Based on public Medicaid payment data.

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
Monica E Sandhu 795 El Camino Real	$21.33	12	12
Brenda Golianu 725 Welch Rd	$142.42	12	12
Heather Marie Giacone 725 Welch Rd	$181.87	12	12
David N Rosenthal 725 Welch Rd	$81.30	12	12
Anne Marie Dubin 725 Welch Rd	$100.49	12	12
Dena Rae Matalon 725 Welch Rd	$211.51	12	12
Kanak Verma Kennedy 725 Welch Rd	$195.31	12	12
Milana Vera Dolezal 300 Pasteur Dr	$6.25	12	12
Cynthia Hom 795 El Camino Real	$19.44	12	12
Anahid Hekmat 300 Pasteur Dr	$22.79	12	12
Peter Hwang 725 Welch Rd	$15.92	12	12
Amy Conrad 725 Welch Rd	$0.00	12	12
Nicholas Andrew Avdimiretz 725 Welch Rd	$188.99	12	12
Jeffrey Scott Peterson 701 Welch Rd Bldg C	$35.83	12	12
Richard Deslauriers 795 El Camino Real	$42.55	12	12
Hilary Rachel Jericho 725 Welch Rd	$170.30	12	12
Rajesh Punn 725 Welch Rd	$31.50	12	12
David Andrew Stevenson 725 Welch Rd	$129.05	12	12
Peter B Gregory 750 Welch Rd Ste 210	$22.02	12	12
Anand Hemant Athavale 300 Pasteur Dr	$157.19	12	12
Kristina Smith 795 El Camino Real	$32.30	12	12
George Poultsides 300 Pasteur Dr	$54.56	12	12
Steven Hansen 795 El Camino Real	$31.21	12	12
Michelle Anne Kaplinski 725 Welch Rd	$100.01	12	12
Albert Chainey Umphrey 300 Pasteur Dr	$0.00	12	12
Jennifer Chyau-Yau Jeng-Lin 3801 Miranda Ave	$0.00	12	12
Perseus Vistasp Patel 725 Welch Rd	$0.00	12	12
Shruti Roy 795 El Camino Real	$38.97	12	12
Jesse Lyle Courtier 725 Welch Rd	$34.38	13	13
Chelsey Marie Burke 725 Welch Rd	$46.56	13	13
Thomas Andrew Sarti 2100 Geng Rd Ste 210	$1.85	13	13
Jason W Much 795 El Camino Real	$7.74	13	13
Jennifer Maurine Ikle 725 Welch Rd	$125.61	13	13
Joaquin Archiel Galarza 795 El Camino Real	$32.90	13	13
Marc H Levin 795 El Camino Real	$63.06	13	13
Katherine Brenda Xiong 725 Welch Rd	$130.26	13	13
Mary Ann Lloyd 795 El Camino Real	$2.41	13	13
Itza V. Castro 795 El Camino Real Fl 3	$2.04	13	13
Rahim Shiraz Nazerali 300 Pasteur Dr	$40.35	13	13
Thomas Duane Dieringer 300 Pasteur Dr	$100.93	13	13
Julia Elizabeth Noel 801 Welch Rd	$0.00	13	13
Douglas Zhi-Wen Liou 300 Pasteur Dr	$41.55	13	13
Evangelina Molina 795 El Camino Real	$31.46	13	12
Kathleen M Sakamoto 725 Welch Rd	$134.09	14	13
Yinchong Erica Mak 795 El Camino Real	$4.69	14	12
Emily Cummings Hardy 770 Welch Rd	$49.12	14	13
Frank Chen 795 El Camino Real	$11.26	14	12
Swaytha Vasuma Yalamanchi 795 El Camino Real	$25.25	14	14
Frederick Lloyd 795 El Camino Real	$3.27	14	14
Anne Devereux Niehaus 725 Welch Rd	$141.71	14	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 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.

Average Medicaid Office Visit Payments in Palo Alto, CA: $43.09

Providers Offering Office Visit in Palo Alto, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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New York, NY

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Houston, TX

Las Vegas, NV

Other Procedures in Palo Alto, CA

X-Ray

Blood Work & Lab Tests

Vaccines & Immunizations

EKG / ECG (Electrocardiogram)

Ultrasound

Emergency Room Visit

Hearing Test (Audiometry)

Urinalysis & Urine Tests