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 |
|---|---|---|---|
|
James Jerome Wu
1179 N Mcdowell Blvd |
$2.19 | 125,576 | 70,415 |
|
Michelle Davey
1179 N Mcdowell Blvd |
$8.08 | 42,044 | 24,894 |
|
Melissa Wong
1179 N Mcdowell Blvd |
$6.26 | 15,137 | 9,396 |
|
Leesa Benenhaley
1179 N Mcdowell Blvd |
$3.14 | 13,255 | 7,496 |
|
John Pendleton
1179 N Mcdowell Blvd |
$4.56 | 13,093 | 8,750 |
|
Iun-Iu A. Chen
1179 N Mcdowell Blvd |
$3.96 | 12,827 | 7,979 |
|
Jena N Hoeft
1179 N Mcdowell Blvd |
$3.36 | 12,462 | 8,197 |
|
Sean Upton
1179 N Mcdowell Blvd |
$6.10 | 12,460 | 7,736 |
|
Andrew Burns Ashcroft
1179 N Mcdowell Blvd |
$2.82 | 12,456 | 7,742 |
|
Judith Komatsu
1179 N Mcdowell Blvd |
$4.51 | 11,946 | 7,393 |
|
Lauren Williams
1179 N Mcdowell Blvd |
$3.38 | 11,407 | 7,227 |
|
Anne Nelson Sebastian
1179 N Mcdowell Blvd |
$4.08 | 10,232 | 6,338 |
|
Victoria Lorraine Williams
1179 N Mcdowell Blvd |
$3.49 | 10,065 | 5,718 |
|
Fasih Abdul Hameed
1179 N Mcdowell Blvd |
$2.46 | 9,558 | 5,874 |
|
Jonathan Y Choe
1179 N Mcdowell Blvd |
$4.68 | 9,515 | 6,364 |
|
Scott Holmes
1179 N Mcdowell Blvd |
$2.35 | 8,817 | 4,930 |
|
Martha E Cueto-Salas
1179 N Mcdowell Blvd |
$2.17 | 8,712 | 6,574 |
|
Peter Redko
1400 Professional Drive |
$30.96 | 8,455 | 5,568 |
|
Carlin Li-An Chi
1179 N Mcdowell Blvd |
$7.95 | 7,455 | 4,857 |
|
Edward Bocc
1179 N Mcdowell Blvd |
$1.33 | 6,881 | 4,228 |
|
Joanna Diel-Martin
1179 N Mcdowell Blvd |
$4.49 | 6,815 | 3,798 |
|
Rebecca Katz Finnemore
1179 N Mcdowell Blvd |
$4.90 | 6,691 | 4,348 |
|
Mario Marin Garcia
1179 N Mcdowell Blvd |
$3.19 | 6,651 | 3,902 |
|
Jessicca L Moore
1179 N Mcdowell Blvd |
$3.90 | 6,606 | 4,125 |
|
Erin Joy Helgerson
1179 N Mcdowell Blvd |
$4.81 | 6,391 | 3,947 |
|
Krista Joy Lennice Peyton
1179 N Mcdowell Blvd |
$4.91 | 5,979 | 3,747 |
|
Ian Christopher Hopper
1179 N Mcdowell Blvd |
$3.34 | 5,494 | 2,887 |
|
Heidi Dittrich
1179 N Mcdowell Blvd |
$2.92 | 5,360 | 3,034 |
|
Michaela Shepphard
400 N Mcdowell Blvd |
$46.21 | 5,235 | 5,178 |
|
Connie Alejandrina Moreno
1179 N Mcdowell Blvd |
$2.69 | 4,960 | 3,495 |
|
Lynne Dee Palma
1179 N Mcdowell Blvd |
$4.14 | 4,810 | 2,867 |
|
Petaluma Health Center Inc
1179 N Mcdowell Blvd |
$3.39 | 3,973 | 3,707 |
|
Roxana Infante
1179 N Mcdowell Blvd |
$4.27 | 3,934 | 3,075 |
|
Dalbir Kaur Khalsa
1179 N Mcdowell Blvd |
$4.06 | 3,731 | 2,622 |
|
Gisselle E Suazo
1179 N Mcdowell Blvd |
$9.45 | 3,670 | 1,910 |
|
Shannon Mentock
1179 N Mcdowell Blvd |
$5.17 | 3,592 | 2,197 |
|
Leslie Ann Burger
1179 N Mcdowell Blvd |
$5.10 | 3,592 | 2,055 |
|
Philippe Edouard
1179 N Mcdowell Blvd |
$2.01 | 3,435 | 2,322 |
|
Rachel Mary Joseph
1179 N Mcdowell Blvd |
$2.29 | 3,423 | 1,931 |
|
Carmen G Butts
1179 N Mcdowell Blvd |
$5.31 | 3,081 | 2,493 |
|
Danielle Oryn
1179 N Mcdowell Blvd |
$9.36 | 3,070 | 2,094 |
|
Susan Michelle Taylor Peters
3900 Lakeville Highway |
$54.36 | 3,014 | 2,659 |
|
Adrienne Patrice Kassis
1179 N Mcdowell Blvd |
$3.37 | 2,672 | 1,567 |
|
Francisco Vielma
1179 N Mcdowell Blvd |
$38.36 | 2,597 | 1,314 |
|
Fiona Redwood
1179 N Mcdowell Blvd |
$24.00 | 2,360 | 1,562 |
|
Miriam Avena-Mascareno
1179 N Mcdowell Blvd |
$6.93 | 2,296 | 1,387 |
|
Amy Adams
1179 N Mcdowell Blvd |
$2.55 | 2,248 | 1,300 |
|
Colette Long
1179 N Mcdowell Blvd |
$2.89 | 2,041 | 1,058 |
|
Zoe Carrasco
1179 N Mcdowell Blvd |
$7.06 | 2,012 | 1,389 |
|
Roger Dana Weeks
47 Maria Dr |
$1.50 | 1,802 | 1,190 |
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