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 |
|---|---|---|---|
|
Kamalpreet Kaur
1114 6Th St |
$9.23 | 12 | 12 |
|
Victorio Parayno Pidlaoan
1409 E Briggsmore Ave |
$59.95 | 12 | 12 |
|
Laura A. Gabriele
4601 Dale Rd |
$0.00 | 12 | 12 |
|
Arun Manoharan
1441 Florida Ave |
$117.21 | 12 | 12 |
|
Kishore K. Kalluri
600 Coffee Rd |
$26.75 | 12 | 12 |
|
David Paxton
1401 Spanos Ct Ste 104 |
$37.49 | 12 | 12 |
|
Wilson Mak
1114 6Th St |
$0.00 | 12 | 12 |
|
Jamie Byun
1401 Spanos Ct |
$80.55 | 12 | 12 |
|
John Joseph Gallo
3800 Dale Rd |
$82.73 | 12 | 12 |
|
Najibe Esraeil Sporgan
1409 E Briggsmore Ave |
$0.00 | 12 | 12 |
|
Kenneth W Mak
1541 Florida Ave |
$79.97 | 12 | 12 |
|
Nataliya Pyatka
4601 Dale Rd |
$29.31 | 12 | 12 |
|
Golden Valley Health Centers
1130 6Th St |
$0.00 | 12 | 12 |
|
Cristine Descallar
4601 Dale Rd |
$120.42 | 12 | 12 |
|
Ronald D. Jensen
600 Coffee Rd |
$21.32 | 12 | 12 |
|
Andrew David Mamalis
4125 Bangs Ave |
$109.00 | 13 | 13 |
|
Mark P. Gullapalli
4601 Dale Rd |
$0.00 | 13 | 13 |
|
Elizabeth E. Villarico
3800 Dale Rd |
$115.69 | 13 | 12 |
|
Shagun Bagga-Malhotra
1441 Florida Ave |
$22.94 | 13 | 13 |
|
Darienne M Marcetti
1300 Mable Ave Ste C |
$0.00 | 13 | 13 |
|
Modesto Kidney Medical Group
305 E Granger Ave |
$36.21 | 13 | 13 |
|
Carolyn Robin Lanam
1601 Cummins Dr Ste D |
$35.59 | 13 | 13 |
|
Jill Marie Rivas
600 Coffee Rd |
$0.00 | 13 | 13 |
|
Brandon Nan
4318 Spyres Way |
$83.50 | 13 | 13 |
|
Jerry Lynn Chastain
401 Paradise Road |
$168.85 | 13 | 12 |
|
Rosalio Orozco Rubio
1234 Mchenry Ave |
$0.00 | 14 | 14 |
|
James K. Redula
4601 Dale Rd |
$117.50 | 14 | 14 |
|
Tessa Lynn Reisinger
1409 E Briggsmore Ave |
$49.52 | 14 | 13 |
|
Kathleen Lynn Eve
1541 Florida Ave |
$28.63 | 14 | 14 |
|
Justin T Hutchison
4601 Dale Rd |
$44.64 | 14 | 13 |
|
James Gareth Misslbeck
600 Coffee Rd |
$6.03 | 15 | 15 |
|
Husam A Abdulnour
1441 Florida Ave |
$24.11 | 15 | 15 |
|
Ayesha Siddiqua
3425 Coffee Rd |
$2.75 | 15 | 15 |
|
Tamika Mozina Carter
600 Coffee Rd |
$0.00 | 15 | 13 |
|
Youssef Saweris
1401 Spanos Ct Ste 130 |
$18.92 | 16 | 14 |
|
Beverly M Hodges
814 14Th St Ste E |
$38.49 | 16 | 16 |
|
Joselyn Arandia Deculing
1234 Mchenry Ave |
$24.50 | 16 | 15 |
|
Genesiscare Usa Of California A Medical Corporation
1316 Nelson Ave |
$22.50 | 16 | 16 |
|
Erin Morley
4318 Spyres Way |
$85.50 | 16 | 16 |
|
Nanette L Riedeman
1700 Coffee Rd |
$11.03 | 17 | 16 |
|
Fredric Warren Feist
2916 Palliser Ct |
$151.57 | 17 | 17 |
|
Don Vincent Victor Lopez
3800 Dale Rd |
$98.61 | 18 | 16 |
|
Indu Gupta
4125 Bangs Ave |
$28.89 | 18 | 18 |
|
Bharati Meesala
600 Coffee Rd |
$20.21 | 19 | 17 |
|
Adam Pike
4318 Spyres Way |
$78.89 | 20 | 20 |
|
Northern California Cancer Center
1541 Florida Ave |
$189.88 | 20 | 12 |
|
Nesren Anton Azer Anton
3509 Coffee Rd |
$0.00 | 22 | 17 |
|
Mark T. Fahlen, Md, Inc. A Professional Medical Corporation
1400 Florida Ave |
$54.42 | 24 | 24 |
|
David H Adkins
600 Coffee Rd |
$38.63 | 24 | 24 |
|
Nicole Anne Mclawrence
1320 Celeste Drive |
$31.40 | 24 | 24 |
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.
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 Modesto, CA
Blood Work & Lab Tests
Avg $7.39
1,231,704 claims
Substance Abuse Treatment
Avg $58.76
737,923 claims
Physical Therapy
Avg $26.45
700,100 claims
Emergency Room Visit
Avg $82.65
624,564 claims
Dental Cleaning & Exam
Avg $51.91
543,449 claims
Urinalysis & Urine Tests
Avg $2.49
526,756 claims
Vaccines & Immunizations
Avg $8.27
517,898 claims
X-Ray
Avg $25.33
516,185 claims