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
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 Novato, CA
Emergency Room Visit
Avg $84.63
69,770 claims
Dental Cleaning & Exam
Avg $44.99
23,975 claims
Blood Work & Lab Tests
Avg $10.99
23,077 claims
Behavioral & Mental Health Therapy
Avg $273.36
22,846 claims
Case Management Services
Avg $449.03
20,714 claims
Urinalysis & Urine Tests
Avg $4.75
15,546 claims
X-Ray
Avg $18.86
14,360 claims
Psychiatric Evaluation
Avg $18.11
13,803 claims