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 |
|---|---|---|---|
|
Dhaval H Patel
3330 Centre Lake Dr |
$0.00 | 12 | 12 |
|
Jesus Perea Ochoa
4355 E Airport Dr Ste 100 |
$18.60 | 12 | 12 |
|
Catherine Tuong
951 N Milliken Ave |
$36.92 | 13 | 13 |
|
Debra Ann Blanco
437 N Euclid Ave |
$0.00 | 14 | 13 |
|
Sunshine Pediatric
756 N Euclid Ave # B |
$0.00 | 15 | 15 |
|
Michaella Marie Yulienco Gaite
2295 S Vineyard Ave |
$43.00 | 15 | 14 |
|
Francesca Yarnall
3401 Centre Lake Dr Ste 512 |
$0.00 | 15 | 13 |
|
Krupali Kaneyalal Tejura
1801 Excise Ave Ste 108 |
$35.69 | 16 | 16 |
|
Jeanne Marie Jackson
3734 Santiago Creek Way |
$57.20 | 17 | 17 |
|
Usha Sachdev
550 N Monterey Ave |
$0.00 | 19 | 19 |
|
King Cachola
2295 S Vineyard Ave |
$0.00 | 25 | 25 |
|
Erin Marie Pascale
3200 Inland Empire Blvd Ste 100 |
$17.66 | 26 | 26 |
|
Fernando Jose Avila
2295 S Vineyard Ave |
$94.44 | 27 | 25 |
|
Liliana Lopez Sandoval
1131 W 6Th St Ste 305 |
$0.00 | 27 | 27 |
|
Gabriel Tomas Trainer
2295 S Vineyard Ave |
$16.94 | 31 | 31 |
|
County Of San Bernardino
2940 Inland Empire Blvd |
$906.94 | 33 | 27 |
|
Brijesh Ghanshyam Patel
2665 E Riverside Dr |
$5.74 | 38 | 37 |
|
Arsineh Amirkhanian
3155D Sedona Ct, Ste 100 |
$0.00 | 47 | 45 |
|
Sean Fallon
2980 Inland Empire Blvd Unit 102 |
$0.00 | 49 | 44 |
|
Pomona Community Health Center
2680 E Riverside Dr |
$0.00 | 53 | 46 |
|
Jinwei Hu
2295 S Vineyard Ave Ste A |
$8.95 | 55 | 53 |
|
Rachel Nuguid Taruc-Carlos
437 N Euclid Ave |
$85.00 | 63 | 62 |
|
Brett Heslop
2295 S Vineyard Ave |
$58.90 | 65 | 55 |
|
Adebukola Elizabeth Olusanya
2940 Inland Empire Blvd |
$3.28 | 67 | 67 |
|
Hedy Cecilia Loa
1131 W 6Th St Ste 150 |
$16.65 | 78 | 77 |
|
Bryan Y Liou
2295 S Vineyard Ave |
$6.32 | 80 | 80 |
|
Ana Mae Aum Abaya
2295 S Vineyard Ave |
$0.00 | 83 | 67 |
|
Hla Myint Maung Shin Jian Hwang
1131 W 6Th St Ste 150 |
$43.47 | 94 | 93 |
|
Alexandra Interiano-Orozco
970 N Mountain Ave |
$0.00 | 109 | 105 |
|
Gerardo Albert Regalado
403 W F St |
$26.03 | 118 | 115 |
|
Thomas Jin Tanaka
2295 S Vineyard Ave |
$22.02 | 121 | 119 |
|
Catareya Liep Md Inc
437 N Campus Ave |
$5.75 | 140 | 119 |
|
Pardis Amirhoushmand
317 W F St |
$228.95 | 173 | 172 |
|
Ruth Chambi - Hernandez
1871 E 4Th St |
$0.42 | 189 | 181 |
|
Valley Star Behavioral Health, Inc.
316 E E St |
$468.84 | 193 | 183 |
|
California Medical Clinic Inc.
402 E Holt Blvd |
$0.17 | 197 | 184 |
|
David Duc Diep
2295 S Vineyard Ave |
$8.64 | 212 | 201 |
|
Sheila Marie Adaya Adan
2295 S Vineyard Ave |
$27.94 | 235 | 220 |
|
Jacquiline Rances Jamora
1035 E Riverside Dr |
$0.00 | 322 | 226 |
|
Sandra Lynn Miller
3401 Centre Lake Dr Ste 512 |
$0.14 | 324 | 289 |
|
Ashley Diane Mccabe
3401 Centre Lake Dr Ste 512 |
$0.00 | 334 | 226 |
|
Lilian Y Chou
1440 E Cedar St |
$3.87 | 335 | 333 |
|
Michael James Conley
3401 Centre Lake Dr Ste 470 |
$134.83 | 377 | 288 |
|
Ansar Mahmood Malik
3200 E Guasti Rd Ste 100 |
$22.45 | 404 | 357 |
|
West End Family Counseling Service
855 N Euclid Ave |
$871.20 | 419 | 390 |
|
Nawal Kamel
1151 E Walnut St |
$0.00 | 472 | 452 |
|
Daniel Tannous
2295 S Vineyard Ave |
$29.91 | 509 | 507 |
|
Alan Kuo
2295 S Vineyard Ave |
$55.87 | 530 | 474 |
|
Stefanie Ann Varela
2295 S Vineyard Ave Bldg D |
$1.38 | 585 | 565 |
|
Upland-Ontario Medical Clinic Inc
1520 N Mountain Ave Ste 128 |
$6.81 | 600 | 514 |
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