Average Medicaid Office Visit Payments in Ontario, CA: $37.92
Avg. Paid
$37.92
Range
$0.00 – $1,784
Total Claims
498,039
Providers
115
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 Ontario, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Lozano
402 E Holt Blvd |
$3.79 | 75,507 | 65,403 |
|
Sushil Prabakaran Anand
304 W F St |
$9.25 | 40,225 | 35,205 |
|
Ruben Ruiz M D A Medical Corporation
403 W F St |
$0.00 | 29,329 | 25,136 |
|
Catareya P Liep
437 N Campus Ave |
$9.95 | 28,724 | 25,178 |
|
Jose Alvarez De La Llana
1749 S Euclid Ave |
$31.48 | 24,815 | 23,289 |
|
Cathleen Womble Manusia
437 N Euclid Ave |
$14.36 | 20,355 | 13,912 |
|
Irma Lopez
602 N Euclid Ave |
$10.12 | 19,483 | 18,459 |
|
Naila Mubashar
437 N Euclid Ave |
$6.36 | 16,308 | 10,831 |
|
William Craig Paley
437 N Euclid Ave |
$2.01 | 15,949 | 11,165 |
|
Marialuisa Garcia
1151 E Walnut St |
$2.11 | 15,524 | 10,820 |
|
Elizabeth T Lai
1640 S Grove Ave |
$86.46 | 12,421 | 12,286 |
|
Dianne Elizabeth Quintana
2680 E Riverside Dr |
$3.86 | 11,880 | 10,713 |
|
Ricardo Vela
403 W F St |
$0.20 | 11,301 | 9,683 |
|
Charmaine Yolanda Collins-Cepeda
1151 E Walnut St |
$1.37 | 9,406 | 6,495 |
|
Vache Chakmakian
437 N Euclid Ave |
$1.37 | 8,982 | 6,804 |
|
Gryan Garcia
437 N Euclid Ave |
$36.85 | 8,355 | 6,555 |
|
Krystal Bermudez Uong
437 N Euclid Ave |
$27.33 | 7,796 | 6,675 |
|
Brad A Katzman
728 N Euclid Ave |
$24.15 | 7,505 | 7,096 |
|
Heather Wong
437 N Euclid Ave |
$31.14 | 6,655 | 4,690 |
|
Nimish Thaker
1791 E Holt Blvd Unit 101 |
$108.86 | 6,380 | 5,924 |
|
Jenine Titus
3401 Centre Lake Dr Ste 512 |
$37.83 | 6,378 | 6,107 |
|
Urmila M Patel
1151 E Walnut St |
$0.00 | 6,229 | 5,162 |
|
County Of San Bernardino
2940 Inland Empire Blvd |
$825.78 | 6,154 | 5,891 |
|
Bryan Rocha
437 N Euclid Ave |
$18.89 | 5,896 | 3,832 |
|
Tahnee Lilly
840 S Magnolia Ave Unit 1405 |
$39.18 | 5,584 | 5,505 |
|
Wills Ngamfon
1131 W 6Th St Ste 230 |
$113.26 | 5,369 | 5,338 |
|
Terry Kang
2295 S Vineyard Ave |
$95.80 | 5,005 | 4,807 |
|
Cherilou Cruz Concepcion
3333 Concours St |
$67.03 | 4,448 | 4,421 |
|
Alexandora Ekkens Siporin
955 N Duesenberg Dr |
$1.69 | 4,245 | 4,194 |
|
Geeta Patel
750 N Archibald Ave Ste L |
$60.57 | 4,101 | 3,670 |
|
Francisco Guadalupe Mendivil Moreno
728 N Euclid Ave |
$28.72 | 3,333 | 2,959 |
|
Ronald James Pratt
1910 S Archibald Ave Ste E2 |
$0.24 | 2,935 | 2,693 |
|
Nuzhat Farzana Waheed
2234 S Euclid Ave |
$8.50 | 2,781 | 2,587 |
|
Sarah Gayle Caro
3990 Concours |
$2.91 | 2,681 | 2,087 |
|
Brian Wong
1520 N Mountain Ave # E122 |
$28.63 | 2,615 | 2,439 |
|
Lisa Marie Lliteras
855 N Euclid Ave |
$1,784 | 2,558 | 2,556 |
|
Mauricio Bonilla
1129 W 4Th St |
$4.79 | 2,160 | 1,713 |
|
Paul S Hong
728 N Euclid Ave |
$31.71 | 2,137 | 2,061 |
|
Charles Yuan Ho
2525 S Euclid Ave |
$0.61 | 2,050 | 1,907 |
|
Jisha Pangottil
2295 S Vineyard Ave |
$11.96 | 2,045 | 1,412 |
|
Benjamin Maurice Kershberg
2295 S Vineyard Ave |
$3.40 | 2,030 | 1,986 |
|
Britney Elise Kaufman
3333 Concours St |
$55.06 | 2,017 | 1,999 |
|
Judith Cabrera
3401 Centre Lake Dr Ste 512 |
$4.41 | 1,966 | 1,707 |
|
Stephen Styadi
1760 E Flora St |
$10.51 | 1,905 | 1,891 |
|
Tsung Tso Tsai
2295 S Vineyard Ave |
$22.14 | 1,883 | 1,794 |
|
Lourdes Villasenor
1520 N Mountain Ave Ste 128 |
$0.01 | 1,777 | 1,740 |
|
Abid H Khan
1001 W 6Th St |
$27.02 | 1,758 | 1,720 |
|
Grace Bartlett
2820 S Sultana Ave |
$30.62 | 1,738 | 1,690 |
|
Stewart E Rendon
754 N Mountain Ave |
$84.15 | 1,699 | 1,665 |
|
Chao-Ming Charles Lin
2232 S Mountain Ave |
$0.25 | 1,679 | 1,550 |
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 Ontario, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ontario, CA is $37.92 per claim, based on 498,039 claims from 115 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 Ontario, CA?
There are 115 Medicaid providers offering Office Visit related services in Ontario, CA according to public payment data.
What is the price range for Office Visit in Ontario, CA?
Medicaid reimbursement for Office Visit in Ontario, CA ranges from $0.00 to $1,784 per claim, with an average of $37.92. 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 Ontario, CA
Substance Abuse Treatment
Avg $25.92
554,316 claims
Behavioral & Mental Health Therapy
Avg $159.21
465,128 claims
Dental Cleaning & Exam
Avg $54.84
216,829 claims
Speech Therapy
Avg $42.25
216,721 claims
Blood Work & Lab Tests
Avg $2.46
141,892 claims
Psychiatric Evaluation
Avg $137.36
121,883 claims
Vaccines & Immunizations
Avg $3.27
116,444 claims
Prescription Medications
Avg $7.81
58,779 claims