Average Medicaid Office Visit Payments in Mission Viejo, CA: $48.74
Avg. Paid
$48.74
Range
$0.00 – $573.49
Total Claims
366,207
Providers
142
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 Mission Viejo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sabrina Janelle Cooley
27800 Medical Center Rd |
$27.08 | 34,349 | 22,327 |
|
John Nghia Le
27800 Medical Center Rd Ste 204 |
$18.68 | 29,860 | 25,784 |
|
Matthew A Zeller
25982 Pala |
$63.74 | 26,605 | 24,723 |
|
Robert Kessler
23436 Villena |
$116.06 | 18,724 | 16,818 |
|
Uyen Dang
23512 Madero |
$8.35 | 18,329 | 15,369 |
|
Mohammed Shreiba
26024 Acero |
$66.10 | 16,354 | 15,018 |
|
Johanna Rodriguez-Toledo
26800 Crown Valley Pkwy Ste 510 |
$17.67 | 14,470 | 10,888 |
|
Celebrating Life Community Health Center
27800 Medical Center Rd Ste 110 |
$28.05 | 13,386 | 11,185 |
|
Samir Abed Ahmad
27800 Medical Center Rd Ste 109 |
$0.24 | 12,428 | 7,373 |
|
Frank Qian Zhan
26691 Plaza Ste 230 |
$78.03 | 11,668 | 9,221 |
|
Reza Allamehzadeh
25982 Pala Ste 170 |
$1.32 | 10,780 | 9,564 |
|
Leon Joseph Baginski
27800 Medical Center Rd Ste 310 |
$46.36 | 10,776 | 9,409 |
|
Mayra A Hernandez Schulte
26137 La Paz Rd Ste 200 |
$108.34 | 10,568 | 10,126 |
|
Srinivasu Ammisetti Sunkara
26800 Crown Valley Pkwy Ste 150 |
$0.32 | 10,562 | 8,552 |
|
Ramin Zabihi
26800 Crown Valley Pkwy Ste 308 |
$72.74 | 10,368 | 10,119 |
|
Merlyn Scoggin
26024 Acero |
$101.85 | 9,017 | 7,724 |
|
Theodore J. Caliendo, M.D., A Medical Corporation
27800 Medical Center Rd |
$37.53 | 6,855 | 6,165 |
|
Farah C Awadalla
27800 Medical Center Rd Ste 220 |
$54.05 | 5,894 | 5,513 |
|
Marco Antonio Lopez Vizcarra
26991 Crown Valley Pkwy Ste 100 |
$105.78 | 5,830 | 5,782 |
|
Gail Silver
23962 Alicia Pkwy |
$3.05 | 4,558 | 4,009 |
|
Susan T. Manabo
26455 Marsala Way |
$162.38 | 3,666 | 3,414 |
|
Nahid Birjandi
27871 Medical Center Rd |
$52.07 | 3,293 | 2,801 |
|
Kids Doc Of Southern California Medical Group, Inc.
27800 Medical Center Rd Suite 204 |
$59.98 | 3,282 | 3,197 |
|
Michael Adams Bolton
26492 Aracena Dr |
$206.94 | 3,094 | 2,685 |
|
Sharon Jack
25272 Marguerite Pkwy |
$2.10 | 3,074 | 2,557 |
|
Magdy T Nawar
26800 Crown Valley Parkway |
$29.14 | 2,916 | 2,485 |
|
Sarah Kantelis
26024 Acero |
$54.79 | 2,866 | 2,603 |
|
Luis Alberto Chanes
27871 Medical Center Rd |
$81.64 | 2,641 | 2,407 |
|
Head And Neck Associates Of Orange County An Incorprate
26726 Crown Valley Pkwy |
$4.38 | 2,560 | 2,396 |
|
Marisa Wayt
27725 Santa Margarita Pkwy Ste 101 |
$11.26 | 2,409 | 1,700 |
|
Janet Bonnie Kim
26302 La Paz Rd #106 |
$10.78 | 2,320 | 1,792 |
|
Charlene Elizabeth Naves Jardin
23120 Alicia Pkwy # 230 |
$131.62 | 2,251 | 2,216 |
|
Asghar Oliai
27800 Medical Center Rd |
$69.61 | 2,135 | 1,697 |
|
Phuong Chi Ly
26800 Crown Valley Pkwy Ste 150 |
$46.69 | 2,034 | 1,881 |
|
Oc Sports And Orthopaedics
27725 Santa Margarita Pkwy Ste 100 |
$40.33 | 1,999 | 1,943 |
|
Afshin Gerayli Md A Professional Corporation
25982 Pala Ste 280 |
$29.95 | 1,696 | 1,679 |
|
Tiffany U Tran Md Inc
27800 Medical Center Road |
$87.14 | 1,606 | 1,441 |
|
Bryan H Tran Md Inc
27800 Medical Center Road |
$113.37 | 1,524 | 1,443 |
|
Vivien L Pan
27800 Medical Center Rd |
$46.72 | 1,517 | 860 |
|
Jessica Y Kim
26732 Crown Valley Pkwy Ste 571 |
$86.87 | 1,432 | 1,367 |
|
Fen Jiang
27799 Medical Center Rd Ste 460 |
$40.26 | 1,428 | 1,170 |
|
Dina Mustafa Alshunnaq
26161 La Paz Rd Ste 115 |
$43.84 | 1,386 | 1,249 |
|
Douglas Long Nguyen
27799 Medical Center Rd Ste 310 |
$96.23 | 1,363 | 1,236 |
|
Sam Nosrati
26800 Crown Valley Pkwy Ste 420 |
$38.33 | 1,308 | 1,043 |
|
Mission Pediatric Medical Clinic, Inc.
27800 Medical Center Rd Ste 116 |
$31.98 | 1,207 | 1,055 |
|
Golshan Fahimi
23512 Madero Rd. |
$75.41 | 1,184 | 1,120 |
|
Laurence Michael Fakinos
27800 Medical Center Rd |
$18.08 | 1,177 | 701 |
|
Craig Allen Salcido
26800 Crown Valley Pkwy |
$36.05 | 1,129 | 1,012 |
|
Meinrado Cedeno
27800 Medical Center Rd Ste 110 |
$0.00 | 1,128 | 926 |
|
Providence Medical Foundation
26522 La Alameda |
$8.65 | 1,068 | 966 |
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 Mission Viejo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mission Viejo, CA is $48.74 per claim, based on 366,207 claims from 142 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 Mission Viejo, CA?
There are 142 Medicaid providers offering Office Visit related services in Mission Viejo, CA according to public payment data.
What is the price range for Office Visit in Mission Viejo, CA?
Medicaid reimbursement for Office Visit in Mission Viejo, CA ranges from $0.00 to $573.49 per claim, with an average of $48.74. 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 Mission Viejo, CA
Blood Work & Lab Tests
Avg $6.01
185,160 claims
X-Ray
Avg $7.43
112,984 claims
Urinalysis & Urine Tests
Avg $1.98
102,641 claims
Psychiatric Evaluation
Avg $59.33
80,891 claims
Eye Exam
Avg $28.87
68,595 claims
Emergency Room Visit
Avg $76.89
68,153 claims
CT Scan (Computed Tomography)
Avg $50.15
67,005 claims
Ultrasound
Avg $40.13
61,561 claims