Average Medicaid Office Visit Payments in Newport Beach, CA: $40.13
Avg. Paid
$40.13
Range
$0.00 – $291.43
Total Claims
588,212
Providers
237
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 Newport Beach, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Navid Nami
360 San Miguel Dr |
$38.40 | 103,019 | 99,757 |
|
Marque Medical Clinic, Inc.
2075 San Joaquin Hills Rd |
$81.06 | 48,440 | 44,661 |
|
Nathan Aron Kiskila
2075 San Joaquin Hills Rd |
$60.43 | 29,698 | 28,109 |
|
David Porzio
1730 Port Sheffield Pl |
$60.80 | 20,721 | 19,633 |
|
Bryan Charles Doonan
360 San Miguel Dr Ste 107 |
$16.45 | 18,879 | 11,736 |
|
Dane R Fliedner
1601 Dove St |
$72.41 | 18,374 | 17,248 |
|
Island Dermatology, Inc
360 San Miguel Dr |
$40.72 | 18,086 | 17,731 |
|
Colleen A Kraft
2075 San Joaquin Hills Rd |
$0.45 | 14,969 | 9,135 |
|
Riviera Medical Corporation
360 San Miguel Dr |
$20.63 | 13,563 | 10,198 |
|
David Jeffrey Haupt
400 Newport Center Dr Ste 706 |
$46.23 | 12,997 | 9,709 |
|
Hadi Estakhri
1401 Dove St Ste 420 |
$72.94 | 12,097 | 10,701 |
|
Aileen Xu
20350 Sw Birch St |
$0.84 | 11,016 | 9,917 |
|
Kamal A Batniji
361 Hospital Rd |
$24.53 | 9,432 | 9,338 |
|
J Robert West, M.D., Inc
400 Newport Center Dr Ste 702 |
$22.26 | 9,029 | 8,755 |
|
Dorothy Joan Marquez-Maneja
510 Superior Ave |
$0.12 | 8,864 | 8,460 |
|
Parham Parto
520 Superior Ave Ste 305 |
$33.67 | 8,649 | 8,531 |
|
Hoag Clinic
510 Superior Ave Ste 290 |
$11.84 | 8,539 | 7,851 |
|
Coastal Kids, A Professional Medical Corporation
2071 San Joaquin Hills Rd |
$31.05 | 8,448 | 7,689 |
|
De Anne Mary Williams
500 Superior Ave Ste 310 |
$3.46 | 8,357 | 5,317 |
|
Michael S. Shahbazian
366 San Miguel Dr Ste 210 |
$3.01 | 6,875 | 6,690 |
|
Sandeep Sodhi
369 San Miguel Dr Ste 200 |
$94.26 | 6,580 | 6,357 |
|
Renee Fabrizi
1401 Avocado Ave Ste 709 |
$41.87 | 6,298 | 5,666 |
|
Charles Wallace Moniak
320 Superior Ave |
$56.42 | 5,573 | 4,824 |
|
Lorraine Annette Walker
3300 W Coast Hwy |
$9.67 | 5,572 | 4,688 |
|
Newport Children'S Medical Group
1401 Avocado Ave |
$34.97 | 5,513 | 4,907 |
|
Steven Abelowitz
1401 Avocado Ave Ste 709 |
$13.75 | 5,426 | 4,619 |
|
Russell S. Alterman
20311 Sw Acacia St |
$65.25 | 5,395 | 4,763 |
|
One Health Telemedicine, Inc
5000 Birch St Ste 3000 |
$17.93 | 5,375 | 2,742 |
|
Md Health Clinics
1000 Quail St Ste 160 |
$69.72 | 5,083 | 2,045 |
|
Carrie Heinemann
520 Superior Ave Ste 225 |
$1.11 | 4,915 | 4,256 |
|
Audra Wong
510 Superior Ave |
$3.83 | 4,536 | 4,207 |
|
Alexander Tu
1401 Avocado Ave |
$42.34 | 4,227 | 3,899 |
|
Newport Harbor Cardiology Inc
601 Dover Dr Ste 2 |
$54.93 | 4,133 | 4,091 |
|
Harbor Psychiatry & Mental Health, Professional Corporation
4631 Teller Ave Ste 100 |
$4.08 | 3,930 | 2,879 |
|
Gary Joel Rosenberg
441 Old Newport Blvd |
$12.55 | 3,853 | 3,763 |
|
Rafael Arturo Penunuri
1419 Superior Ave |
$38.55 | 3,751 | 3,559 |
|
Ali Hakim Mesiwala
3501 Jamboree Rd Ste 1250 |
$67.08 | 3,638 | 3,542 |
|
Brandon Paul Hirsch
3501 Jamboree Rd Ste 1250 |
$64.28 | 3,490 | 3,251 |
|
Amanda Chin
2071 San Joaquin Hills Rd |
$62.42 | 3,111 | 2,803 |
|
Tingting Tan
1601 Avocado Ave |
$45.96 | 2,945 | 2,238 |
|
Nathaniel Gregg Denicola
320 Superior Ave Ste 290 |
$60.80 | 2,924 | 2,550 |
|
James Warren Reznick
611 Lido Park Dr Apt 6A |
$23.29 | 2,915 | 2,658 |
|
Roopa Dillikar
360 San Miguel Dr Ste 300 |
$8.58 | 2,820 | 2,323 |
|
Sandra Kellum
1401 Avocado Ave Ste 802 |
$49.12 | 2,703 | 2,331 |
|
Wael A Harb
1441 Avocado Ave Ste 301 |
$29.13 | 2,374 | 1,642 |
|
Joseph Alingod Apostol
1401 Avocado Ave |
$8.82 | 2,332 | 2,272 |
|
Misagh Karimi
1601 Avocado Ave |
$59.31 | 2,241 | 1,958 |
|
Melissa Marcelo Mondala
1501 Westcliff Dr Ste 201 |
$4.72 | 2,115 | 1,366 |
|
Cynthia Chen Lazzaro
1617 Westcliff Dr |
$18.21 | 2,083 | 1,987 |
|
Danichi Yoshida
4631 Teller Ave Ste 100 |
$2.67 | 2,051 | 1,707 |
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 Newport Beach, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newport Beach, CA is $40.13 per claim, based on 588,212 claims from 237 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 Newport Beach, CA?
There are 237 Medicaid providers offering Office Visit related services in Newport Beach, CA according to public payment data.
What is the price range for Office Visit in Newport Beach, CA?
Medicaid reimbursement for Office Visit in Newport Beach, CA ranges from $0.00 to $291.43 per claim, with an average of $40.13. 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 Newport Beach, CA
Blood Work & Lab Tests
Avg $5.13
597,957 claims
Psychiatric Evaluation
Avg $66.36
203,664 claims
X-Ray
Avg $7.34
200,548 claims
Urinalysis & Urine Tests
Avg $1.42
156,495 claims
Emergency Room Visit
Avg $59.27
135,511 claims
EKG / ECG (Electrocardiogram)
Avg $12.53
84,997 claims
CT Scan (Computed Tomography)
Avg $58.52
75,781 claims
Physical Therapy
Avg $11.27
64,592 claims