Average Medicaid Office Visit Payments in Napa, CA: $27.44
Avg. Paid
$27.44
Range
$0.00 – $1,023
Total Claims
409,277
Providers
211
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 Napa, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amanda Sue Holthouse
1100 Trancas St Ste 209 |
$33.58 | 12 | 12 |
|
Mark Klingler Borsody
1000 Trancas St |
$52.90 | 12 | 12 |
|
Elizabeth A Cunningham
4 Financial Plz |
$89.54 | 13 | 12 |
|
David Suarez
3421 Villa Ln Ste 2B |
$38.40 | 13 | 13 |
|
Michael R Novak
1100 Trancas St Ste 250 |
$0.00 | 13 | 13 |
|
Matthew Wayne Oglesby
3421 Villa Ln Ste 2B |
$55.71 | 14 | 12 |
|
William Dale Hasson
3285 Claremont Way |
$0.00 | 14 | 14 |
|
Brittany L. Goss, Do, Inc
3273 Claremont Way |
$0.00 | 14 | 14 |
|
Staci Lynn Hemmerlin
1100 Trancas St |
$0.00 | 14 | 14 |
|
Harvest Pediatrics, Inc
1100 Trancas St |
$8.25 | 15 | 12 |
|
Robert Lee Moore
1141 Pear Tree Ln |
$0.00 | 17 | 12 |
|
Noorulain A Aqeel
2100 Napa-Vallejo Highway |
$0.00 | 17 | 16 |
|
David L Guzman D.P.M. Professional Corporation
3379 Beard Rd |
$31.77 | 17 | 16 |
|
Jessica Thrift
300 Hartle Ct |
$1.37 | 18 | 15 |
|
Farhad U Numan
2100 Napa Vallejo Hwy |
$300.00 | 20 | 14 |
|
Jean Yoshioka
3285 Claremont Way |
$67.58 | 24 | 24 |
|
Phu V. Truong
3285 Claremont Way |
$21.35 | 26 | 26 |
|
Ole Health
300 Hartle Ct. |
$2.93 | 26 | 25 |
|
Laurie Yoder
3285 Claremont Way |
$24.29 | 28 | 27 |
|
Amber Jasmine Knoche
1100 Trancas St |
$14.07 | 28 | 26 |
|
Thomas Arthur Hildreth
1100 Trancas St |
$1.29 | 29 | 27 |
|
George Zoltan Friedman
3230 Beard Rd |
$4.68 | 29 | 26 |
|
Robert H. Dunham
3434 Villa Ln |
$116.22 | 29 | 29 |
|
Loukia Hadjiyianni
1104 Pear Tree Ln |
$0.00 | 32 | 26 |
|
Joanna Jane Plumettaz
1100 Trancas St Ste 256 |
$0.00 | 35 | 29 |
|
Robert C. Wright
935 Trancas St Ste 4A |
$57.97 | 40 | 38 |
|
Faraaz Chekeni
300 Hartle Ct |
$2.83 | 40 | 26 |
|
Kalie Nicole Li
1100 Trancas St |
$30.56 | 42 | 40 |
|
Jessica Youk
3285 Claremont Way |
$16.48 | 44 | 41 |
|
Shelby Ashton Holliday
1103 Trancas St Ste C |
$1.08 | 48 | 31 |
|
John Francis Dermody
1001 Professional Dr |
$0.48 | 50 | 44 |
|
Louis Albert Doan
2751 Napa Valley Corporate Dr Bldg A |
$2.31 | 52 | 52 |
|
Patricia Violet Brown
1001 2Nd St |
$258.29 | 52 | 47 |
|
Yungtai Kung
800 Trancas St Ste A |
$29.25 | 54 | 50 |
|
Katrina Di Pasqua Dpm Inc
2017 Jefferson St |
$29.17 | 57 | 53 |
|
Douglas Richard Wilson
1141 Pear Tree Lane |
$2.53 | 65 | 41 |
|
Kathryn Marie Kent
3434 Villa Ln Ste 208 |
$47.74 | 69 | 67 |
|
Hae Sook Yuo
2100 Napa Vallejo Hwy |
$78.01 | 70 | 67 |
|
Rachael Diane Dean
3285 Claremont Way |
$19.81 | 71 | 68 |
|
Sylvia J Meyer
3273 Claremont Way Ste 100 |
$25.75 | 72 | 68 |
|
Samuel Joseph Herbert
1104 Pear Tree Ln |
$0.00 | 89 | 85 |
|
Abhijit A Adhye
1100 Trancas St Ste 211 |
$49.57 | 96 | 93 |
|
Charles William Clary
3434 Villa Ln Ste 380 |
$25.28 | 96 | 92 |
|
Vanessa Mcgowan
3421 Villa Ln |
$55.15 | 100 | 100 |
|
Jameel John Khan
3421 Villa Ln Ste 2B |
$48.45 | 102 | 101 |
|
Rebekah Gates Wheeler
300 Hartle Ct |
$36.49 | 104 | 102 |
|
Daniel Rios
1141 Pear Tree Ln Ste 100 |
$6.53 | 106 | 102 |
|
Elizabeth P. Rubin
1141 Pear Tree Ln Ste 100 |
$1.26 | 107 | 51 |
|
Lauren Elizabeth Gebauer
1700 2Nd St |
$63.68 | 109 | 109 |
|
Jacqueline Kim Nguyen
3273 Claremont Way Ste 100 |
$64.87 | 111 | 97 |
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 Napa, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Napa, CA is $27.44 per claim, based on 409,277 claims from 211 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 Napa, CA?
There are 211 Medicaid providers offering Office Visit related services in Napa, CA according to public payment data.
What is the price range for Office Visit in Napa, CA?
Medicaid reimbursement for Office Visit in Napa, CA ranges from $0.00 to $1,023 per claim, with an average of $27.44. 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 Napa, CA
Emergency Room Visit
Avg $90.93
169,696 claims
Blood Work & Lab Tests
Avg $6.52
166,854 claims
Ambulance Transport
Avg $110.34
155,727 claims
Dental Cleaning & Exam
Avg $48.12
142,562 claims
Behavioral & Mental Health Therapy
Avg $249.25
92,451 claims
Vaccines & Immunizations
Avg $8.32
84,474 claims
Psychiatric Evaluation
Avg $48.40
75,967 claims
Physical Therapy
Avg $39.25
57,958 claims