Average Medicaid Office Visit Payments in Oceanside, CA: $21.55
Avg. Paid
$21.55
Range
$0.00 – $2,212
Total Claims
826,862
Providers
203
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 Oceanside, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cibu Panicker
4700 N River Rd |
$1.35 | 134,009 | 113,957 |
|
Sujana S Gunta
818 Pier View Way |
$0.86 | 64,932 | 52,517 |
|
Denise Gomez
605 Crouch St Bldg C |
$0.98 | 45,207 | 42,559 |
|
Chanelle Calhoun
2210 Mesa Dr |
$0.21 | 43,176 | 39,560 |
|
Dayanthi Kurukulasuriya
605 Crouch St |
$1.87 | 40,153 | 38,175 |
|
Roozchehr Safi
605 Crouch St |
$2.49 | 36,860 | 34,907 |
|
Diana Miller
517 N Horne St |
$1.45 | 36,481 | 33,398 |
|
Ilsong Jason Chong
605 Crouch St Bldg C |
$0.80 | 34,583 | 32,884 |
|
Amanda June Simsiman
4318 Mission Ave Ste A |
$102.50 | 28,389 | 28,011 |
|
Sarah Papalia
4318 Mission Ave |
$5.46 | 28,046 | 22,521 |
|
Edward Curley
2210 Mesa Dr |
$0.09 | 25,921 | 24,066 |
|
Casey Fisher
3142 Vista Way Ste 207 |
$79.12 | 21,148 | 19,725 |
|
Bradley Mccammack
4700 N River Rd |
$0.49 | 20,202 | 17,778 |
|
Lisa Ellen Mcdaniel
818 Pier View Way |
$0.31 | 18,308 | 16,608 |
|
Jaime Lacara Aglugub
2171 S El Camino Real |
$1.15 | 12,156 | 7,350 |
|
Melissa S. Kramer
3605 Vista Way Bldg B |
$24.61 | 10,174 | 9,680 |
|
Lindsey Armatis-Rivera
616 S Coast Hwy |
$1.32 | 10,155 | 9,598 |
|
Mohammad Pashmforoush
2424 Vista Way, Suite 300-301 |
$37.65 | 9,463 | 8,847 |
|
Lucila Karol Moreira
3605 Vista Way Bldg B |
$5.48 | 9,289 | 8,761 |
|
Rachel E. Perkins
3605 Vista Way |
$8.81 | 8,426 | 7,973 |
|
Tina Udhwani Fallon
2210 Mesa Dr Ste 300 |
$0.56 | 7,666 | 7,172 |
|
Elena Rosa Ramos
605 Crouch St Bldg C |
$9.27 | 6,629 | 6,327 |
|
Dewain Nicholas Springer
2191 El Camino Real # 101 |
$34.14 | 6,309 | 6,028 |
|
Gabriela B Novota
2210 Mesa Dr Ste 300 |
$0.36 | 6,076 | 5,286 |
|
Justin Bowles
1761 Avenida Segovia |
$56.99 | 5,933 | 5,779 |
|
Aziz N Ander
3907 Waring Rd |
$115.86 | 5,427 | 5,359 |
|
Victor Mac
2210 Mesa Dr Ste 300 |
$0.15 | 5,378 | 4,899 |
|
Sheila Mulligan
200 Mercy Cir |
$111.07 | 5,328 | 5,289 |
|
Oscar Leonardo Cook
2205 Vista Way |
$1.07 | 5,284 | 4,079 |
|
Gabrielle Markie Nord
605 Crouch St Bldg C |
$2.09 | 5,065 | 4,893 |
|
Elizabeth Trescot Macintyre
3605 Vista Way Ste 130 |
$5.41 | 4,690 | 4,493 |
|
Allison Melanie Loeffler
2210 Mesa Dr Ste 5 |
$8.95 | 4,446 | 4,297 |
|
Andrew Louis Ross
3629 Vista Way |
$93.48 | 4,402 | 4,292 |
|
Ariana N Dillman
4002 Vista Way |
$8.74 | 4,299 | 4,108 |
|
Sarah R. Daniels
3605 Vista Way |
$6.78 | 4,056 | 3,921 |
|
Arun Prakash Venkat
3629 Vista Way |
$100.90 | 3,977 | 3,926 |
|
Jinyi Bae
619 Crouch St Ste 100 |
$0.77 | 3,834 | 3,515 |
|
Joseph A Samady
3629 Vista Way |
$94.12 | 3,355 | 3,327 |
|
Nicole Ruiz Sue
3605 Vista Way |
$19.42 | 3,092 | 2,791 |
|
Angelito Dela Cruz
4318 Mission Ave |
$0.21 | 2,839 | 2,671 |
|
Brian S Bobick
3905 Waring Rd |
$37.10 | 2,681 | 2,557 |
|
Michael Shim
3923 Waring Rd Ste A |
$58.17 | 2,608 | 2,607 |
|
David M Lucero
1219 Larchwood Dr |
$0.56 | 2,455 | 2,035 |
|
Rupert Marasigan Ramirez
3353 Las Vegas Dr |
$21.19 | 2,251 | 1,853 |
|
Kunal Angra
3629 Vista Way |
$89.76 | 2,222 | 2,156 |
|
Kenneth W Carr
3998 Vista Way |
$60.44 | 2,141 | 1,716 |
|
North County Health Project, Inc.
605 Crouch St Bldg C |
$2.80 | 2,122 | 1,846 |
|
Kristin Marie Osterman Desantis
200 Mercy Circle |
$107.10 | 2,089 | 2,057 |
|
Ji Y Choi
3220 Mission Ave Ste 1 |
$6.20 | 2,038 | 1,856 |
|
Mental Health Systems, Inc.
1701 Mission Ave Ste 230 |
$492.83 | 2,032 | 1,998 |
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 Oceanside, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oceanside, CA is $21.55 per claim, based on 826,862 claims from 203 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 Oceanside, CA?
There are 203 Medicaid providers offering Office Visit related services in Oceanside, CA according to public payment data.
What is the price range for Office Visit in Oceanside, CA?
Medicaid reimbursement for Office Visit in Oceanside, CA ranges from $0.00 to $2,212 per claim, with an average of $21.55. 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 Oceanside, CA
Blood Work & Lab Tests
Avg $6.51
639,238 claims
Speech Therapy
Avg $15.68
252,046 claims
Vaccines & Immunizations
Avg $0.83
218,629 claims
Emergency Room Visit
Avg $90.58
217,809 claims
Urinalysis & Urine Tests
Avg $9.14
189,352 claims
Substance Abuse Treatment
Avg $79.55
137,403 claims
Dental Cleaning & Exam
Avg $48.09
113,124 claims
EKG / ECG (Electrocardiogram)
Avg $16.45
99,086 claims