Average Medicaid Office Visit Payments in Pacoima, CA: $15.53
Avg. Paid
$15.53
Range
$0.00 – $1,105
Total Claims
100,549
Providers
23
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 Pacoima, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jesse David Sanders
12756 Van Nuys Blvd |
$0.37 | 39,925 | 36,775 |
|
Wendy Janet Fields
12756 Van Nuys Blvd |
$0.35 | 18,697 | 17,180 |
|
Latonya Burnell
12756 Van Nuys Blvd |
$30.38 | 11,641 | 10,627 |
|
David Lawrence Mcintosh
12756 Van Nuys Blvd |
$0.46 | 8,431 | 8,054 |
|
Andrew Degiorgio
12451 West Gain St. |
$0.02 | 5,184 | 5,051 |
|
Gregory D Cohen
13500 Van Nuys Blvd |
$0.72 | 4,492 | 4,150 |
|
Deborah A Roskamp
12756 Van Nuys Blvd |
$0.00 | 2,488 | 2,314 |
|
Hillview Mental Health Center, Inc.
12450 Van Nuys Blvd |
$381.80 | 2,411 | 2,024 |
|
Ana D Saravia
12756 Van Nuys Blvd |
$3.80 | 1,710 | 1,671 |
|
Diana Perez Nunez
12756 Van Nuys Blvd |
$4.51 | 1,177 | 1,125 |
|
Mae Khristine Ubaldo Adriano
12540 Pierce St |
$0.00 | 1,026 | 956 |
|
Northeast Valley Health Corporation
12756 Van Nuys Blvd |
$2.97 | 985 | 944 |
|
Hyuk Kim
13563 Van Nuys Blvd |
$28.84 | 712 | 661 |
|
County Of Los Angeles
13300 Van Nuys Blvd |
$13.02 | 506 | 469 |
|
Jenny L. Yoon
12756 Van Nuys Blvd |
$0.00 | 401 | 397 |
|
Parviz P Taheri
13680 Van Nuys Blvd |
$0.01 | 166 | 162 |
|
Fe A Navarrez
12756 Van Nuys Blvd |
$0.00 | 145 | 116 |
|
Hathaway-Sycamores Child And Family Services
12450 Van Nuys Blvd Ste 100 |
$901.93 | 99 | 88 |
|
Northeast Valley Health Corporation
12451 W. Gain Street |
$0.00 | 95 | 90 |
|
Hathaway-Sycamores Child And Family Services
12510 Van Nuys Blvd |
$1,105 | 88 | 80 |
|
Didi Hirsch Psychiatric Service
11643 Glenoaks Blvd |
$335.41 | 85 | 74 |
|
Maria Longhitano
12450 Van Nuys Blvd |
$2.46 | 72 | 70 |
|
Arthur F Roemmelt
12450 Van Nuys Blvd Ste 100 |
$119.50 | 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 Pacoima, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pacoima, CA is $15.53 per claim, based on 100,549 claims from 23 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 Pacoima, CA?
There are 23 Medicaid providers offering Office Visit related services in Pacoima, CA according to public payment data.
What is the price range for Office Visit in Pacoima, CA?
Medicaid reimbursement for Office Visit in Pacoima, CA ranges from $0.00 to $1,105 per claim, with an average of $15.53. 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 Pacoima, CA
Behavioral & Mental Health Therapy
Avg $147.19
205,124 claims
Vaccines & Immunizations
Avg $0.09
74,694 claims
Case Management Services
Avg $134.55
66,192 claims
Dental Cleaning & Exam
Avg $55.85
56,605 claims
Blood Work & Lab Tests
Avg $0.12
53,338 claims
Psychiatric Evaluation
Avg $93.42
52,485 claims
Substance Abuse Treatment
Avg $83.82
12,804 claims
Dental Filling
Avg $62.92
11,359 claims