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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Novato, CA: $14.88

Avg. Paid

$14.88

Range

$0.00 – $347.32

Total Claims

109,082

Providers

59

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 Novato, CA

Provider Avg. Paid Claims Patients
Justine Shum

75 Rowland Way Ste 101

$42.90 12 12
Steven Nelson Pyke

165 Rowland Way

$0.00 12 12
Benjamin Hambro

75 Rowland Way

$6.09 12 12
Nushrat Ullah

101 Rowland Way Ste 220

$0.00 13 13
Richard A. Christensen-Dalia

97 San Marin Dr

$13.85 13 12
Teresa Tang

101 Rowland Way Ste 220

$10.03 13 13
Tarin Singh Dhaliwal

101 Rowland Way

$2.88 13 13
Kevin Jude Holman

7100 Redwood Blvd

$0.00 14 13
Michael David Romero

100 Rowland Way Ste 300

$55.40 15 13
William T. Elliott

97 San Marin Dr

$67.88 26 25
Dallas Jones

920 Sherman Ave

$0.00 26 26
Nikita Chand Gore

75 Rowland Way Ste 200

$4.15 26 26
Tara Lasheen

19 Raccoon Dr

$173.33 27 13
Holly C Kelly Md Inc.

7100 Redwood Blvd

$34.92 39 38
Wendy Anne Cole

180 Rowland Way

$15.63 40 40
Heather L Lucas Ehmer

180 Rowland Way

$13.29 43 43
Fiona Anne Marion

400 Professional Center Dr

$2.06 63 58
Mark S Lawler

7100 Redwood Blvd

$35.32 87 80
Michael I Harris

97 San Marin Dr

$4.05 90 83
Amy Guzdar

101 Rowland Way Ste 200

$60.84 122 121
Andrea Elisa Martin

6090 Redwood Blvd

$1.33 128 84
Michael J. Maioriello

600 Professional Center Dr Ste 611

$77.67 145 145
Michael K. Matsumoto

97 San Marin Dr

$6.65 149 142
Catherine M Chin

7200 Redwood Blvd

$7.42 153 146
Kimya Baradaran

75 Rowland Way Ste 250

$11.29 201 197
Winthrop H Hall

165 Rowland Way

$12.17 268 246
Clarence L. Taylor

101 Rowland Way Ste 220

$29.03 295 283
Hitha Vishwanath Amin

6100 Redwood Blvd

$22.69 336 330
Adaeze Udezue

101 Rowland Way Ste 200

$0.22 400 373
Katrina A. Woo Cabarrus

97 San Marin Dr

$7.44 408 375
Holly C Kelly

101 Rowland Way

$14.91 436 412
Shivani Vasishta

5800 Nave Dr

$6.62 472 466
Aditi Bhagat

75 Rowland Way Ste 200

$57.99 511 496
Amanda Jo Reiner

75 Rowland Way Ste 200

$30.68 586 549
Jennifer Shaw-Chin Liu

165 Rowland Way

$0.82 593 584
Yoshihiro Katsuura

165 Rowland Way Ste 208

$20.59 598 371
Humberto Trevino

75 Rowland Way Ste 200

$219.74 609 537
Marie A Kristensen

6100 Redwood Blvd

$1.17 612 426
Charles Hu

165 Rowland Way Ste 206

$83.21 976 684
Sutter Bay Hospitals

180 Rowland Way

$347.32 1,271 851
James Timothy Murphy

165 Rowland Way

$4.09 1,583 1,418
Ramon Berguer

290 Ignacio Valley Cir

$0.00 1,607 893
Sydney Kathryn Sawyer

101 Rowland Way Ste 220

$6.31 1,850 1,688
Helene Walters

6100 Redwood Blvd

$0.00 2,515 2,337
Megan Darah Reeves

101 Rowland Way Ste 220

$6.40 2,683 2,368
Joleen D Bishop

6100 Redwood Blvd

$50.56 3,252 3,171
Cindy Greenberg

101 Rowland Way Ste 220

$9.12 3,703 3,106
Janet A Nunnally

400 Professional Center Dr

$3.30 3,855 3,314
Jessica Catherine Hollman

400 Professional Center Dr

$0.30 4,267 3,376
Rebekah Harding

6090 Redwood Blvd

$1.13 4,562 3,358

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 Novato, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Novato, CA is $14.88 per claim, based on 109,082 claims from 59 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 Novato, CA?

There are 59 Medicaid providers offering Office Visit related services in Novato, CA according to public payment data.

What is the price range for Office Visit in Novato, CA?

Medicaid reimbursement for Office Visit in Novato, CA ranges from $0.00 to $347.32 per claim, with an average of $14.88. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Novato, CA