Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Orange, CA: $52.01

Avg. Paid

$52.01

Range

$0.00 – $1,181

Total Claims

2,116,805

Providers

991

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 Orange, CA

Provider	Avg. Paid	Claims	Patients
Planned Parenthood/Orange And San Bernardino Counties, Inc. 700 S Tustin St	$60.47	125,340	117,744
Childrens Hospital Of Orange County 455 S Main St	$39.57	124,126	117,353
Janet Carol Jacobson 700 S Tustin St	$125.81	84,327	77,514
Adult And Pediatric Orthopaedic Specialists A Medical Group Inc 1310 W Stewart Dr	$67.56	54,335	52,915
Daniel F. Chueh 1010 W Chapman Ave	$52.99	33,768	26,509
Altamed Health Services Corp 4010 E Chapman Ave	$2.47	32,161	28,794
Children'S Hospital Of Orange County 1201 W La Veta Ave	$30.42	32,064	29,522
Children'S Hospital Of Orange County 1201 W La Veta Ave	$80.58	27,893	27,368
Rimal B Bera Uci Medical Center	$11.99	27,101	23,249
Gustavo Alva 302 W La Veta Ave Ste 202	$63.83	25,600	21,710
Uci Department Of Urology 101 The City Dr S	$68.39	24,595	24,207
Kyna Z Shnayderman 4010 E Chapman Ave	$2.64	24,032	19,553
Children'S Hospital Of Orange County 1201 W La Veta Ave	$69.94	23,823	23,517
Regents Of The University Of California 101 The City Dr S	$37.67	23,519	22,252
Uc Regents Uci Dept Of Pediatrics 101 The City Dr S	$96.66	22,948	22,673
Uc Regents 101 The City Dr S	$69.98	22,280	20,596
Felizardo S. Camilon 505 S Main St	$61.74	21,437	19,496
Ricardo Jose Negron 1038 E Chapman Ave	$10.29	20,084	18,378
William H Nuesse M D And Mary Ann Nuesse D O A Medical Corporation 867 S Tustin St	$64.48	19,188	18,442
Uc Regents 101 The City Dr S	$32.14	18,862	15,498
Children'S Hospital Of Orange County 1201 W La Veta Ave	$72.96	18,606	18,351
Children'S Hospital Of Orange County 1201 W La Veta Ave	$80.10	17,814	17,556
Sohrab Salamatipour 775 N Tustin St	$80.41	17,285	14,903
Raymundo M Garcia Lora M.D., Inc 1920 E Katella Ave Ste P	$33.63	17,179	16,618
Children'S Hospital Of Orange County 1201 W La Veta Ave	$89.23	15,571	15,181
Jenny Wang 845 W La Veta Ave Ste 108	$7.15	15,216	12,015
Children'S Hospital Of Orange County 1201 W La Veta Ave	$60.45	14,859	14,807
Alan E. Gorenberg 8506 E Chapman Ave	$77.45	14,736	14,405
Uc Regents 101 The City Dr S	$4.95	14,000	13,350
Children'S Hospital Of Orange County 1201 W La Veta Ave	$62.08	13,971	11,482
Regents Of The University Of Claifornia Univ Neursciences 101 The City Dr S	$55.44	13,957	13,533
Kyle Arthur Strodtbeck 3745 W Chapman Ave	$6.06	13,884	13,173
Children'S Hospital Of Orange County 1201 W La Veta Ave	$75.53	13,600	13,486
Emily E Dow Uci Medical Center	$29.82	13,193	12,260
Regents Of The University Of 101 The City Dr S	$5.27	12,946	12,067
University Surgeons Of Orange A Medical Group 101 The City Dr S	$41.19	12,457	11,695
Regents Of The University Of California 101 The City Dr S	$37.75	12,324	11,866
Melissa Aromin 505 S Main St	$0.25	12,278	6,878
Jeanette Baldonado Botwin 1201 W La Veta Ave	$2.58	11,970	9,522
Adebanke Latifat Lesi 455 S Main St	$0.31	11,644	10,623
Raymundo Miguel Garcia Lora 1920 E Katella Ave Ste P	$48.32	11,570	10,621
Children'S Hospital Of Orange County 1201 W La Veta Ave	$60.88	11,433	10,508
William H. Nuesse 867 S Tustin St	$57.50	11,118	9,022
Behnam Khaleghi 805 W La Veta Ave	$114.58	10,675	9,900
Rahul Bhola 1201 W La Veta Ave	$46.85	10,596	10,069
Regents Of The University Of California 101 The City Dr S	$93.31	10,110	9,243
Pediatric Subspecialty Faculty, Inc. 1201 W La Veta Ave	$74.23	9,869	9,150
Austina Bongnai Cho 265 S Anita Dr Ste 102-104	$56.56	9,658	9,061
Melitza J Cobham-Browne Uci Medical Center	$17.57	9,502	7,831
Shannon Leigh Ippoliti 505 S Main St	$0.19	9,350	8,177

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 Orange, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Orange, CA is $52.01 per claim, based on 2,116,805 claims from 991 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 Orange, CA?

There are 991 Medicaid providers offering Office Visit related services in Orange, CA according to public payment data.

What is the price range for Office Visit in Orange, CA?

Medicaid reimbursement for Office Visit in Orange, CA ranges from $0.00 to $1,181 per claim, with an average of $52.01. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Orange, CA: $52.01

Providers Offering Office Visit in Orange, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Orange, CA

Blood Work & Lab Tests

Ambulance Transport

X-Ray

Emergency Room Visit

Urinalysis & Urine Tests

Dental Cleaning & Exam

EKG / ECG (Electrocardiogram)

Ultrasound