Average Medicaid Office Visit Payments in Pleasant Hill, CA: $38.25
Avg. Paid
$38.25
Range
$0.00 – $807.20
Total Claims
102,372
Providers
45
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 Pleasant Hill, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Esperanza Ospina
2100 Monument Blvd |
$22.20 | 17,059 | 12,241 |
|
Greta Teresa Perez
600 Ryan Dr Apt 16 |
$0.01 | 13,786 | 8,542 |
|
Chika Akera Dow
2100 Monument Blvd Ste 8 |
$15.38 | 9,286 | 5,706 |
|
Myhoang P Nguyen
1515 Contra Costa Blvd |
$0.01 | 6,477 | 4,267 |
|
Milissa A Buriel
2675 Pleasant Hill Rd |
$3.88 | 5,298 | 4,493 |
|
Sumit Sen
400 Taylor Blvd |
$15.78 | 4,487 | 4,268 |
|
Katherine Hardt Winter
401 Gregory Ln Ste 104 |
$27.48 | 4,345 | 4,011 |
|
John Kimberly Morgan
380 Civic Dr |
$33.46 | 3,959 | 3,520 |
|
Aparna Vemuri
401 Gregory Ln |
$54.64 | 3,263 | 3,184 |
|
Margaret Helen Schmidt
118 Jennie Dr |
$171.39 | 3,155 | 3,101 |
|
David Wagner
91 Gregory Ln |
$35.85 | 3,067 | 2,802 |
|
Robin Elizabeth Mcbride
2675 Pleasant Hill Rd |
$3.31 | 2,380 | 2,169 |
|
Paige Radell
3147 Putnam Blvd |
$4.88 | 2,052 | 1,409 |
|
Lauren C. Gannon
2675 Pleasant Hill Rd |
$54.20 | 1,811 | 1,709 |
|
Carol Y Im
380 Civic Dr |
$34.13 | 1,722 | 1,598 |
|
Marie Jose Moubarak
2675 Pleasant Hill Rd |
$147.83 | 1,665 | 1,552 |
|
Leann Michelle Blankenship
400 Taylor Blvd Ste 201 |
$94.21 | 1,639 | 1,574 |
|
Febin Baricar
380 Civic Dr |
$7.13 | 1,629 | 1,590 |
|
Elizabeth Goebel Nuti
Night Owl Pediatrics 425 Gregory Lane |
$0.00 | 1,617 | 908 |
|
Angad Singh Oberoi
401 Gregory Ln Ste 104 |
$56.80 | 1,445 | 1,398 |
|
Dawn Marie Saborit
400 Taylor Blvd |
$95.94 | 1,434 | 1,289 |
|
Premjit S Chahal
400 Taylor Blvd. |
$159.55 | 966 | 965 |
|
Shoba Kankipati
400 Taylor Blvd, |
$61.02 | 891 | 817 |
|
Ron Yalon
2675 Pleasant Hill Rd |
$55.24 | 856 | 831 |
|
Jonathan Harris Hecht
400 Taylor Blvd |
$98.21 | 845 | 827 |
|
Peter Greene
401 Gregory Ln Ste 104 |
$57.80 | 818 | 565 |
|
John Erdmann
1924 Oak Park Blvd Ste B |
$82.19 | 804 | 643 |
|
Michelle Jane Lim
2675 Pleasant Hill Rd |
$69.23 | 731 | 701 |
|
Pamela Lea Coyne
3470 Buskirk Ave |
$4.08 | 719 | 693 |
|
Contra Costa County
391 Taylor Blvd Ste 100 |
$807.20 | 690 | 560 |
|
Yelena Krupitskaya
400 Taylor Blvd Ste 202 |
$77.72 | 595 | 528 |
|
Nathaniel Gamsky
2250 Morello Ave |
$150.27 | 574 | 534 |
|
Ruben Kalra
2250 Morello Ave |
$18.51 | 466 | 417 |
|
Maureen Nnene Mbadike-Obiora
401 Gregory Ln Ste 104 |
$192.97 | 373 | 362 |
|
Candida M Brown
400 Taylor Blvd |
$125.03 | 366 | 346 |
|
Gigi Qiqi Chen
400 Taylor Blvd |
$61.49 | 257 | 228 |
|
Claudia Marcela Husni
2100 Monument Blvd. Suite 8 |
$189.59 | 175 | 155 |
|
Griselda Wong
2100 Monument Blvd, Suite 8 |
$16.50 | 138 | 99 |
|
Erin Elizabeth Esaki
400 Taylor Blvd Ste 202 |
$110.81 | 135 | 113 |
|
Clifford Owens
399 Taylor Blvd Ste 200 |
$79.49 | 107 | 58 |
|
Kenya Numan
2100 Monument Blvd Ste 8 |
$68.98 | 102 | 96 |
|
Ana Maria De Jesus
3478 Buskirk Ave |
$122.93 | 72 | 54 |
|
Sravana Kumar Chennupati
400 Taylor Blvd Ste 101 |
$27.46 | 47 | 45 |
|
Richard Craig Shinaman
2250 Morello Ave |
$7.18 | 44 | 39 |
|
Lisa Marie Slater
140 Mayhew Way Ste 300 |
$70.20 | 25 | 12 |
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 Pleasant Hill, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pleasant Hill, CA is $38.25 per claim, based on 102,372 claims from 45 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 Pleasant Hill, CA?
There are 45 Medicaid providers offering Office Visit related services in Pleasant Hill, CA according to public payment data.
What is the price range for Office Visit in Pleasant Hill, CA?
Medicaid reimbursement for Office Visit in Pleasant Hill, CA ranges from $0.00 to $807.20 per claim, with an average of $38.25. 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 Pleasant Hill, CA
Behavioral & Mental Health Therapy
Avg $317.78
59,141 claims
Psychiatric Evaluation
Avg $91.02
37,699 claims
Vaccines & Immunizations
Avg $8.15
29,747 claims
Case Management Services
Avg $161.56
27,887 claims
Speech Therapy
Avg $91.27
25,376 claims
Blood Work & Lab Tests
Avg $1.37
23,570 claims
Eye Exam
Avg $12.01
16,723 claims
Dental Cleaning & Exam
Avg $55.89
15,043 claims