Average Medicaid Office Visit Payments in Oakland, CA: $19.22
Avg. Paid
$19.22
Range
$0.00 – $949.89
Total Claims
2,992,452
Providers
1,231
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 Oakland, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Richard Fury
1950 Franklin St |
$8.21 | 41,756 | 30,539 |
|
Corinne Michele Mcclaughry
1515 Fruitvale Ave |
$16.69 | 36,010 | 21,709 |
|
Dipankar Ghosh
515 E 22Nd St Apt 2 |
$15.53 | 34,610 | 32,828 |
|
Chi Huu Le
818 Webster St |
$0.18 | 32,174 | 27,043 |
|
Carol Elizabeth Glann
3055 Macarthur Blvd |
$4.64 | 27,912 | 24,295 |
|
Jessica Hamilton
8480 Enterprise Way |
$95.63 | 27,599 | 25,332 |
|
Children'S Hospital & Research Center At Oakland
747 52Nd St |
$67.38 | 26,348 | 22,348 |
|
Barbara Botelho
747 52Nd St |
$15.33 | 21,871 | 12,203 |
|
Paula S Ong
818 Webster St |
$0.13 | 21,526 | 12,980 |
|
Hien Nguyen
818 Webster Street |
$0.20 | 21,243 | 12,129 |
|
Patricia Anne Chase
5220 Claremont Ave |
$8.28 | 21,216 | 13,323 |
|
Xiaoshuang Chen
835 Webster Street, |
$0.39 | 20,782 | 19,573 |
|
Jessica S Wang
6955 Foothill Blvd Ste 200 |
$2.51 | 20,766 | 19,949 |
|
Henry Geoffrey Watson
5709 Market St |
$55.74 | 19,568 | 19,158 |
|
Phuong Duc Dang
145 International Blvd |
$29.64 | 19,343 | 15,660 |
|
Christopher John Ng Co
250 East 18Th Street |
$0.35 | 19,238 | 11,739 |
|
Armeen William Weber
10850 Macarthur Blvd #300 |
$181.16 | 18,940 | 18,184 |
|
Helen S Song
818 Webster St |
$0.48 | 17,746 | 10,035 |
|
Macy Lieu
818 Webster St |
$0.74 | 17,692 | 10,484 |
|
Jenny Riley
818 Webster Street |
$0.58 | 17,663 | 16,715 |
|
Tammy Yue Chen
818 Webster St |
$0.32 | 17,583 | 10,619 |
|
Andrea Elizabeth Williams
1411 E 31St St |
$15.36 | 17,411 | 16,775 |
|
Duyen T. Pham
747 52Nd St |
$1.92 | 17,218 | 10,821 |
|
Alameda Health System
1411 E 31St St |
$33.98 | 16,729 | 15,480 |
|
An T Pham
600 International Blvd Ste 102 |
$6.48 | 16,699 | 15,212 |
|
Sumi Wong-Yap
818 Webster St. |
$0.14 | 15,738 | 9,878 |
|
Sai Woon Liang
818 Webster St |
$0.20 | 15,718 | 9,292 |
|
Rebecca Celeste Cohen Falik
1411 E 31St St |
$16.00 | 15,427 | 14,111 |
|
Thuy-An Tran
835 Webster St |
$0.62 | 15,301 | 14,413 |
|
Thresia Sebastian
1411 E 31St St |
$53.61 | 15,179 | 9,519 |
|
Kimberly A. Reynosa
275 W Macarthur |
$14.91 | 14,880 | 9,266 |
|
Joseph R Cartwright
6955 Foothill Blvd Ste 200 |
$1.90 | 14,771 | 14,363 |
|
Megan Coale
2950 International Blvd |
$1.12 | 14,580 | 8,481 |
|
Michelle Cortez
3451 E 12Th St |
$0.29 | 14,568 | 8,331 |
|
Bhrett Allison Lash
2950 International Blvd |
$4.06 | 14,526 | 14,287 |
|
Ralph L Peterson
10520 Macarthur Blvd |
$34.05 | 14,467 | 13,184 |
|
Monique Rosenthal
9933 Macarthur Blvd |
$1.41 | 14,318 | 7,928 |
|
Jessica Robin Gar Ling Leung
250 E. 18Th Street, 2Nd Floor |
$0.50 | 14,194 | 9,034 |
|
Natsuko Takakuwa
818 Webster Street |
$0.35 | 13,716 | 8,327 |
|
Rita Lafaye Davis Marten
700 Adeline Street |
$2.32 | 13,672 | 12,717 |
|
Lydia Ann Tinajero-Deck
5220 Claremont Ave |
$9.59 | 13,593 | 8,165 |
|
Benjamin S Chen
1030 International Blvd |
$1.56 | 13,590 | 8,451 |
|
Christine G Araneta
818 Webster St |
$0.14 | 13,441 | 8,659 |
|
Thanh Tan Dinh
818 Webster Street |
$0.47 | 13,370 | 8,180 |
|
Lisa Mae Wong Yee
818 Webster St |
$0.16 | 12,816 | 8,051 |
|
Zarin Noor
747 52Nd St |
$5.63 | 12,705 | 8,481 |
|
Ken Makio Marriner
3451 E 12Th St |
$1.46 | 12,691 | 7,987 |
|
Yin Yin Aye
250 E 18Th St Fl 2 |
$1.61 | 12,640 | 8,340 |
|
Payam Zarehbin
3301 E 12Th St |
$60.55 | 12,604 | 12,514 |
|
Esteban Daniel Lovato
3022 International Blvd Ste 312 |
$30.49 | 12,552 | 11,230 |
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 Oakland, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oakland, CA is $19.22 per claim, based on 2,992,452 claims from 1231 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 Oakland, CA?
There are 1231 Medicaid providers offering Office Visit related services in Oakland, CA according to public payment data.
What is the price range for Office Visit in Oakland, CA?
Medicaid reimbursement for Office Visit in Oakland, CA ranges from $0.00 to $949.89 per claim, with an average of $19.22. 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 Oakland, CA
Substance Abuse Treatment
Avg $23.42
1,786,349 claims
Blood Work & Lab Tests
Avg $9.55
1,668,108 claims
Emergency Room Visit
Avg $83.54
1,142,476 claims
Behavioral & Mental Health Therapy
Avg $224.83
867,225 claims
Vaccines & Immunizations
Avg $3.16
684,001 claims
X-Ray
Avg $24.32
646,804 claims
Urinalysis & Urine Tests
Avg $3.70
415,978 claims
Case Management Services
Avg $133.16
411,497 claims