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 |
|---|---|---|---|
|
David Gorchoff
1141 Pear Tree Ln Ste 100 |
$4.72 | 27,972 | 20,004 |
|
Tessa Marie Wyborny
300 Hartle Ct |
$2.76 | 19,864 | 11,152 |
|
Gian Louie Pinot
1141 Pear Tree Ln Ste 100 |
$1.21 | 18,136 | 14,295 |
|
Allison Crisp
1141 Pear Tree Ln Ste 100 |
$3.27 | 16,545 | 10,095 |
|
Juancarlos Buller
300 Hartle Ct |
$1.56 | 16,119 | 9,863 |
|
Jennifer Ann Wilson
300 Hartle Ct |
$2.29 | 15,192 | 10,245 |
|
Lynette Elizabeth Leighton
300 Hartle Ct |
$2.87 | 13,086 | 8,071 |
|
Robert Hagbom
3285 Claremont Way |
$1.46 | 11,587 | 10,704 |
|
Jennifer Tsang
1141 Pear Tree Ln |
$3.66 | 11,571 | 6,320 |
|
St. Joseph Health Northern California, Llc
1000 Trancas St |
$82.53 | 10,495 | 8,917 |
|
Luis A Cousin
1141 Pear Tree Ln Ste 100 |
$1.71 | 9,472 | 6,002 |
|
Joseph Manuel Carrillo
1100 Trancas St |
$3.78 | 8,923 | 8,321 |
|
Martin Roco
1141 Pear Tree Ln |
$20.81 | 8,539 | 7,302 |
|
David Sungmin Kim
895 Trancas St |
$43.96 | 8,012 | 7,510 |
|
Andrew Tzellas
1141 Pear Tree Ln Ste 100 |
$12.21 | 7,727 | 6,491 |
|
Danielle Franzini
1141 Pear Tree Ln |
$2.71 | 7,340 | 3,948 |
|
Neelam Sachdev
2100 Napa-Vallejo Highway |
$255.15 | 6,247 | 5,747 |
|
Amrit Pal Saini
2100 Napa Vallejo Highway |
$153.79 | 6,197 | 5,633 |
|
Erica R Aronson
1700 2Nd St Ste 220 |
$68.39 | 5,932 | 5,784 |
|
Michelle Stevens Jones
3285 Claremont Way |
$3.10 | 5,880 | 3,456 |
|
Veronica Correa Klammer
300 Hartle Ct |
$27.72 | 4,723 | 3,853 |
|
Spectrumcare Rehabilitation Medical Center
3434 Villa Ln |
$13.09 | 4,643 | 3,995 |
|
Erik M Mendoza
1141 Pear Tree Ln |
$3.74 | 4,549 | 3,768 |
|
Brittany Lee Goss
3273 Claremont Way |
$42.32 | 4,310 | 4,223 |
|
David Lee Guzman
3379 Beard Rd |
$17.38 | 4,198 | 3,838 |
|
Laura Mercedes Debrot Marcano
3285 Claremont Way |
$4.95 | 3,824 | 3,635 |
|
Paul Kun Row
895 Trancas St |
$39.52 | 3,499 | 3,142 |
|
Edmund William Schumacher
3273 Claremont Way |
$36.69 | 3,463 | 3,181 |
|
Gagan Deep Mall
2100 Napa Vallejo Hwy |
$17.26 | 3,395 | 1,964 |
|
Marnie Granados
1141 Pear Tree Ln |
$4.75 | 3,355 | 2,581 |
|
Hasnain Maqsood
2100 Napa Vallejo Hwy. |
$138.94 | 3,301 | 2,776 |
|
Diane E Weissman
1141 Pear Tree Ln |
$26.97 | 3,288 | 2,022 |
|
Mara Adelman
1141 Pear Tree Ln |
$3.79 | 3,166 | 2,663 |
|
Jennifer Margaret Selby
300 Hartle Ct |
$2.00 | 3,156 | 2,731 |
|
Angel Aguilera
300 Hartle Ct |
$39.10 | 3,077 | 2,041 |
|
Sam S Ahn
1100 Pear Tree Ln |
$26.42 | 3,048 | 2,984 |
|
Christina S Sitenga-Kako
1000 Trancas St |
$0.90 | 2,998 | 1,742 |
|
Nagarathna G. Manjappa
3230 Beard Rd |
$22.02 | 2,913 | 2,888 |
|
Nazanin Elahi
2100 Napa Vallejo Hwy |
$145.28 | 2,653 | 2,541 |
|
Richard P. Huddleston
1706 Jefferson St |
$67.95 | 2,248 | 874 |
|
Kim Bellows
3434 Villa Ln |
$18.41 | 2,230 | 2,090 |
|
Nikita Roy
300 Hartle Ct |
$51.85 | 2,161 | 2,066 |
|
Lawrence J Goldstein
4 Financial Plz |
$33.74 | 2,119 | 1,918 |
|
Morgan Marie-Claude Pessereau
1141 Pear Tree Ln Ste 100 |
$2.50 | 2,058 | 1,281 |
|
Natalie Del Muro Galante
1141 Pear Tree Ln |
$5.32 | 2,041 | 1,775 |
|
Tiffany Gishizky
1001 2Nd St Ste 225 |
$46.49 | 2,035 | 1,552 |
|
Mason Lee Donnell
300 Hartle Ct |
$6.37 | 2,020 | 1,369 |
|
Sky Patrice Shanks
935 Trancas St |
$34.87 | 1,980 | 1,850 |
|
Sarah Brooke Fleisig
1100 Trancas St Ste 256 |
$30.43 | 1,912 | 1,832 |
|
Glenda Lois Montague
3270 Villa Ln |
$72.77 | 1,875 | 1,803 |
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