Average Medicaid Office Visit Payments in Petaluma, CA: $6.85
Avg. Paid
$6.85
Range
$0.00 – $660.49
Total Claims
524,176
Providers
133
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 Petaluma, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Patricia Lynn Grinnell
110 Lynch Creek Way Ste A |
$27.19 | 12 | 12 |
|
Aleksey Zakinov
3900 Lakeville Hwy |
$0.00 | 12 | 12 |
|
Ronald Lee Harris
1225 North Mcdowell Blvd. |
$0.00 | 13 | 13 |
|
Janet K. Coyne
3900 Lakeville Hwy |
$1.76 | 15 | 15 |
|
Tara White
1179 N Mcdowell Blvd |
$0.00 | 16 | 14 |
|
Kimberly Casarotti
104 Lynch Creek Way Ste 10 |
$75.23 | 16 | 16 |
|
David Mark Rudnick
1496 Professional Dr |
$48.97 | 17 | 16 |
|
Michael B. Lennon
412 Oak St |
$0.00 | 19 | 17 |
|
Stephanie Lisette Bedolla
1179 N Mcdowell Blvd |
$6.00 | 20 | 20 |
|
Kelly Pfeifer
1301 Southpoint Blvd |
$47.97 | 24 | 24 |
|
Teresa Lynn Lurie
1772 Northstar Dr |
$43.33 | 24 | 24 |
|
Laurie A. Dibble
3900 Lakeville Hwy |
$1.00 | 24 | 24 |
|
Caroline Hwang
1179 N Mcdowell Blvd |
$1.50 | 25 | 17 |
|
Northern California Medical Assoc Inc
104 Lynch Creek Way |
$0.00 | 26 | 25 |
|
Crysta Pollitt
1179 N Mcdowell Blvd |
$1.36 | 28 | 28 |
|
Natalia Shapiro
3900 Lakeville Hwy |
$48.79 | 29 | 28 |
|
Karen B. Bloom
3900 Lakeville Hwy |
$36.90 | 29 | 27 |
|
Rajina R Ranadive
141 Lynch Creek Way Ste C |
$11.24 | 32 | 30 |
|
Donald S. Hensley
3900 Lakeville Hwy |
$1.87 | 32 | 32 |
|
Dane Arthur Shoemaker
1179 N Mcdowell Blvd |
$45.75 | 33 | 30 |
|
Mario Mangiardi
1900 S Mcdowell Blvd |
$33.08 | 39 | 37 |
|
Roberto Z. Gonzalez
3900 Lakeville Hwy |
$58.97 | 40 | 38 |
|
Dahae Hwang
1179 N Mcdowell Blvd |
$1.70 | 44 | 33 |
|
County Of Sonoma
5350 Old Redwood Hwy N, Suite 600 |
$660.49 | 51 | 47 |
|
Nicholas Geoffrey Strange
905 E Washington St |
$15.04 | 51 | 50 |
|
Theresa Rae Aguilar
1179 N Mcdowell Blvd |
$5.07 | 57 | 43 |
|
Shohreh Semati
411 N Mcdowell Blvd Unit 41 |
$2.35 | 66 | 66 |
|
Sheryl Anne Garrett
719 Southpoint Blvd |
$63.87 | 67 | 64 |
|
George Keres
1179 N Mcdowell Blvd |
$0.00 | 73 | 54 |
|
Anthony P. Kosinski
1550A Professional Drive |
$45.59 | 84 | 81 |
|
Donna L Tully
1179 N Mcdowell Blvd |
$3.07 | 86 | 47 |
|
Michael Alan Johnson
108 Lynch Creek Way |
$25.11 | 93 | 86 |
|
Nicole Gamache
3900 Lakeville Hwy |
$29.21 | 133 | 118 |
|
Margaret Peacock
400 N Mcdowell Blvd |
$34.02 | 140 | 140 |
|
Albert Sae
400 N Mcdowell Blvd |
$37.14 | 165 | 165 |
|
Celina Allyn Mercer
1179 N Mcdowell Blvd |
$0.98 | 176 | 132 |
|
Faye Susan Lundergan
1456 Professional Dr Ste 405 |
$9.58 | 242 | 202 |
|
Marie Katherine Schow
1179 N Mcdowell Blvd |
$1.98 | 263 | 175 |
|
Emily Anne Wood
400 N Mcdowell Blvd |
$8.43 | 278 | 227 |
|
Maria Genoveva Ochoa
1179 N Mcdowell Blvd |
$13.72 | 287 | 280 |
|
Laurie M. Doolittle
1550 A |
$5.28 | 308 | 276 |
|
Stephanie Elizabeth Manulkin
1179 N Mcdowell Blvd |
$12.72 | 347 | 325 |
|
Dennis M. Mcleod, M.D., Inc
106 Lynch Creek Way |
$57.69 | 363 | 345 |
|
Thomas Paton Knecht
141 Lynch Creek Way |
$81.96 | 379 | 374 |
|
Matthew Mayeda
1179 N Mcdowell Blvd |
$2.37 | 399 | 285 |
|
Michael I Bozuk
3835 Cypress Dr |
$50.08 | 405 | 354 |
|
Kenneth Lewis Lehrman
719 Southpoint Blvd |
$56.13 | 416 | 415 |
|
Kimberly Fisher
1179 N Mcdowell Blvd |
$6.24 | 453 | 297 |
|
Angela Rozella Todd
1179 N Mcdowell Blvd |
$6.83 | 454 | 279 |
|
Rachel Pradarelli
1179 N Mcdowell Blvd |
$4.97 | 478 | 392 |
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 Petaluma, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Petaluma, CA is $6.85 per claim, based on 524,176 claims from 133 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 Petaluma, CA?
There are 133 Medicaid providers offering Office Visit related services in Petaluma, CA according to public payment data.
What is the price range for Office Visit in Petaluma, CA?
Medicaid reimbursement for Office Visit in Petaluma, CA ranges from $0.00 to $660.49 per claim, with an average of $6.85. 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 Petaluma, CA
Emergency Room Visit
Avg $66.28
95,833 claims
Psychiatric Evaluation
Avg $28.73
76,721 claims
Speech Therapy
Avg $15.58
52,336 claims
Blood Work & Lab Tests
Avg $9.26
48,849 claims
Nursing Facility Care
Avg $23.40
45,638 claims
Vaccines & Immunizations
Avg $8.75
34,645 claims
Urinalysis & Urine Tests
Avg $2.24
25,658 claims
Chiropractic Care
Avg $20.27
25,504 claims