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 |
|---|---|---|---|
|
Vista Community Clinic
517 N Horne St |
$18.89 | 12 | 12 |
|
Matthew Von Zimmerman
200 Mercy Cir |
$56.77 | 12 | 12 |
|
Binh Cam Lieu
4318 Mission Ave |
$0.00 | 12 | 12 |
|
Rachel Pamela Ross
1701 Mission Ave |
$24.39 | 12 | 12 |
|
Bahram Troy Moghadam
2205 Vista Way # 210 |
$0.00 | 12 | 12 |
|
Dermatology Specialists Inc
3629 Vista Way |
$25.27 | 13 | 13 |
|
Richard R Barager
3300 Vista Way |
$19.72 | 13 | 13 |
|
Andrew M Cooperman
3905 Waring Rd |
$66.27 | 15 | 15 |
|
Bradley Frasier
3609 Vista Way |
$27.08 | 16 | 14 |
|
Casey Fisher, M.D., A Professional Corporation
2125 S El Camino Real Ste 103 |
$10.26 | 16 | 14 |
|
Helen Linnea Monnens
2525 Woodlands Way |
$0.00 | 16 | 16 |
|
Jeila Marie Kakavand
3998 Vista Way Ste 108 |
$110.08 | 17 | 17 |
|
Christopher James Mullin
518 South Nevada St |
$0.00 | 18 | 17 |
|
Vista Community Clinic
4700 North River Road |
$0.00 | 19 | 18 |
|
Yardy Tse
3629 Vista Way |
$120.83 | 19 | 19 |
|
Chelsea Dawn Ovanek
2205 Vista Way |
$16.17 | 20 | 20 |
|
Karen Michelle Brown
3142 Vista Way |
$27.85 | 24 | 24 |
|
Katayoun Toosie
3998 Vista Way |
$41.88 | 25 | 25 |
|
Steve Christensen
1302 Rocky Point Dr |
$8.15 | 27 | 26 |
|
Sasha Balleza
3605 Vista Way Ste 130 |
$0.00 | 28 | 14 |
|
Dora T Akuetteh-Saforo
200 Mercy Circle |
$39.43 | 28 | 27 |
|
Theresa Ulloa Solberg
1776 Avenida Sevilla |
$0.00 | 31 | 31 |
|
Chad M Bernhardt
4002 Vista Way |
$30.82 | 34 | 31 |
|
Tri City Cardiology And Arrhythmia Services
2424 Vista Way |
$38.02 | 36 | 31 |
|
Mark K Yamanaka
3907 Waring Rd Ste 2 |
$8.22 | 38 | 37 |
|
Christina Nguyen Liu
3998 Vista Way |
$9.02 | 41 | 39 |
|
Amanda Mcconnell
3613 Vista Way |
$121.91 | 41 | 39 |
|
Neville Alleyne
3905 Waring Rd |
$80.46 | 42 | 42 |
|
Robert Jacobs
3907 Waring Rd Ste 1 |
$197.83 | 43 | 43 |
|
Warren Steven Paroly
3925 Waring Rd Ste C |
$25.86 | 43 | 40 |
|
Kyle Patrick Brooks
605 Crouch St |
$0.00 | 45 | 39 |
|
North County Health Project, Inc.
2210 Mesa Dr |
$0.52 | 46 | 43 |
|
Harold H Kaloogian
3230 Waring Ct Ste Q |
$10.28 | 53 | 53 |
|
Kristen Marie Nassery
3601 Vista Way Ste 203 |
$30.84 | 54 | 53 |
|
Rachel Elissa Lipman
3605 Vista Way |
$0.00 | 60 | 58 |
|
Kevin Eugene Hearn
3905 Waring Rd |
$44.37 | 69 | 69 |
|
Vickie Alston
2210 Mesa Dr Ste 5 |
$0.00 | 71 | 68 |
|
Cara A Guth
3910 Vista Way Ste 106 |
$69.80 | 74 | 74 |
|
Jeffrey Robert Brooks
3230 Waring Ct Ste M |
$16.59 | 76 | 65 |
|
Kelly Thompson
2205 Vista Way |
$56.68 | 78 | 68 |
|
Susan Shimomaye
3998 Vista Way Ste 100 |
$80.47 | 80 | 78 |
|
Melanie Nichols
4002 Vista Way |
$79.87 | 84 | 82 |
|
Garrick Lon Stride
2205 Vista Way |
$3.00 | 85 | 85 |
|
Joanna Elizabeth Kingdon
2210 Mesa Dr Ste 200 |
$0.00 | 86 | 80 |
|
Tara Mahoney
200 Mercy Circle |
$53.84 | 90 | 90 |
|
Vista Community Clinic
818 Pierview Way |
$0.21 | 91 | 76 |
|
Ellie Nazer
619 Crouch St Ste 100 |
$0.00 | 91 | 91 |
|
Alexandria Li
2205 Vista Way |
$60.18 | 93 | 91 |
|
Adam S Fierer
3998 Vista Way |
$127.20 | 93 | 93 |
|
Bayan Aghdasi
3905 Waring Rd |
$62.77 | 95 | 91 |
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