Average Medicaid Office Visit Payments in Monrovia, CA: $41.64
Avg. Paid
$41.64
Range
$0.00 – $651.64
Total Claims
31,128
Providers
23
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 Monrovia, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nicole Michelle Vaccarello
513 E Lime Ave Ste 102 |
$0.01 | 14,331 | 13,383 |
|
Donald Balacuit
416 S Myrtle Ave |
$1.31 | 4,468 | 4,365 |
|
Evelynn Hanna Dronberger
229 W Lemon Ave |
$5.59 | 2,319 | 2,194 |
|
Josefina Maria Conde Arnold
604 E Huntington Dr # 100 |
$0.04 | 1,690 | 1,663 |
|
Louis Chao-I Ho
513 E Lime Ave |
$0.50 | 1,571 | 1,530 |
|
Pacific Clinics
902 S Myrtle Ave |
$651.64 | 1,570 | 1,512 |
|
Diana Helen Lopez
50 W Lemon Ave Ste 31 |
$0.00 | 959 | 868 |
|
Karen J. Kim
831 E Huntington Dr |
$0.00 | 862 | 691 |
|
Lorraine Lor Wen Cheng
121 S Madison Ave Apt A |
$9.32 | 523 | 522 |
|
Amy Mcconnell
164 N 5Th Ave |
$142.89 | 495 | 491 |
|
Yvette Milazzo
902 S Myrtle Ave |
$25.19 | 485 | 420 |
|
Robert Joseph Wallerstein
655 E Huntington Dr |
$157.72 | 417 | 403 |
|
Olivia Choon Ong
855 W Foothill Blvd |
$37.21 | 349 | 338 |
|
Mission City Community Network, Inc.
513 E Lime Ave |
$0.33 | 306 | 300 |
|
Elena Mireya Hicks
902 S Myrtle Ave |
$274.87 | 277 | 262 |
|
County Of Los Angeles
330 W Maple Ave |
$12.82 | 190 | 172 |
|
Johnny Sia Gaw
831 E Huntington Dr Ste 101 |
$1.67 | 108 | 106 |
|
Erika Channell Raymundo
431 W Colorado Blvd |
$47.19 | 54 | 54 |
|
Elia M Campos
651 1/2 King St |
$84.53 | 43 | 42 |
|
Myrtle Medical Center Inc
416 S Myrtle Ave |
$18.69 | 43 | 42 |
|
Jie Yu
606 E Huntington Dr |
$0.00 | 36 | 33 |
|
Margaret C Boyamian
855 W Foothill Blvd |
$44.71 | 17 | 17 |
|
Jamal Dawan Mustafa
323 S Heliotrope Ave |
$15.78 | 15 | 12 |
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 Monrovia, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Monrovia, CA is $41.64 per claim, based on 31,128 claims from 23 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 Monrovia, CA?
There are 23 Medicaid providers offering Office Visit related services in Monrovia, CA according to public payment data.
What is the price range for Office Visit in Monrovia, CA?
Medicaid reimbursement for Office Visit in Monrovia, CA ranges from $0.00 to $651.64 per claim, with an average of $41.64. 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 Monrovia, CA
Pathology & Lab Services
Avg $13.92
241,152 claims
Behavioral & Mental Health Therapy
Avg $131.91
190,707 claims
X-Ray
Avg $4.73
142,745 claims
CT Scan (Computed Tomography)
Avg $35.47
70,586 claims
Psychiatric Evaluation
Avg $67.54
70,382 claims
Ultrasound
Avg $18.30
32,640 claims
Emergency Room Visit
Avg $66.74
29,749 claims
Blood Work & Lab Tests
Avg $1.47
19,028 claims