Average Medicaid Office Visit Payments in Orosi, CA: $11.56
Avg. Paid
$11.56
Range
$0.00 – $21.48
Total Claims
62,405
Providers
16
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 Orosi, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alberto Ruvalcaba
12586 Avenue 408 |
$10.33 | 14,243 | 8,547 |
|
Reedley Community Hospital
41696 Road 128 |
$21.48 | 13,693 | 11,289 |
|
Bradley Jay Hamann
12586 Avenue 408 |
$2.92 | 11,963 | 8,167 |
|
Benito Rivas
12686 Avenue 416 |
$10.72 | 5,636 | 3,549 |
|
Hugo Ernesto Lopez Mendoza
41696 Road 128 |
$14.48 | 5,025 | 2,612 |
|
Stephen R Strand
12683 Avenue 416 |
$12.94 | 4,961 | 2,659 |
|
Barbara Alvarado
12683 Avenue 416 |
$14.19 | 2,801 | 2,106 |
|
Green Valley Medical Corporation
41689 Road 128 |
$0.03 | 1,876 | 1,405 |
|
Virender S. Kaleka, M.D.
12572 Avenue 416 |
$1.20 | 1,263 | 845 |
|
Family Healthcare Network
12586 Avenue 408 |
$6.55 | 467 | 405 |
|
San Joaquin Family Healthcare Association, Inc
12683 Ave 416 |
$16.93 | 208 | 160 |
|
Family Health Centers Inc
12572 Avenue 416 Ste B |
$0.07 | 121 | 71 |
|
David Heath
12586 Avenue 408 |
$2.07 | 79 | 77 |
|
Jill M. Russom
12586 Avenue |
$0.00 | 29 | 26 |
|
Bradley Kirk Arnsberger
41696 Road 128 |
$2.39 | 21 | 13 |
|
Adam J Marks
12586 Ave. 408 |
$0.00 | 19 | 19 |
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 Orosi, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Orosi, CA is $11.56 per claim, based on 62,405 claims from 16 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 Orosi, CA?
There are 16 Medicaid providers offering Office Visit related services in Orosi, CA according to public payment data.
What is the price range for Office Visit in Orosi, CA?
Medicaid reimbursement for Office Visit in Orosi, CA ranges from $0.00 to $21.48 per claim, with an average of $11.56. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Orosi, CA
Dental Cleaning & Exam
Avg $21.64
7,181 claims
Emergency Room Visit
Avg $7.85
4,843 claims
Blood Work & Lab Tests
Avg $1.84
4,785 claims
Vaccines & Immunizations
Avg $8.71
3,606 claims
Dental Filling
Avg $34.72
1,953 claims
Tooth Extraction
Avg $31.10
1,642 claims
Substance Abuse Treatment
Avg $11.17
1,118 claims
Urinalysis & Urine Tests
Avg $0.34
614 claims