Average Medicaid Office Visit Payments in Palo Alto, CA: $43.09
Avg. Paid
$43.09
Range
$0.00 – $276.92
Total Claims
860,500
Providers
710
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 Palo Alto, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Muhammad Hassan Bashir
725 Welch Rd |
$49.61 | 50,779 | 34,645 |
|
Lucile Salter Packard Children'S Hospital At Stanford
725 Welch Rd |
$64.18 | 49,053 | 38,092 |
|
Anne Elizabeth Stuart
725 Welch Rd |
$4.41 | 37,619 | 23,666 |
|
Enoch Choi
795 El Camino Real |
$4.42 | 36,397 | 22,569 |
|
Hannah Bianca Valino
725 Welch Rd |
$0.66 | 14,208 | 9,984 |
|
Soniya Mehra
725 Welch Rd |
$2.88 | 13,085 | 7,750 |
|
Aarthi Anand
270 Grant Ave |
$4.85 | 12,833 | 7,095 |
|
Shireen Victoria Guide
725 Welch Rd |
$50.69 | 12,353 | 11,706 |
|
Camha Thi Le
725 Welch Rd |
$0.36 | 12,059 | 10,049 |
|
Laura Brittany Campbell
725 Welch Rd |
$2.89 | 11,614 | 7,117 |
|
Trang Lehman
795 El Camino Real |
$0.02 | 11,038 | 6,982 |
|
Kishore B Khankari
795 El Camino Real |
$50.71 | 10,160 | 8,047 |
|
Sunitha Gill
3801 Miranda Ave |
$0.42 | 9,532 | 6,899 |
|
Sutter Bay Medical Foundation
795 El Camino Real |
$35.69 | 9,527 | 8,329 |
|
Wesley William Taft
725 Welch Rd |
$78.52 | 9,225 | 8,903 |
|
Janet M. Spraggins
350 Cambridge Ave |
$11.40 | 8,190 | 5,412 |
|
Nitikul Srisirirojanakorn Solomon
725 Welch Rd |
$5.36 | 7,887 | 7,523 |
|
Mahnoosh Kuhbanani Seifoddini
3801 Miranda Ave |
$3.20 | 7,687 | 6,517 |
|
Daniel Navi
900 Blake Wilbur Dr |
$10.70 | 7,333 | 7,181 |
|
Curtis Robert Chong
300 Pasteur Dr |
$51.13 | 6,763 | 4,689 |
|
Amy Rachel Dixit
725 Welch Rd |
$20.94 | 6,734 | 6,410 |
|
Cammon Bart Arrington
725 Welch Rd |
$158.61 | 6,654 | 6,615 |
|
Nasha Nasim Sabery Khavari
725 Welch Rd |
$121.30 | 6,457 | 6,309 |
|
Sarah Ulrich Phillips
195 Page Mill Rd Ste 103 |
$3.17 | 6,144 | 3,779 |
|
Kate Coleman
195 Page Mill Rd Ste 103 |
$1.60 | 5,948 | 5,776 |
|
Amna Fatima Khan
725 Welch Rd |
$3.03 | 5,633 | 3,490 |
|
Erin Gonzales
725 Welch Rd |
$3.44 | 5,483 | 4,481 |
|
Molly Ann Marker Cirone
725 Welch Rd |
$2.72 | 5,417 | 3,654 |
|
Gina Marie Deangelis
795 El Camino Real |
$6.21 | 5,374 | 3,392 |
|
Emily Sarah Charlson
2452 Watson Ct |
$8.89 | 5,315 | 5,164 |
|
Farah Musa Shahin
725 Welch Rd |
$3.03 | 5,211 | 3,417 |
|
Mellerie Langford
195 Page Mill Rd Ste 103 |
$49.22 | 5,176 | 3,972 |
|
Lisa A Lestishock
725 Welch Rd |
$3.07 | 5,109 | 3,138 |
|
Andrew James Maxwell
725 Welch Rd |
$65.00 | 4,577 | 4,253 |
|
Ann Louise Marqueling
725 Welch Rd |
$89.10 | 4,491 | 4,386 |
|
Supriya Kar Atianand
725 Welch Rd |
$69.62 | 4,477 | 4,287 |
|
Derek Hanson Chu
725 Welch Rd |
$77.54 | 4,354 | 4,253 |
|
Dawn Chandra Duane
725 Welch Rd |
$80.70 | 4,244 | 4,151 |
|
Dennis Siegler
795 El Camino Real |
$3.43 | 4,178 | 2,727 |
|
Veronika Sharp
1000 Welch Rd |
$8.43 | 4,168 | 4,113 |
|
William Anthony Kennedy
730 Welch Rd |
$78.60 | 4,154 | 4,086 |
|
Noelle Evonne Gunn
195 Page Mill Rd Ste 103 |
$0.91 | 4,138 | 2,256 |
|
Emily Ichikawa
195 Page Mill Rd Ste 103 |
$56.80 | 4,127 | 3,534 |
|
Robyn Marie Mical
725 Welch Rd |
$74.27 | 4,071 | 3,223 |
|
Albert Ming Yu
725 Welch Rd |
$4.30 | 4,011 | 3,786 |
|
Joyce M Teng
725 Welch Rd |
$78.17 | 3,971 | 3,868 |
|
Michael David Sgroi
300 Pasteur Dr |
$7.92 | 3,951 | 3,831 |
|
Kirsti Ilona Weng Elder
300 Pasteur Dr |
$8.09 | 3,850 | 2,805 |
|
Rachel Mariko Ruiz
750 Welch Rd |
$3.71 | 3,749 | 2,093 |
|
Andrea Bialek Gladstein
195 Page Mill Rd Ste 103 |
$5.89 | 3,720 | 1,949 |
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 Palo Alto, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Palo Alto, CA is $43.09 per claim, based on 860,500 claims from 710 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 Palo Alto, CA?
There are 710 Medicaid providers offering Office Visit related services in Palo Alto, CA according to public payment data.
What is the price range for Office Visit in Palo Alto, CA?
Medicaid reimbursement for Office Visit in Palo Alto, CA ranges from $0.00 to $276.92 per claim, with an average of $43.09. 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 Palo Alto, CA
X-Ray
Avg $7.22
305,903 claims
Blood Work & Lab Tests
Avg $11.98
301,455 claims
Vaccines & Immunizations
Avg $4.15
236,777 claims
EKG / ECG (Electrocardiogram)
Avg $13.82
120,401 claims
Ultrasound
Avg $60.90
120,394 claims
Emergency Room Visit
Avg $68.30
87,160 claims
Hearing Test (Audiometry)
Avg $18.47
80,368 claims
Urinalysis & Urine Tests
Avg $5.16
64,501 claims