Average Medicaid Office Visit Payments in Oakhurst, CA: $11.86
Avg. Paid
$11.86
Range
$0.33 – $171.03
Total Claims
127,089
Providers
16
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 Oakhurst, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jorge Lopez-Aguado
49430 Road 426 |
$18.56 | 49,017 | 39,745 |
|
Daniel Schaffner
48677 Victoria Ln |
$2.38 | 21,046 | 14,539 |
|
David J Drake
49165 Road 426 |
$5.92 | 16,889 | 12,735 |
|
Rex Chukwuma Nzeribe
49169 Road 426 |
$0.61 | 12,367 | 8,762 |
|
Reedley Community Hospital
48677 Victoria Ln |
$0.33 | 7,930 | 7,298 |
|
Philip Antwi - Badu
49169 Road 426 |
$0.38 | 7,044 | 6,445 |
|
Sheri Lynn Oswald
49127 Road 426 Ste 1 |
$0.84 | 3,915 | 3,534 |
|
Camarena Health
49169 Road 426 |
$26.07 | 3,883 | 3,270 |
|
Kevin Violette
48677 Victoria Ln |
$111.71 | 2,481 | 2,306 |
|
Carmen Elaine Michaels
48677 Victoria Ln |
$0.34 | 1,076 | 1,006 |
|
Pamela A Orr
49165 Road 426 |
$5.33 | 546 | 469 |
|
Daniel R. Crogan
40595 Westlake Dr |
$7.06 | 318 | 297 |
|
Joshua David Hesson
49169 Road 426 |
$68.42 | 270 | 266 |
|
Fellipe Lima Nobre De Queiroz
40595 Westlake Dr |
$171.03 | 145 | 128 |
|
Camarena Health
49165 Road 426 |
$24.29 | 141 | 126 |
|
Pamela Brandy Rico
49063 Road 426 |
$2.29 | 21 | 14 |
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 Oakhurst, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oakhurst, CA is $11.86 per claim, based on 127,089 claims from 16 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 Oakhurst, CA?
There are 16 Medicaid providers offering Office Visit related services in Oakhurst, CA according to public payment data.
What is the price range for Office Visit in Oakhurst, CA?
Medicaid reimbursement for Office Visit in Oakhurst, CA ranges from $0.33 to $171.03 per claim, with an average of $11.86. 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 Oakhurst, CA
Vaccines & Immunizations
Avg $4.41
27,408 claims
Psychiatric Evaluation
Avg $44.20
12,452 claims
Hearing Test (Audiometry)
Avg $6.08
9,788 claims
Case Management Services
Avg $116.91
6,867 claims
Physical Therapy
Avg $8.59
6,754 claims
Ambulance Transport
Avg $182.90
3,294 claims
Urinalysis & Urine Tests
Avg $0.09
3,119 claims
Dental Cleaning & Exam
Avg $50.81
3,079 claims