Average Medicaid Office Visit Payments in North Highlands, CA: $18.71
Avg. Paid
$18.71
Range
$0.00 – $448.23
Total Claims
41,304
Providers
18
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 North Highlands, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Toni Cecilia Moody
4815 Watt Ave |
$1.99 | 12,777 | 11,465 |
|
Wa Mee Vue
4815 Watt Ave |
$0.01 | 9,828 | 5,737 |
|
Florence Nkeiruka Ugboh
4815 Watt Ave |
$1.50 | 6,478 | 4,822 |
|
Viorica Bantea
6137 Watt Ave Ste 5 |
$0.87 | 4,974 | 4,610 |
|
Sunnie Lee Skiles
4815 Watt Ave |
$8.41 | 1,666 | 1,067 |
|
Turning Point Community Programs
3628 Madison Ave Ste 6 |
$448.23 | 1,562 | 1,475 |
|
Nourollah Danialypour
5708 Watt Avenue |
$8.06 | 822 | 808 |
|
Jonathan O'Brien
4815 Watt Ave |
$0.63 | 695 | 563 |
|
Elica Health Centers
4815 Watt Ave |
$0.81 | 554 | 508 |
|
Planned Parenthood Mar Monte, Inc
5700 Watt Ave |
$0.69 | 496 | 445 |
|
Danielle Nicole Schneider
5700 Watt Ave |
$15.24 | 460 | 430 |
|
Farzaneh Mohammadi
4815 Watt Ave |
$0.48 | 217 | 203 |
|
Natali Sokolovski
4815 Watt Ave |
$0.34 | 213 | 192 |
|
Megan Rose-Hart Sunga
5700 Watt Ave |
$16.94 | 201 | 195 |
|
Erika Nicole Ward
6015 Watt Ave Ste 2 |
$0.87 | 187 | 181 |
|
Maria Carolina Lopez-Shams
6015 Watt Ave |
$0.63 | 115 | 115 |
|
Farida Nasafi
4815 Watt Ave |
$0.00 | 46 | 44 |
|
Isabel Arezu Elias
5700 Watt Ave |
$37.40 | 13 | 13 |
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 North Highlands, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Highlands, CA is $18.71 per claim, based on 41,304 claims from 18 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 North Highlands, CA?
There are 18 Medicaid providers offering Office Visit related services in North Highlands, CA according to public payment data.
What is the price range for Office Visit in North Highlands, CA?
Medicaid reimbursement for Office Visit in North Highlands, CA ranges from $0.00 to $448.23 per claim, with an average of $18.71. 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 North Highlands, CA
Dental Cleaning & Exam
Avg $15.34
98,273 claims
Non-Emergency Medical Transportation
Avg $60.45
29,692 claims
Dental Filling
Avg $20.73
28,750 claims
Vaccines & Immunizations
Avg $1.21
19,129 claims
Behavioral & Mental Health Therapy
Avg $195.46
12,935 claims
Prescription Medications
Avg $0.97
11,411 claims
Case Management Services
Avg $163.34
9,040 claims
Hearing Test (Audiometry)
Avg $1.04
7,178 claims