Average Medicaid Office Visit Payments in Newark, CA: $26.74
Avg. Paid
$26.74
Range
$2.58 – $281.94
Total Claims
102,175
Providers
19
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 Newark, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sarah Larae Devoe Scribner
5600 John Muir Road |
$48.93 | 13 | 12 |
|
Alameda Health System
6066 Civic Terrace Ave |
$36.79 | 75 | 74 |
|
Mayurkumar Patel
5763 Stevenson Blvd |
$8.56 | 161 | 160 |
|
Meghana Bachu
6236 Thornton Ave |
$39.12 | 173 | 160 |
|
Crystal Pajatin Youssef
5763 Stevenson Blvd |
$31.77 | 180 | 174 |
|
Michael Parmley
6236 Thornton Ave |
$20.52 | 340 | 327 |
|
Virtual Benefit Solutions Inc
39899 Balentine Dr Ste 200 |
$3.88 | 374 | 254 |
|
Elaine Ngo
5763 Stevenson Blvd |
$54.85 | 998 | 880 |
|
Peter Kusnierczyk
6066 Civic Terrace Ave |
$6.20 | 1,006 | 939 |
|
Vandana B. Sharma
6236 Thornton Ave |
$89.24 | 1,365 | 1,213 |
|
Alice Lucinda Del Rosario
29899 Balentine Dr |
$281.94 | 1,367 | 1,279 |
|
Alameda Health System
6066 Civic Terrace Ave |
$35.00 | 1,640 | 1,571 |
|
Jackie A Bolds
6066 Civic Terrace Ave |
$11.95 | 2,001 | 1,853 |
|
Norma E Ramirez
1115 Newpark Mall |
$44.39 | 6,903 | 6,860 |
|
Parmjit M Singh
5763 Stevenson Blvd |
$33.99 | 9,165 | 8,530 |
|
Shaista I Shah
6250 Thornton Ave |
$100.61 | 12,120 | 11,367 |
|
Stefanie T. Chu
6066 Civic Terrace Ave |
$2.58 | 19,682 | 18,612 |
|
Meera Bhateja
6066 Civic Terrace Ave |
$3.44 | 20,749 | 20,253 |
|
Deepika Jannapureddy
6066 Civic Terrace Ave |
$4.10 | 23,863 | 22,778 |
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 Newark, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newark, CA is $26.74 per claim, based on 102,175 claims from 19 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 Newark, CA?
There are 19 Medicaid providers offering Office Visit related services in Newark, CA according to public payment data.
What is the price range for Office Visit in Newark, CA?
Medicaid reimbursement for Office Visit in Newark, CA ranges from $2.58 to $281.94 per claim, with an average of $26.74. 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 Newark, CA
Non-Emergency Medical Transportation
Avg $82.10
119,227 claims
Substance Abuse Treatment
Avg $86.04
87,926 claims
Dental Cleaning & Exam
Avg $51.70
30,214 claims
Vaccines & Immunizations
Avg $16.29
15,648 claims
Nursing Facility Care
Avg $42.41
8,890 claims
Psychiatric Evaluation
Avg $151.03
7,469 claims
Dental Filling
Avg $63.41
6,033 claims
Eye Exam
Avg $21.92
4,337 claims