Average Medicaid Office Visit Payments in Orinda, CA: $6.65
Avg. Paid
$6.65
Range
$0.00 – $94.14
Total Claims
36,251
Providers
25
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 Orinda, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Michele Herman
140 Brookwood Rd |
$1.00 | 14,375 | 8,828 |
|
Sarah Ashland
3 Altarinda Rd Ste 300 |
$5.11 | 9,700 | 5,401 |
|
Irina V Butorina
140 Brookwood Rd Ste 201 |
$5.04 | 3,466 | 2,053 |
|
Karine Hajyan
3 Altarinda Rd Ste 200 |
$0.00 | 3,098 | 1,869 |
|
Kaitlin Warren
12 Camino Encinas |
$44.52 | 1,455 | 1,401 |
|
Norman M Price
1 Via Hermosa |
$0.00 | 1,299 | 1,095 |
|
Gwynne L Searls
140 Brookwood Rd |
$1.11 | 553 | 407 |
|
James Daniel Evans
3 Altarinda Rd Ste 300 |
$33.30 | 523 | 510 |
|
Kanwar Singh Kelley
77 Moraga Way Ste G |
$69.23 | 327 | 323 |
|
John Franklin Lennox
3 Altarinda Rd Ste 200 |
$19.77 | 219 | 211 |
|
John S. Edelen
15 Altarinda Rd Ste 112 |
$25.71 | 209 | 202 |
|
Vyjayanti Ramaswamy
140 Brookwood Rd |
$18.78 | 204 | 116 |
|
Joseph Haggerty
3 Altarinda Rd Ste 200 |
$94.14 | 179 | 159 |
|
Anny Ching
12 Camino Encinas |
$0.00 | 116 | 110 |
|
Haley Mae Fuchs
77 Moraga Way Ste G |
$66.02 | 102 | 91 |
|
Malaika Stoll
12 Camino Encinas |
$63.90 | 90 | 66 |
|
Jyothi Bachwani
12 Camino Encinas |
$10.50 | 72 | 71 |
|
Tiffany Elkin Perry
3 Altarinda Rd Ste 200 |
$91.81 | 67 | 52 |
|
Frederick Sewoong Oh
12 Camino Encinas |
$5.68 | 48 | 48 |
|
Sri S Nimmagadda
12 Camino Encinas |
$37.84 | 45 | 41 |
|
Pelen Tammy Wu
3 Altarinda Rd Ste 300 |
$31.68 | 32 | 26 |
|
Michelle Y. Ong
140 Brookwood Rd |
$0.00 | 30 | 28 |
|
Harvey William Olsen
50 Robert Rd |
$40.85 | 14 | 14 |
|
Matthew Tamplen
77 Moraga Way Ste G |
$0.00 | 14 | 13 |
|
Hank Haw Sun
16 El Verano |
$73.73 | 14 | 14 |
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 Orinda, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Orinda, CA is $6.65 per claim, based on 36,251 claims from 25 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 Orinda, CA?
There are 25 Medicaid providers offering Office Visit related services in Orinda, CA according to public payment data.
What is the price range for Office Visit in Orinda, CA?
Medicaid reimbursement for Office Visit in Orinda, CA ranges from $0.00 to $94.14 per claim, with an average of $6.65. 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 Orinda, CA
Home Health Visit
Avg $148.62
9,263 claims
Vaccines & Immunizations
Avg $10.18
6,770 claims
Dental Cleaning & Exam
Avg $47.16
4,486 claims
Hearing Test (Audiometry)
Avg $4.93
1,594 claims
Blood Work & Lab Tests
Avg $0.67
1,341 claims
Urinalysis & Urine Tests
Avg $3.34
1,265 claims
Echocardiogram
Avg $25.74
1,262 claims
Dental Crown
Avg $473.46
854 claims