Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Merced, CA: $28.40

Avg. Paid

$28.40

Range

$0.00 – $1,181

Total Claims

2,195,639

Providers

268

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 Merced, CA

Provider	Avg. Paid	Claims	Patients
Gurneet Kaur 333 Mercy Ave	$0.00	12	12
John Scott Appel 737 W Childs Ave	$33.86	12	12
Twylla Rene Cox-Sugimoto 3393 G St Ste C	$5.21	13	12
Martin Paul Miller 1230 W 16Th St	$34.23	13	13
Merced Turlock Nephrology Med Group Inc. 3351 M St	$38.16	13	13
Joerg Schuller 3181 Collins Dr Ste B	$4.33	13	13
Jeremy Adam Hill 374 West Olive Avenue	$0.00	14	13
Khaled Diab 315 Mercy Ave	$96.67	15	15
Kenneth R Grossman Md Inc 580 Collins Dr	$31.76	15	14
Chenn-Yow Fuh M D Inc 382 W Olive Ave	$21.62	15	14
Julianah Adenike Olabode 3144 G St Ste 125-254	$0.00	15	13
Anita Leigh Johnson 3349 G Street	$0.00	15	13
James Gerard Reid 3385 G St	$0.00	19	17
Naim Masud Basel 797 W Childs Ave	$19.00	27	24
Dennis E Dodd 737 W Childs Ave	$37.11	28	27
Shabana Abdullah Abdulqadir 315 Mercy Ave Ste 400	$0.00	31	28
Sachidanand Prabhu 315 Mercy Ave Ste 301	$128.12	32	31
Kamindara Dhillon 315 Mercy Ave Ste 301	$0.00	34	34
Planned Parenthood Mar Monte, Inc 3166 Collins Drive	$1.61	36	34
Geoffrey Beck 315 Mercy Ave Ste 301	$51.58	36	36
Stella Nwasoka Adesokan 1114 Olivewood Dr	$6.25	36	24
Hormoz Issavi 315 Mercy Ave	$250.75	40	40
Stanislaus Kidney And Hypertension 3393 G St	$18.84	40	40
Man-Siak Mak 3349 G Street Ste. F	$51.83	42	42
Lori Gerske 3940 Sandpiper Ave	$2.08	43	43
Ramakrishna Thondapu 1390 E Yosemite Ave	$124.47	44	42
Robert Bogue 104 W Alexander Ave	$0.00	44	42
Mary Alice Hintenach 315 E 13Th St	$21.23	48	47
Bojeong Kim 315 Mercy Ave Ste 301	$78.53	53	52
Navin Gogna Luthra 374 W Olive Ave	$0.00	54	54
Michael Salih 378 W Olive Ave	$22.16	55	54
Rama L R Nandipati M D Inc 450 E Yosemite Ave Ste A	$28.57	57	56
Gary C Graham, M.D., Inc 517 W 23Rd St	$20.17	58	55
Dr. Matthew B. Lee, O.D. Inc 708 W 20Th St Ste A	$21.51	58	43
Golden State Health Care Inc. 3150 G St	$23.48	62	62
Eve Michele Dreyfus 301 E 13Th St	$18.69	72	58
Merced Orthopaedic Medical Group, Inc 123 W North Bear Creek Dr	$22.78	73	71
Ruhel Boparai 301 E 13Th St	$42.59	76	60
Jeffrey B. Lee O.D. 708 W 20Th St	$31.17	80	73
Edythe Woodruff Stewart 105 W El Portal Dr Ste B	$144.04	82	80
Adrian Fedele 411 W 20Th St	$82.51	85	65
Chayce William Hartung 315 E 13Th St	$175.14	86	80
Yang Cao 315 Mercy Ave	$16.40	89	88
Alfred B Johnson 240 E 13Th St Ste C	$122.45	89	38
Nicolas De La Pena Md Inc 3389 G St	$28.29	94	85
Samantha Cruz Pecson 315 Mercy Ave	$0.22	95	92
Teresa Cone 480 E 13Th St	$0.37	100	92
Lam Q. Le 388 E Yosemite Ave Ste 100	$138.41	109	107
Aida Escueta 394 E Yosemite Ave	$27.46	113	109
Sablan Orthopedics, Inc. 123 W North Bear Creek Dr	$27.17	114	112

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 Merced, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Merced, CA is $28.40 per claim, based on 2,195,639 claims from 268 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 Merced, CA?

There are 268 Medicaid providers offering Office Visit related services in Merced, CA according to public payment data.

What is the price range for Office Visit in Merced, CA?

Medicaid reimbursement for Office Visit in Merced, CA ranges from $0.00 to $1,181 per claim, with an average of $28.40. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Merced, CA: $28.40

Providers Offering Office Visit in Merced, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Emergency Room Visit

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