kuri
1815 Arnold Dr |
$0.00 | 11,009 | 6,605 |
|
Marcia Furtado
2500 Alhambra Ave |
$0.00 | 10,985 | 6,831 |
|
Jose Irabon Yasul
2500 Alhambra Ave |
$0.02 | 10,929 | 5,828 |
|
Jaison James
1815 Arnold Dr |
$0.00 | 10,865 | 6,966 |
|
Anthony Michael Longoria
1000 Ward St |
$0.00 | 10,703 | 6,487 |
|
Veda Bhatt
2500 Alhambra Ave |
$0.74 | 10,596 | 6,399 |
|
Marcella Torres
2500 Alhambra Ave |
$0.23 | 10,281 | 6,449 |
|
Wilfredo Manuntag
2500 Alhambra Ave |
$2.64 | 10,202 | 6,498 |
|
Erik Antonio Gonzalez
2500 Alhambra Ave |
$0.07 | 9,982 | 6,403 |
|
James Everett Walls
2500 Alhambra Ave |
$0.05 | 9,962 | 6,193 |
|
Scott Michael Karpowicz
2500 Alhambra Ave |
$0.02 | 9,960 | 6,036 |
|
Cinnie Chou
2500 Alhambra Ave |
$0.04 | 9,809 | 6,136 |
|
Lauren Marie Wondolowski
2500 Alhambra Ave |
$0.20 | 9,805 | 6,088 |
|
David H Lee
2500 Alhambra Ave |
$0.00 | 9,773 | 5,946 |
|
Maria Teresa Madrigal
2500 Alhambra Ave |
$0.00 | 9,748 | 6,020 |
|
Katharine C Goheen
2500 Alhambra Ave |
$0.03 | 9,707 | 6,011 |
|
Alan Siegel
2500 Alhambra Ave |
$0.51 | 9,362 | 5,442 |
|
Nichole Boisvert
2500 Alhambra Ave |
$0.13 | 9,220 | 6,027 |
|
Natalie Emilia Lanzarin
2500 Alhambra Ave |
$0.00 | 9,124 | 4,975 |
|
Sharon L Collins
150 Muir Rd |
$3.32 | 9,077 | 5,553 |
|
Karla Patricia Ballesteros
2500 Alhambra Ave |
$0.00 | 8,905 | 5,547 |
|
Jane Mccormick
2500 Alhambra Ave |
$0.00 | 8,828 | 4,686 |
|
Kristin Moeller
2500 Alhambra Ave |
$0.01 | 8,817 | 4,856 |
|
Kathryn Hamlin
2500 Alhambra Ave |
$0.15 | 8,806 | 5,592 |
|
Kenneth Allen Katzman
2500 Alhambra Ave |
$0.05 | 8,707 | 5,206 |
|
Mana Pirnia
2500 Alhambra Ave |
$0.04 | 8,702 | 5,194 |
|
Daniel Moring-Parris
2500 Alhambra Ave |
$0.06 | 8,691 | 5,438 |
|
Irina Anatolievna Pyrkova
2500 Alhambra Ave |
$0.00 | 8,656 | 5,281 |
|
Mary Preetha Joseph
2500 Alhambra Ave |
$0.00 | 8,624 | 5,123 |
|
Stephen Weiss
2500 Alhambra Ave |
$0.00 | 8,498 | 5,002 |
|
Denice K Tai
2500 Alhambra Ave |
$0.01 | 8,445 | 5,082 |
|
Malaika Monique Scott
2500 Alhambra Ave |
$0.04 | 8,334 | 5,294 |
|
Mark Vanhandel
2500 Alhambra Ave |
$0.00 | 8,329 | 5,205 |
|
Michelle Orengo-Mcfarlane
2500 Alhambra Ave |
$0.08 | 8,216 | 5,260 |
|
Daniel Aldous Lee
2500 Alhambra Ave |
$0.01 | 8,203 | 4,901 |
|
Kimberly Butler
2500 Alhambra Ave |
$0.13 | 8,189 | 5,246 |
|
Yu-Hung Patty Peng
2500 Alhambra Ave |
$0.00 | 8,186 | 5,274 |
|
James Michael Hopkins
102 Stonehurst Ct |
$74.77 | 8,178 | 7,833 |
|
Siri Sunderi Cheng
2500 Alhambra Ave |
$0.00 | 8,131 | 4,832 |
|
Karen Alingog
2500 Alhambra Ave |
$0.09 | 7,961 | 4,759 |
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 Martinez, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Martinez, CA is $6.96 per claim, based on 951,501 claims from 251 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 Martinez, CA?
There are 251 Medicaid providers offering Office Visit related services in Martinez, CA according to public payment data.
What is the price range for Office Visit in Martinez, CA?
Medicaid reimbursement for Office Visit in Martinez, CA ranges from $0.00 to $682.00 per claim, with an average of $6.96. 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 Martinez, CA
Blood Work & Lab Tests
Avg $0.58
365,645 claims
Vaccines & Immunizations
Avg $0.49
241,095 claims
Emergency Room Visit
Avg $32.18
81,638 claims
Urinalysis & Urine Tests
Avg $0.75
75,780 claims
Dental Cleaning & Exam
Avg $50.86
60,296 claims
X-Ray
Avg $5.30
43,194 claims
Psychiatric Evaluation
Avg $124.08
41,573 claims
CT Scan (Computed Tomography)
Avg $37.63
38,612 claims