Average Medicaid Office Visit Payments in Ojai, CA: $30.55
Avg. Paid
$30.55
Range
$0.13 – $95.14
Total Claims
28,414
Providers
18
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 Ojai, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maziar Goshtasbi
117 Pirie Rd Ste E |
$71.50 | 17 | 17 |
|
Stephanie Michelle Miles Holland
501 E Ojai Ave |
$95.14 | 17 | 16 |
|
Helen Petroff
1202 Maricopa Hwy |
$10.12 | 31 | 25 |
|
James Todd Beaty
115 Pirie Rd Ste A |
$33.78 | 45 | 39 |
|
Community Memorial Health System
1202 Maricopa Hwy |
$55.25 | 92 | 79 |
|
Valley Oak Family Practice Medical Group Inc
1202 Maricopa Hwy Ste C |
$42.58 | 127 | 118 |
|
Robert L Buckingham M D Inc
115 Pirie Rd |
$93.74 | 280 | 206 |
|
John E. Nelson
530 W Ojai Ave |
$52.85 | 315 | 301 |
|
Clinicas Del Camino Real Inc
1200 Maricopa Hwy |
$0.20 | 656 | 546 |
|
Rochelle L Wilson
1202 Maricopa Hwy |
$3.67 | 1,497 | 1,368 |
|
Robert L Buckingham
115 Pirie Rd |
$71.06 | 1,537 | 1,321 |
|
Preston Arndt
411 W Ojai Ave Ste B |
$0.13 | 2,210 | 2,061 |
|
Laura Farhat
1200 Maricopa Hwy |
$11.15 | 2,289 | 1,865 |
|
Sterling Gregory Adams
1200 Maricopa Hwy |
$1.48 | 2,469 | 2,268 |
|
Ashley L Netrow
1200 Maricopa Hwy |
$4.17 | 2,564 | 2,277 |
|
Anthony Terry Hirsch
1202 Maricopa Hwy |
$53.82 | 3,186 | 3,138 |
|
Daniel Demirchyan
1200 Maricopa Hwy |
$21.06 | 3,533 | 3,244 |
|
Community Memorial Health System
1306 Maricopa Hwy |
$54.20 | 7,549 | 6,720 |
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 Ojai, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ojai, CA is $30.55 per claim, based on 28,414 claims from 18 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 Ojai, CA?
There are 18 Medicaid providers offering Office Visit related services in Ojai, CA according to public payment data.
What is the price range for Office Visit in Ojai, CA?
Medicaid reimbursement for Office Visit in Ojai, CA ranges from $0.13 to $95.14 per claim, with an average of $30.55. 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 Ojai, CA
Psychiatric Evaluation
Avg $95.23
38,578 claims
Blood Work & Lab Tests
Avg $9.72
19,709 claims
Podiatry (Foot Care)
Avg $21.46
5,844 claims
Emergency Room Visit
Avg $67.52
5,426 claims
Dental Cleaning & Exam
Avg $53.29
5,223 claims
Speech Therapy
Avg $27.88
4,897 claims
Nursing Facility Care
Avg $64.09
4,229 claims
X-Ray
Avg $17.53
3,525 claims