Average Medicaid Office Visit Payments in Pacific Palisades, CA: $14.24
Avg. Paid
$14.24
Range
$0.00 – $100.48
Total Claims
10,562
Providers
12
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 Pacific Palisades, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Azizeh Asgari
16040 W Sunset Blvd |
$2.26 | 6,991 | 6,177 |
|
Igor Sapozhnikov
881 Alma Real Dr Ste 101 |
$67.87 | 1,163 | 1,150 |
|
Nasser Redjal
1523 Calle Patricia |
$0.00 | 822 | 791 |
|
Erin Lynne Imler
881 Alma Real Dr Ste 214 |
$1.46 | 674 | 411 |
|
Mihaela R. Balica
881 Alma Real Dr Ste 101 |
$22.82 | 195 | 189 |
|
Mary-Margaret Shaffer Kim
910 Via De La Paz |
$69.82 | 184 | 176 |
|
Sarah Wexler
17660 Camino De Yatasto |
$67.32 | 152 | 149 |
|
Van T Nguyen
910 Via De La Paz |
$85.10 | 139 | 134 |
|
Jason Joseph Debonis
701 Haverford Ave |
$100.48 | 132 | 132 |
|
Bernard J Katz
881 Alma Real Dr |
$13.62 | 55 | 55 |
|
Joseph A Hardwick
225 Notteargenta Rd |
$30.72 | 42 | 42 |
|
Ericka Marie Gair
15200 W Sunset Blvd Ste 107 |
$0.00 | 13 | 13 |
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 Pacific Palisades, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pacific Palisades, CA is $14.24 per claim, based on 10,562 claims from 12 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 Pacific Palisades, CA?
There are 12 Medicaid providers offering Office Visit related services in Pacific Palisades, CA according to public payment data.
What is the price range for Office Visit in Pacific Palisades, CA?
Medicaid reimbursement for Office Visit in Pacific Palisades, CA ranges from $0.00 to $100.48 per claim, with an average of $14.24. 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 Pacific Palisades, CA
Emergency Room Visit
Avg $66.07
23,481 claims
Blood Work & Lab Tests
Avg $9.76
13,599 claims
Urinalysis & Urine Tests
Avg $1.67
4,705 claims
Dental Cleaning & Exam
Avg $6.33
4,038 claims
Tooth Extraction
Avg $97.06
2,876 claims
Psychiatric Evaluation
Avg $92.57
2,544 claims
EKG / ECG (Electrocardiogram)
Avg $23.15
2,017 claims
Vaccines & Immunizations
Avg $3.21
1,668 claims