Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Modesto, CA: $28.79

Avg. Paid

$28.79

Range

$0.00 – $773.32

Total Claims

2,335,494

Providers

632

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 Modesto, CA

Provider	Avg. Paid	Claims	Patients
Elaine Joy Tubayan Soriano 1510 Florida Ave	$2.64	101,778	98,008
Silvia Margarita Diego 1317 Oakdale Rd	$17.17	64,073	58,566
Juan Lopez Solorza 1209 Woodrow Ave	$5.16	57,939	36,408
Nandeesh Veerappa 1320 Celeste Dr	$16.69	51,872	30,393
Valley Children'S Medical Group 1524 Mchenry Ave	$15.36	50,239	49,126
Baltej Singh Dosanjh 1401 Spanos Ct Ste 205	$25.23	40,817	34,440
Matthew James Coates 1001 Sylvan Ave Ste A	$71.66	37,108	36,682
Danielle Myers 1121 Hammond St	$1.17	35,715	33,830
County Of Stanislaus 401 Paradise Rd	$22.36	33,304	29,903
Harjit Rita Gogna 1401 Spanos Ct	$12.58	33,062	29,939
Anuradha Dubey 4312 Spyres Way	$4.26	29,913	27,650
Sunita Kaur Saini 830 Scenic Dr	$19.83	27,791	17,150
Christopher M. Grover 1441 Florida Ave	$24.00	27,222	25,731
Esther June Tow-Der 1552 Coffee Rd	$25.14	25,285	22,985
Emillie De Ocampo 1510 Florida Ave	$0.55	25,090	22,277
Anika Godhwani 830 Scenic Dr	$24.03	24,638	19,460
Eleuterio Arcangel Go 809 Sylvan Ave	$56.89	24,135	17,607
Ranjit Shenoy 3612 Dale Rd	$3.35	24,119	21,214
Jose Limon-Olivares 4120 Prescott Rd	$7.34	23,529	20,163
Jose Gerardo Alberto 600 Coffee Rd	$16.57	23,367	18,206
James Aaron Kraus 401 Paradise Rd	$21.66	22,298	19,541
Rosalie Fernandez Sia 1510 Florida Ave	$0.90	21,663	19,308
Christopher O'Reilly-Green 1541 Florida Ave #305	$42.48	20,981	19,054
Golden Valley Health Center 1801 Tully Rd Ste F1	$0.03	20,810	19,163
Pankaj Malhotra 1441 Florida Ave	$46.81	20,648	19,952
Amarjit Singh Dhaliwal 1401 Spanos Ct	$23.89	20,503	7,647
Alexander Phan 1209 Woodrow Ave Ste E	$26.66	20,255	16,455
Omairah Lucman Moti 1510 Florida Ave	$4.50	20,197	18,226
Theresa M Ng 1510 Florida Ave	$1.41	19,913	18,934
Golden Valley Health Center 1540 Florida Avenue	$9.77	19,834	18,954
Deborah Jane Babb 4335 Northstar Way Bldg A	$36.97	19,217	5,120
Ekaterina Nikolaevna Petrova 1510 Florida Ave	$1.25	18,545	17,346
Thomas Raymond Wenstrup 1209 Woodrow Ave	$25.72	17,976	14,911
Antonio E. Apellanes 2101 Tenaya Dr	$0.94	17,745	15,550
Doctors Medical Center Of Modesto, Inc. 1441 Florida Ave	$25.56	17,431	16,289
Aparna Yadatore 1510 Florida Ave	$13.71	17,283	15,156
Denice Starley 1130 Coffee Rd	$25.05	17,251	16,359
Jason T. Lee 1510 Florida Ave	$0.38	17,161	16,888
Raeleigh Crawford Payanes 830 Scenic Dr	$26.92	16,441	13,767
Wesley Matthew Tresenriter 1524 Mchenry Ave Ste 330	$20.39	16,393	1,861
Patrick James Coates 1001 Sylvan Ave Ste A	$73.69	15,500	15,380
Lori Ann Doyle 401 Paradise Rd	$1.87	15,114	14,171
County Of Stanislaus 1209 Woodrow Ave	$23.73	15,023	14,148
Golden Valley Health Centers 1510 Florida Ave	$0.01	14,877	14,043
Mathuran Sundaramoorthy 2101 Tenaya Dr	$1.14	14,857	13,197
Nancy Brown 830 Scenic Dr	$21.27	14,827	10,316
Sunita Verma 600 Coffee Rd	$3.88	13,766	12,130
Sarah Marie Dunn 1441 Florida Ave	$31.26	13,758	13,170
Family First Medical Care A Professional Corporation 1317 Oakdale Rd Ste 440	$56.68	12,823	11,615
Binh Khac Le 2020 Coffee Rd	$1.58	12,667	11,505

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 Modesto, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Modesto, CA is $28.79 per claim, based on 2,335,494 claims from 632 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 Modesto, CA?

There are 632 Medicaid providers offering Office Visit related services in Modesto, CA according to public payment data.

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

Medicaid reimbursement for Office Visit in Modesto, CA ranges from $0.00 to $773.32 per claim, with an average of $28.79. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Modesto, CA: $28.79

Providers Offering Office Visit in Modesto, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Modesto, CA

Blood Work & Lab Tests

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Physical Therapy

Emergency Room Visit

Dental Cleaning & Exam

Urinalysis & Urine Tests

Vaccines & Immunizations

X-Ray