Average Medicaid Office Visit Payments in Paso Robles, CA: $17.50
Avg. Paid
$17.50
Range
$0.00 – $112.16
Total Claims
97,229
Providers
18
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 Paso Robles, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kelleigh Sorenson
2727 Buena Vista Dr Ste 201 |
$9.50 | 14 | 13 |
|
Angelo Julio Chavez Guerrero
2800 Riverside Ave |
$0.00 | 17 | 16 |
|
Jeannin Counts
2800 Riverside Ave |
$32.08 | 45 | 45 |
|
Michelina Lillian Timenovich
180 Niblick Rd |
$0.00 | 55 | 48 |
|
Rex E Thornhill
806 9Th St. |
$19.73 | 631 | 604 |
|
Abduselam Hussein Barre
2130 Heritage Loop Rd |
$1.90 | 695 | 421 |
|
Joel Correa
345 Spring St |
$1.60 | 821 | 728 |
|
Alice Wong
2800 Riverside Ave Ste 101 |
$0.23 | 832 | 769 |
|
Rhys Jones
2800 Riverside Ave |
$1.12 | 1,614 | 1,365 |
|
First Choice Physician Partners
2727 Buena Vista Dr Ste 210 |
$5.29 | 1,935 | 1,783 |
|
Boruch Goldstein
2800 Riverside Ave |
$0.41 | 2,311 | 1,811 |
|
April Dunaway Smith
2800 Riverside Ave |
$112.16 | 2,740 | 2,593 |
|
Orange County Urgent Care #3, Inc.
500 First St |
$42.82 | 2,830 | 2,773 |
|
Pablo Jose Yepez Bracamonte
2800 Riverside Ave |
$0.34 | 7,967 | 6,735 |
|
Arleada F Robertson
500 First St |
$95.06 | 12,793 | 12,402 |
|
James M Mcghee
416 Spring St |
$0.46 | 14,383 | 12,824 |
|
Deborah Ann Kronstad
416 Spring St |
$0.39 | 18,485 | 15,547 |
|
Craig Joseph Brown
416 Spring St |
$0.37 | 29,061 | 25,483 |
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 Paso Robles, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Paso Robles, CA is $17.50 per claim, based on 97,229 claims from 18 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 Paso Robles, CA?
There are 18 Medicaid providers offering Office Visit related services in Paso Robles, CA according to public payment data.
What is the price range for Office Visit in Paso Robles, CA?
Medicaid reimbursement for Office Visit in Paso Robles, CA ranges from $0.00 to $112.16 per claim, with an average of $17.50. 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 Paso Robles, CA
Physical Therapy
Avg $23.75
75,715 claims
Substance Abuse Treatment
Avg $90.39
42,708 claims
Vaccines & Immunizations
Avg $0.06
40,093 claims
Chiropractic Care
Avg $1.47
24,084 claims
Psychiatric Evaluation
Avg $82.43
23,270 claims
Eye Exam
Avg $16.75
22,165 claims
Dental Cleaning & Exam
Avg $41.48
20,409 claims
Hearing Test (Audiometry)
Avg $0.10
14,996 claims