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 |
|---|---|---|---|
|
Jamon Larry
3600 Broadway |
$32.42 | 12 | 12 |
|
Rachelle Hancock
275 W Macarthur Blvd |
$9.58 | 12 | 12 |
|
Amanda Kaye Vickers
747 52Nd St |
$29.70 | 12 | 12 |
|
Helen Lau
747 52Nd St |
$55.71 | 12 | 12 |
|
Lisa G. Sherman
275 W Macarthur Blvd |
$0.00 | 12 | 12 |
|
Robin Louise Quinn
5220 Boyd Ave |
$0.00 | 12 | 12 |
|
Timothy Y. Huie
275 W Macarthur Blvd |
$0.00 | 12 | 12 |
|
Leah Bowser
275 W Macarthur |
$68.94 | 12 | 12 |
|
Yan Cai
818 Webster St |
$0.00 | 12 | 12 |
|
Madeline Mccosker
1411 E 31St St |
$38.67 | 12 | 12 |
|
Evan Andrew Rusoja
1411 E 31St St |
$7.47 | 12 | 12 |
|
Joshua Mandela Rae
280 W Macarthur Blvd |
$127.08 | 12 | 12 |
|
Debby A. Lin
275 W Macarthur Blvd |
$0.00 | 12 | 12 |
|
Erin Sternak
747 52Nd St |
$0.00 | 12 | 12 |
|
Theodore Slomoff
3600 Broadway |
$86.48 | 12 | 12 |
|
Deepika Parmar
275 W Macarthur Blvd |
$21.67 | 12 | 12 |
|
Joanne P Kong
275 W Macarthur Blvd |
$44.58 | 12 | 12 |
|
Duane D. Stephens
3300 Webster St |
$3.12 | 12 | 12 |
|
Joseph D. Young
275 W Macarthur Blvd |
$0.00 | 12 | 12 |
|
Sanjeev Joshua
275 W Macarthur Blvd |
$113.75 | 12 | 12 |
|
Rani Yogendra Upadhyay
365 Hawthorne Ave Ste 201 |
$18.88 | 12 | 12 |
|
Chi Chien Catherine Yau
3600 Broadway |
$0.00 | 12 | 12 |
|
Daniel G. Korn
275 W Macarthur Blvd |
$87.50 | 12 | 12 |
|
Annie Rose Pedlar
2121 Harrison St Ste 120 |
$59.58 | 12 | 12 |
|
Kimberly Washington
350 Hawthorne Ave |
$33.98 | 12 | 12 |
|
Jason Gilde
280 W Macarthur Blvd |
$0.00 | 12 | 12 |
|
Laurel Ann Haeusslein
747 52Nd St |
$194.65 | 12 | 12 |
|
Suparna Dutta
275 W Macarthur Blvd |
$167.08 | 12 | 12 |
|
Peter T. Le
275 W Macarthur |
$163.15 | 12 | 12 |
|
Tuong-Vi Hoang Le
600 International Blvd |
$68.90 | 12 | 12 |
|
Kathleen Patricia Lefevre
2221 Martin Luther King Jr Way |
$139.81 | 12 | 12 |
|
Ayelet Cohen
333 Park View Ter Apt 2 |
$52.35 | 12 | 12 |
|
Neeta Ramesh Shah
280 W Macarthur Blvd |
$0.00 | 12 | 12 |
|
Christy M. King
275 W Macarthur Blvd |
$0.00 | 12 | 12 |
|
Julie Denese Gesch
1411 E 31St St |
$0.00 | 12 | 12 |
|
Tina Renee Raine-Bennett
280 W Macarthur Blvd |
$0.00 | 13 | 13 |
|
Eileen S Lee
388 9Th St Ste 157 |
$24.00 | 13 | 12 |
|
Bertha Ewoenam Anku
1411 E 31St St |
$53.85 | 13 | 12 |
|
Shelli Y Bein
3451 E 12Th St |
$41.25 | 13 | 12 |
|
Heidi L. Gassner
275 W Macarthur Blvd |
$24.79 | 13 | 12 |
|
Britton R Hart
1411 E 31St St |
$8.27 | 13 | 13 |
|
Jonathan Kent Lin
275 W Macarthur Blvd |
$60.77 | 13 | 12 |
|
Lindsay Rodgers
1955 Broadway Ste A |
$10.91 | 13 | 13 |
|
Walter P. Acuna
275 W Macarthur Blvd |
$0.00 | 13 | 13 |
|
Jimmy Ko
275 W Macarthur Blvd |
$11.54 | 13 | 13 |
|
Christopher R Newton
744 52Nd St |
$87.17 | 13 | 13 |
|
Adrian H. Flores
275 W Macarthur |
$0.00 | 13 | 13 |
|
Iryna Anatoliyevna Falkenstein
491 30Th St Ste 103 |
$87.25 | 13 | 13 |
|
Karen J. Sumner
275 W Macarthur Blvd |
$0.00 | 13 | 13 |
|
Edward Martin Blumenstock
365 Hawthorne Ave |
$13.83 | 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 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