Average Medicaid Office Visit Payments in Morgan Hill, CA: $86.44
Avg. Paid
$86.44
Range
$0.00 – $1,568
Total Claims
29,574
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 Morgan Hill, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Indira Vemuri
17705 Hale Ave Ste I1 |
$10.10 | 8,235 | 7,626 |
|
Yasmeen Gangani
18550 Depaul Dr |
$0.09 | 4,238 | 3,840 |
|
Marisela Madrigal
16130 Juan Hernandez Dr |
$0.30 | 4,157 | 2,584 |
|
Oscar David Becerra
16130 Juan Hernandez Dr Ste 100 |
$19.20 | 3,879 | 1,960 |
|
Community Solutions For Children, Families And Individuals
16264 Church St |
$777.33 | 2,197 | 2,097 |
|
Sara Karamloo
16275 Monterey Rd Ste E |
$10.26 | 1,893 | 1,729 |
|
Amir Dastgah
16275 Monterey Rd Ste E |
$7.50 | 1,271 | 1,158 |
|
Mazhar Ali Khan
18550 Depaul Drive |
$0.00 | 825 | 476 |
|
Shiva Mohtashami
18181 Butterfield Blvd Ste 180A |
$0.49 | 719 | 610 |
|
Sayuj Paudel
16130 Juan Hernandez Dr Ste 100 |
$5.87 | 488 | 385 |
|
Community Solutions For Children, Families And Individuals
115 Madrone Ave |
$1,568 | 390 | 152 |
|
Miguel Angel Wong
260 Tilton Ave |
$3.05 | 384 | 383 |
|
Valy Boulom
18525 Sutter Blvd Ste 140 |
$4.01 | 302 | 252 |
|
Debora Lynn Tyler
440 Diana Ave |
$4.24 | 117 | 110 |
|
Anuradha Chirala
18511 Mission View Dr |
$7.42 | 99 | 98 |
|
Lauren Len Spiegel
18431 Technology Dr |
$0.00 | 86 | 86 |
|
Rajesh Prasad
18550 De Paul Drive |
$0.84 | 82 | 78 |
|
Devang S Shah
18550 De Paul Dr |
$6.69 | 54 | 50 |
|
Donald Wilkes Burt
18181 Butterfield Blvd Ste 120 |
$100.54 | 52 | 51 |
|
Latasha Walters Koszewnik
610 Encino Dr |
$0.70 | 32 | 25 |
|
Maryjoe Romando
18217 Hale Ave |
$25.38 | 29 | 27 |
|
Community Solutions For Children, Families And Individuals
17415 Depot St |
$1,298 | 27 | 12 |
|
Andrew Diamond Guenthart
16360 Monterey Rd Ste 280 |
$25.38 | 18 | 14 |
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 Morgan Hill, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Morgan Hill, CA is $86.44 per claim, based on 29,574 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 Morgan Hill, CA?
There are 23 Medicaid providers offering Office Visit related services in Morgan Hill, CA according to public payment data.
What is the price range for Office Visit in Morgan Hill, CA?
Medicaid reimbursement for Office Visit in Morgan Hill, CA ranges from $0.00 to $1,568 per claim, with an average of $86.44. 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 Morgan Hill, CA
Dental Cleaning & Exam
Avg $41.42
64,849 claims
Case Management Services
Avg $153.44
48,412 claims
Behavioral & Mental Health Therapy
Avg $249.88
27,711 claims
Dental Filling
Avg $65.65
26,531 claims
Vaccines & Immunizations
Avg $6.20
16,464 claims
Psychiatric Evaluation
Avg $299.10
11,825 claims
Tooth Extraction
Avg $56.81
9,989 claims
Eye Exam
Avg $24.51
8,680 claims