Based on public Medicaid payment data.

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
Soodabeh Abravesh 26800 Crown Valley Pkwy	$120.55	12	12
Eleonora S. Spokoyny M.D., Inc. 25982 Pala	$0.00	12	12
Monte Schmalhaus 26800 Crown Valley Pkwy	$21.80	12	12
John Eric Mellott 27700 Medical Center Rd	$59.46	14	13
Jasbir Kaur 23512 Madero	$20.36	14	14
Azhar Abdullah 27261 Las Ramblas Ste 220	$82.85	15	15
Share Our Selves Corporation 27725 Santa Margarita Pkwy Ste 101	$27.20	15	15
Todd Armbruster 23781 Maquina	$82.67	15	14
Nicolas Phetniranh Sengdara 25272 Marguerite Pkwy	$10.98	15	15
Jan E Mc Cann Dpm Inc 27800 Medical Center Rd	$57.81	17	17
Lisa Renee Bretches 27800 Medical Center Rd	$0.00	25	25
Megan Wright 30 The Shops At Mission Viejo	$67.82	25	24
Podiatry Hotline Inc 20532 El Toro Rd Ste 111	$1.48	26	12
Sherri Lee Mokuau 23781 Maquina	$46.48	27	26
Jerry S Benzl 26902 Oso Parkway #180	$89.51	28	24
Ihab Bassam Alomari 26800 Crown Valley Pkwy Ste 250	$92.09	29	29
Stefanie Jill Fightlin 26991 Crown Valley Pkwy	$33.62	29	28
Richard Alan Bender 26732 Crown Valley Pkwy Ste 271	$18.12	30	27
Estera Han 26932 Oso Pkwy Ste 270	$0.00	31	31
Mahshid Agahi 26800 Crown Valley Pkwy Ste 103	$43.35	36	36
Bernadette Harned 26400 La Alameda Ste 208	$23.51	37	34
Marvin D Posner M D And Vivien L Pan M D A Medical Corporation 27800 Medical Center Rd	$49.77	40	39
Nadin Faidi 27799 Medical Center Rd Ste 460	$35.61	41	41
Kathleen Mary Pollock 26800 Crown Valley Pkwy	$25.49	44	40
Michael Lee Burris 26991 Crown Valley Pkwy Ste 100	$40.41	50	49
Nader Noorian 26800 Crown Valley Pkwy	$1.81	55	46
Julianna Ramirez 27725 Santa Margarita Pkwy Ste 101	$0.00	56	51
Ahcs Behavior Health & Chronic Clinical Care Llc 26024 Acero Ste 110	$2.18	60	60
Beverly Z. Gaitan 23781 Maquina	$6.69	65	64
Moriah Nicole Marie Edmundson 26800 Crown Valley Pkwy Ste 525	$23.96	71	65
Ron Schnitzer 27800 Medical Center Rd	$216.94	72	71
Aida Emily Medawar 27800 Medical Center Rd Ste 110	$0.00	72	56
Nahid Birjandi Podiatric Inc 27871 Medical Center Rd	$75.75	82	60
David R. Gwynn 22691 Plaza Drive	$7.00	83	82
Courtney A Rotz 26800 Crown Valley Pkwy Ste 120	$154.28	87	87
Jessica Cummings 27800 Medical Center Rd Ste 260	$80.02	88	88
Dung Trinh 23512 Madero	$81.50	91	90
Barbara Irene Petty 27800 Medical Center Rd	$0.45	91	90
Winston Yee-Choong Wong 26800 Crown Valley Pkwy Ste 305	$0.00	93	74
Vituity - Urgent Care Services Pc 23962 Alicia Pkwy Ste I-1	$83.24	97	90
Telecare Corporation 25402 Pacifica Ave	$417.25	112	49
Stephen S Ehrlich 27800 Medical Center Rd	$1.48	114	106
Robert Henry Winokur 27700 Medical Center Rd	$319.13	114	109
Christina Jenkins 26691 Plaza Ste 150	$61.26	117	114
F Awadalla Md Pc 27800 Medical Center Rd Ste 220	$47.75	127	112
Constance Isabella Betz 26401 Lombardy Rd	$19.80	134	133
Sara Aurora Ramirez 26800 Crown Valley Pkwy	$34.44	142	134
Jody M Greenberg 27262 Esgos	$37.57	144	91
Rebecca Ann Pak 27800 Medical Center Rd Ste 204	$0.71	148	148
Andrew D Morrow 26932 Oso Pkwy Ste 200	$29.92	150	148

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.

Average Medicaid Office Visit Payments in Mission Viejo, CA: $48.74

Providers Offering Office Visit in Mission Viejo, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Mission Viejo, CA

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Eye Exam

Emergency Room Visit

CT Scan (Computed Tomography)

Ultrasound