Average Medicaid Office Visit Payments in Pinole, CA: $20.35
Avg. Paid
$20.35
Range
$0.11 – $136.09
Total Claims
49,901
Providers
25
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 Pinole, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Anita Catherine Gaind
2160 Appian Way Ste 200 |
$0.11 | 10,458 | 6,203 |
|
Claudell Stephens
1617 Canyon Rd |
$13.96 | 9,378 | 5,421 |
|
Elizabeth Casey
806 San Pablo Ave Ste 1 |
$27.33 | 6,123 | 3,547 |
|
Lauren Wesley Strelitz
2160 Appian Way Ste 100 |
$17.37 | 5,802 | 5,293 |
|
Carolyn Mary Lobo
1430 Tara Hills Dr |
$4.45 | 4,592 | 4,361 |
|
Christopher R. Zamani
1301 Pinole Valley Rd |
$50.00 | 2,465 | 2,244 |
|
Thomas J. Mampalam
2150 Appian Way |
$35.90 | 2,410 | 2,377 |
|
Yvonne Carlisa Cobbs
1063 San Pablo Ave |
$55.92 | 2,218 | 1,968 |
|
Nathan Glen Singh
2160 Appian Way Ste 220 |
$12.79 | 1,648 | 1,122 |
|
Diana Harris Mahar
1301 Pinole Valley Rd |
$3.20 | 922 | 897 |
|
Armen Serebrakian
1599 Tara Hills Dr |
$136.09 | 595 | 559 |
|
Semera Shemsu
1301 Pinole Valley Rd |
$40.30 | 586 | 425 |
|
Nazak Mozaffarieh O D Inc
1773 San Pablo Ave Ste A1 |
$81.13 | 555 | 554 |
|
Preeti N. Dave
1301 Pinole Valley Rd |
$7.30 | 391 | 380 |
|
Jessamine Joy Faustino-Wong
1301 Pinole Valley Rd |
$4.37 | 381 | 367 |
|
Arwen Mohr
1301 Pinole Valley Rd |
$67.53 | 357 | 334 |
|
Michael H Brown
1430 Tara Hills Dr Ste A |
$100.21 | 260 | 251 |
|
Manda Julieanne Notzon
1301 Pinole Valley Rd |
$17.39 | 158 | 152 |
|
Nazak Mozaffarieh
1773 San Pablo Ave Ste A1 |
$79.35 | 157 | 156 |
|
Faith Cheryle Abalos Merino
1301 Pinole Valley Rd |
$59.58 | 141 | 140 |
|
Derlyn Tumakay Tablada
2160 Appian Way Ste 200 |
$1.61 | 119 | 106 |
|
Maihan Amiryar
1301 Pinole Valley Rd |
$29.89 | 81 | 78 |
|
Aldrin Ugay Nieves
2160 Appian Way Ste 200 |
$19.87 | 38 | 33 |
|
Grant Richardson
1301 Pinole Valley Rd |
$99.32 | 34 | 32 |
|
Caleb Abeku Arthur
1301 Pinole Valley Rd |
$67.50 | 32 | 32 |
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 Pinole, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pinole, CA is $20.35 per claim, based on 49,901 claims from 25 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 Pinole, CA?
There are 25 Medicaid providers offering Office Visit related services in Pinole, CA according to public payment data.
What is the price range for Office Visit in Pinole, CA?
Medicaid reimbursement for Office Visit in Pinole, CA ranges from $0.11 to $136.09 per claim, with an average of $20.35. 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 Pinole, CA
Dental Cleaning & Exam
Avg $51.96
138,091 claims
Eye Exam
Avg $27.89
32,313 claims
Physical Therapy
Avg $42.58
24,644 claims
Tooth Extraction
Avg $129.04
23,686 claims
Behavioral & Mental Health Therapy
Avg $208.61
13,346 claims
Psychiatric Evaluation
Avg $41.63
11,319 claims
Vaccines & Immunizations
Avg $0.77
8,420 claims
Blood Work & Lab Tests
Avg $0.35
4,899 claims