Average Medicaid Office Visit Payments in Pasadena, CA: $21.48
Avg. Paid
$21.48
Range
$0.00 – $1,232
Total Claims
1,036,760
Providers
466
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 Pasadena, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
William M Costigan
800 S Raymond Ave |
$3.12 | 12 | 12 |
|
Ron Andrew Shatzmiller
595 E Colorado Blvd Ste 602 |
$43.11 | 12 | 12 |
|
Lance Eugene Gravely
50 Alessandro Pl Ste 340 |
$132.54 | 12 | 12 |
|
Modern Concepts Medical Group
50 Bellefontaine St |
$42.87 | 12 | 12 |
|
Philip Gair Pearson
630 S Raymond Ave |
$13.63 | 12 | 12 |
|
Steven Wu
100 W California Blvd |
$120.83 | 12 | 12 |
|
Hawna Y Chau
477 E Colorado Blvd |
$23.75 | 12 | 12 |
|
Anaheim Urgent Care, Inc.
600 S Lake Ave Ste 105 |
$15.02 | 12 | 12 |
|
Vivien Au
2619 E Colorado Blvd |
$67.96 | 12 | 12 |
|
Bhavik Mukesh Magan
3280 E Foothill Blvd |
$35.83 | 12 | 12 |
|
Ashish B Patel
800 Fairmount Ave |
$9.21 | 12 | 12 |
|
Community Health Alliance Of Pasadena
2055 Lincoln Ave |
$0.00 | 12 | 12 |
|
Tony Wai Tiu
680 E Colorado Blvd Ste 180 |
$118.00 | 12 | 12 |
|
Myron John Tong
625 S Fair Oaks Ave |
$0.00 | 12 | 12 |
|
Pensiri Sahatrungsinee
100 W California Blvd |
$57.16 | 12 | 12 |
|
Paul Kaloostian
960 E Green St Ste 320 |
$75.03 | 12 | 12 |
|
Steven A. Battaglia M.D. Inc.
10 Congress St Ste 103 |
$8.07 | 13 | 12 |
|
Syeda M.F. Ali, M.D, Medical Corporation
10 Congress St |
$20.82 | 13 | 13 |
|
Frances Ramas
1045 N Lake Ave |
$92.73 | 13 | 13 |
|
Pulmonary & Hospitalist Associates Inc
10 Congress Street |
$14.28 | 13 | 12 |
|
Claudia Una Pfeil
401 S Fair Oaks Ave |
$96.15 | 13 | 13 |
|
Kristal Young
55 East California Blvd |
$64.70 | 13 | 12 |
|
Omar Ahmed
1044 S Fair Oaks Ave |
$145.90 | 13 | 13 |
|
Christopher Fong
455 W Montana St |
$115.85 | 13 | 13 |
|
Heritage Clinic And The Community Assistance Program For Seniors
253 N San Gabriel Blvd Ste 100 |
$732.51 | 13 | 12 |
|
Dolly Pham
600 E Colorado Blvd Ste 120 |
$36.15 | 13 | 13 |
|
D'Veal Family & Youth Services
2750 E Washington Blvd |
$336.24 | 13 | 13 |
|
Muniza Siddiqui
595 E Colorado Blvd Ste 428 |
$51.73 | 14 | 13 |
|
Khin Khin Oo
238 S Arroyo Pkwy |
$22.10 | 14 | 14 |
|
Alan E Limfat
477 E Colorado Blvd |
$0.00 | 14 | 12 |
|
Ilian Orlando Marquez
2750 E Washington Blvd |
$5.59 | 14 | 14 |
|
Ryan S Mcbirney
100 W California Blvd |
$46.84 | 14 | 14 |
|
Nadia Ewing
439 Madeline Dr |
$58.76 | 15 | 12 |
|
Holly Stabler Incoll
150 W Dayton St Apt 4037 |
$29.02 | 15 | 15 |
|
Harout Raffi Balian
333 N Hill Ave |
$7.90 | 15 | 14 |
|
Steven A Battaglia
10 Congress St Ste 103 |
$31.00 | 15 | 13 |
|
Tommy Ho-Yin Chen
50 Bellefontaine St |
$57.92 | 15 | 15 |
|
Roger Satterthwaite
630 S Raymond Ave Unit 220 |
$14.90 | 15 | 13 |
|
Sanjeev Naresh Puri
50 Bellefontaine St Ste 304 |
$2.11 | 16 | 14 |
|
Complete Care Community Health Center, Inc
2595 E Washington Blvd Ste 106 |
$0.00 | 16 | 14 |
|
Healthy Living Medical, Inc
301 S Fair Oaks Ave |
$0.00 | 16 | 15 |
|
Rachel Rushton Ballard
2500 E Foothill Blvd Ste 300 |
$182.79 | 16 | 12 |
|
Christine Hong
2627 E Washington Blvd |
$16.39 | 17 | 17 |
|
Jonathan Sun
100 W California Blvd |
$35.69 | 18 | 16 |
|
Amg, A Professional Medical Corp
193 E Orange Grove Blvd |
$0.00 | 18 | 18 |
|
Alpha Care Medical Group, Inc
2589 E. Washington Blvd. |
$10.93 | 20 | 16 |
|
Sandra Louise Wallace
50 Alessandro Pl |
$0.00 | 24 | 24 |
|
Naveed M Natanzi
Synovation Medical Group |
$12.87 | 25 | 23 |
|
Radha Bhargava-Gupta
393 E Walnut St |
$83.46 | 25 | 24 |
|
Christopher Patrick Long
10 Congress St Ste 340 |
$0.00 | 26 | 26 |
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 Pasadena, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pasadena, CA is $21.48 per claim, based on 1,036,760 claims from 466 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 Pasadena, CA?
There are 466 Medicaid providers offering Office Visit related services in Pasadena, CA according to public payment data.
What is the price range for Office Visit in Pasadena, CA?
Medicaid reimbursement for Office Visit in Pasadena, CA ranges from $0.00 to $1,232 per claim, with an average of $21.48. 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 Pasadena, CA
Non-Emergency Medical Transportation
Avg $23.66
13,387,849 claims
Ambulance Transport
Avg $23.22
11,783,684 claims
Behavioral & Mental Health Therapy
Avg $233.66
555,263 claims
Blood Work & Lab Tests
Avg $3.51
521,414 claims
Substance Abuse Treatment
Avg $65.64
408,555 claims
Eye Exam
Avg $22.37
329,869 claims
Dental Cleaning & Exam
Avg $48.59
299,357 claims
Vaccines & Immunizations
Avg $4.52
284,723 claims