Average Medicaid Office Visit Payments in Milpitas, CA: $7.53
Avg. Paid
$7.53
Range
$0.00 – $176.40
Total Claims
85,063
Providers
62
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 Milpitas, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John Paul Pham
143 N Main St, 2Nd Fl |
$1.58 | 14,291 | 9,888 |
|
Michael Anthony Rosson
1136 Jacklin Rd |
$0.01 | 8,459 | 5,703 |
|
Christopher Gaddi Enriquez
14 N Abel St |
$23.25 | 8,005 | 7,421 |
|
County Of Santa Clara
143 N Main St |
$0.02 | 6,398 | 5,891 |
|
Emily Sarah Moon
143 N Main St |
$0.34 | 6,022 | 3,492 |
|
Vinh Q Thai
1636 Watson Ct |
$6.00 | 5,410 | 3,413 |
|
Toan Quoc Tran
1776 N Milpitas Blvd |
$3.19 | 4,306 | 3,787 |
|
Hoang Minh Duong
991 Montague Expy |
$0.71 | 4,026 | 3,435 |
|
Hui Zheng
500 E Calaveras Blvd |
$21.06 | 3,291 | 3,152 |
|
Selena Kwan Hao
770 E Calaveras Blvd |
$2.59 | 3,031 | 2,736 |
|
Amy Ngoc Anh Tran
1313 N Milpitas Blvd Ste 265 |
$0.11 | 2,480 | 2,328 |
|
Tuan Anh Tran
629 S. Main St. |
$0.10 | 1,832 | 1,174 |
|
Nicole Thanh - Cam Vecchi
429 S Main St |
$0.90 | 1,751 | 1,614 |
|
Yen P Jolly
143 N Main St |
$0.14 | 1,406 | 860 |
|
Tim Baotin Hong Truong
466 E Calaveras Blvd Ste C |
$0.00 | 1,266 | 1,157 |
|
Sanket U Shah
1109 S Park Victoria Dr |
$61.99 | 1,243 | 1,205 |
|
Hanh Ngan Hoang
445 Marylinn Dr |
$0.00 | 1,155 | 1,060 |
|
Rick Nguyen Phan
2002 Linden Ln |
$38.95 | 800 | 759 |
|
Vijay Thukral
995 Montague Expy |
$0.34 | 755 | 692 |
|
Richard H. Luu
770 E Calaveras Blvd |
$35.82 | 744 | 697 |
|
Lucy H Huynh
589 Los Coches St |
$15.71 | 603 | 586 |
|
Derek Cheuk-Ming Ng
589 Los Coches St |
$7.10 | 602 | 588 |
|
Anjum Ahmed
611 S Milpitas Blvd |
$103.23 | 595 | 268 |
|
Shivani Chawla Mehta
1113 S Park Victoria Dr |
$0.13 | 500 | 423 |
|
Quang D. Dao
770 E Calaveras Blvd |
$3.53 | 459 | 444 |
|
Melissa-Gayle M Sanchez
1113 S Park Victoria Dr |
$0.00 | 402 | 370 |
|
Sophie K Dao
991 Montague Expy Ste 111 |
$3.59 | 400 | 335 |
|
Geraldine May May Ugaddan Celestial
143 N Main St |
$0.00 | 388 | 196 |
|
Faeza F Khan
589 Los Coches St |
$6.11 | 384 | 373 |
|
Prabhjot Kaur Sandhu
589 Los Coches St |
$2.30 | 361 | 342 |
|
Mandira C. Matta
770 E Calaveras Blvd |
$17.25 | 345 | 341 |
|
Thao Thanh Pham
770 E Calaveras Blvd |
$27.77 | 344 | 326 |
|
Golden State Urgent Care Providers A Medical Corporation
1487 Landess Ave |
$14.40 | 329 | 328 |
|
Metty B. Albert
770 E Calaveras Blvd |
$0.00 | 247 | 244 |
|
Harry M. Shin
770 E Calaveras Blvd |
$8.55 | 246 | 238 |
|
Lan Hoang Do
991 Montague Expy Ste 104 |
$56.95 | 218 | 212 |
|
Tim Truong, Do, Inc.
466 E Calaveras Blvd Ste C |
$0.00 | 197 | 178 |
|
Alice Shechin Yen
770 E Calaveras Blvd |
$1.77 | 184 | 182 |
|
Jason C. Chang
770 E Calaveras Blvd |
$73.77 | 183 | 163 |
|
Richard A. Rossin
770 E Calaveras Blvd |
$1.01 | 176 | 173 |
|
Nancy Sheng Moua
670 N Mccarthy Blvd Ste 220 |
$0.08 | 146 | 106 |
|
Binh T. Ton
770 E Calaveras Blvd |
$46.46 | 136 | 129 |
|
Rita Sarita Freimuth
611 S Milpitas Blvd |
$15.92 | 114 | 104 |
|
Regan M. Yau
770 E Calaveras Blvd |
$43.45 | 106 | 103 |
|
P.K. Patel & S.K. Patel, A Professional Dental Corporation
1172 Cadillac Ct |
$0.00 | 87 | 85 |
|
Janice E. Richards
770 E Calaveras Blvd |
$1.24 | 87 | 82 |
|
Denise M. Brahan
770 E Calaveras Blvd |
$6.45 | 86 | 82 |
|
Shuang Wei
770 E Calaveras Blvd |
$46.33 | 68 | 65 |
|
Diem P. Truong
770 E Calaveras Blvd |
$0.39 | 61 | 58 |
|
Anna Luc
770 E Calaveras Blvd |
$101.18 | 55 | 54 |
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 Milpitas, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Milpitas, CA is $7.53 per claim, based on 85,063 claims from 62 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 Milpitas, CA?
There are 62 Medicaid providers offering Office Visit related services in Milpitas, CA according to public payment data.
What is the price range for Office Visit in Milpitas, CA?
Medicaid reimbursement for Office Visit in Milpitas, CA ranges from $0.00 to $176.40 per claim, with an average of $7.53. 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 Milpitas, CA
Blood Work & Lab Tests
Avg $3.85
139,503 claims
Dental Cleaning & Exam
Avg $49.01
91,535 claims
Eye Exam
Avg $7.95
38,871 claims
Dental Filling
Avg $58.94
27,790 claims
Chiropractic Care
Avg $2.10
24,132 claims
Home Health Visit
Avg $6.75
22,918 claims
Tooth Extraction
Avg $69.31
20,491 claims
Vaccines & Immunizations
Avg $1.18
13,749 claims