Average Medicaid Office Visit Payments in Nipomo, CA: $5.01
Avg. Paid
$5.01
Range
$0.00 – $62.12
Total Claims
93,431
Providers
21
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 Nipomo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Atipon Kangwanpornsiri
150 Tejas Pl |
$0.31 | 16,535 | 15,942 |
|
Natalia V Schwartz
150 Tejas Pl |
$0.06 | 16,207 | 15,195 |
|
Teeranun Jirajariyavej
150 Tejas Pl |
$0.17 | 11,261 | 11,109 |
|
Emilia Ambrosio
150 Tejas Pl |
$0.07 | 9,874 | 9,381 |
|
Patti A Hamernik
150 Tejas Pl |
$0.73 | 8,757 | 7,787 |
|
Frank Eugene Scott
671 W Tefft St Ste 13 |
$41.72 | 6,694 | 6,322 |
|
Billy Yu
150 Tejas Pl |
$0.20 | 5,706 | 5,077 |
|
Frank V Giardina
150 Tejas Pl |
$0.05 | 4,904 | 4,565 |
|
Franco Jason Castrejon
150 Tejas Pl |
$0.02 | 4,239 | 4,036 |
|
Nathaniel Parker
150 Tejas Pl |
$0.16 | 3,296 | 3,114 |
|
Anna Belle Kim
697 W Tefft St |
$29.23 | 1,613 | 1,535 |
|
Maryam K. Tabrizi
699 W Tefft St Ste A |
$41.17 | 1,557 | 1,466 |
|
Ruth Ellen Gray
150 Tejas Pl |
$0.00 | 1,005 | 642 |
|
Richard G Day
1560 Mesa Rd Ste 100 |
$37.27 | 797 | 755 |
|
Steven Jon Clark
699 W Tefft St Ste A |
$23.34 | 523 | 458 |
|
Elizabeth Evans
697 W Tefft St |
$39.00 | 193 | 190 |
|
Jordan Mark Reader
697 W Tefft St |
$25.71 | 105 | 98 |
|
Phillip Bradley Plotz
699 W Tefft St |
$60.58 | 73 | 59 |
|
James P Sweeney
697 W Tefft St |
$62.12 | 56 | 54 |
|
Community Health Centers Of The Central Coast Inc
150 Tejas Pl |
$0.00 | 20 | 17 |
|
Danielle Elizabeth Giacona
699 W Tefft St Ste A |
$28.07 | 16 | 12 |
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 Nipomo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Nipomo, CA is $5.01 per claim, based on 93,431 claims from 21 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 Nipomo, CA?
There are 21 Medicaid providers offering Office Visit related services in Nipomo, CA according to public payment data.
What is the price range for Office Visit in Nipomo, CA?
Medicaid reimbursement for Office Visit in Nipomo, CA ranges from $0.00 to $62.12 per claim, with an average of $5.01. 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 Nipomo, CA
Blood Work & Lab Tests
Avg $8.39
426,548 claims
Eye Exam
Avg $2.64
51,788 claims
Physical Therapy
Avg $12.84
25,330 claims
Chiropractic Care
Avg $0.88
20,230 claims
Psychiatric Evaluation
Avg $102.33
9,750 claims
Dental Cleaning & Exam
Avg $53.56
8,984 claims
Vaccines & Immunizations
Avg $0.79
6,603 claims
Urinalysis & Urine Tests
Avg $0.23
2,617 claims