Average Medicaid Office Visit Payments in Pleasanton, CA: $33.17
Avg. Paid
$33.17
Range
$0.00 – $1,017
Total Claims
388,049
Providers
146
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 Pleasanton, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Reshma Vijay Gandhi
5925 W Las Positas Blvd |
$2.77 | 22,887 | 12,739 |
|
Sonia Rocio Santana
5565 W Las Positas |
$29.00 | 19,522 | 11,725 |
|
Priyanka Thapa
5925 W Las Positas Blvd Ste 100 |
$1.52 | 18,785 | 10,205 |
|
Upama Barua
5925 W Las Positas Blvd |
$2.73 | 16,508 | 9,732 |
|
Nicole Lynn Gergen Villapiano
5820 Owens Dr Bldg E 2Nd Floor |
$71.65 | 15,452 | 8,877 |
|
Eda Chi Chao
7601 Stoneridge Dr |
$44.16 | 13,916 | 8,258 |
|
Priyanka Kallem
5925 W Las Positas Blvd |
$3.05 | 13,916 | 7,858 |
|
Swechha Shrestha
5925 W Las Positas Blvd |
$2.17 | 13,894 | 8,069 |
|
Amennah S. Moghaddam
4361 Railroad Ave |
$0.16 | 13,235 | 7,886 |
|
Elmer Alagao Jumig
2324 Santa Rita Rd |
$54.89 | 12,077 | 9,986 |
|
Gunjan Munjal
4361 Railroad Ave |
$2.10 | 12,032 | 6,970 |
|
Laura C Lavelle
5925 W Las Positas Blvd |
$1.51 | 10,724 | 6,247 |
|
Kerry-Ann Alyscia Kelly
4725 First St Ste 100 |
$11.44 | 10,289 | 9,252 |
|
Man Kong Leung
4466 Black Ave Ste A |
$37.24 | 9,898 | 9,515 |
|
Cho Cho Lay
5925 W Las Positas Blvd |
$2.82 | 9,845 | 5,619 |
|
Chao Sun
5700 Stoneridge Mall Rd Ste 100 |
$43.00 | 9,667 | 6,391 |
|
Michael Christopher Gynn
5555 W Las Positas Blvd |
$0.00 | 9,118 | 5,419 |
|
Anuja Garg
5924 Stoneridge Dr Ste 110 |
$2.18 | 8,611 | 5,269 |
|
Lijing Yao
1104 Stoneridge Mall Rd |
$13.84 | 7,531 | 4,688 |
|
Clemens Esche
5575 W Las Positas Blvd Ste 260 |
$75.21 | 7,265 | 7,196 |
|
William A. Liss
7601 Stoneridge Dr |
$0.00 | 7,255 | 4,259 |
|
Garani Shiranthana Nadaraja
5820 Stoneridge Mall Rd |
$116.33 | 6,197 | 6,091 |
|
Nimmy Martina Rodrigues
5568 Gibraltar Dr |
$0.27 | 5,885 | 5,257 |
|
Christopher A Sinnappan
5576 Stoneridge Mall Road |
$132.66 | 5,818 | 5,334 |
|
Misha G Roitshteyn
4725 First St |
$4.54 | 5,632 | 3,237 |
|
Archana Rajendran Nair
7601 Stoneridge Dr |
$33.62 | 5,470 | 5,115 |
|
Ruikang Liu
4256 Hacienda Dr Ste 100 |
$60.14 | 5,341 | 4,476 |
|
Holli Marie Hoffman
5776 Stoneridge Mall Rd Ste 300 |
$225.81 | 5,093 | 4,566 |
|
Juan A De Hoyos
5776 Stoneridge Mall Rd Ste 300 |
$270.17 | 4,597 | 4,498 |
|
Saba Lahsaei
5137 Willowview Ct |
$42.49 | 4,384 | 4,193 |
|
Wesley Orianna Wong
5720 Stoneridge Mall Rd Ste 240 |
$0.36 | 4,365 | 4,001 |
|
Gerald Roy Nazareno
5555 W Las Positas Blvd |
$18.63 | 4,348 | 4,297 |
|
Judith Irene Tinkelenberg
5925 W Las Positas Blvd Ste 100 |
$7.92 | 3,906 | 2,199 |
|
Joan Fraino
2324 Santa Rita Rd Ste 1 |
$17.11 | 3,610 | 2,190 |
|
Padmaja Shyamala Murtinty
5860 Owens Dr Ste 220 |
$3.47 | 3,295 | 3,105 |
|
Janique Tang How
5925 W Las Positas Blvd Ste 100 |
$1.36 | 3,146 | 1,980 |
|
Nida Subhani
5575 W Las Positas Blvd Ste 210 |
$38.04 | 3,073 | 2,665 |
|
Amarpreet Kaur Gill
5776 Stoneridge Mall Rd Ste 300 |
$114.30 | 2,961 | 2,355 |
|
Edward Y Kan
5555 W Las Positas Blvd |
$19.28 | 2,827 | 2,802 |
|
David Rafael Pichardo-Gomez
4256 Hacienda Dr |
$28.03 | 2,536 | 1,596 |
|
Asha Ramchandran
5720 Stoneridge Mall Rd |
$7.41 | 2,200 | 2,106 |
|
Chereamie C Ramos-Scott
4725 1St St Ste 100 |
$1.93 | 2,077 | 1,807 |
|
Lauren Ashley Nelson
5860 Owens Dr |
$55.42 | 1,816 | 1,728 |
|
Rishi Sawhney
5725 W Las Positas Blvd # 100A |
$31.32 | 1,729 | 1,459 |
|
Cynthia Sue Penn-Duecker
5555 W Las Positas Blvd |
$16.87 | 1,726 | 1,714 |
|
Dawnell Jean Moody
5925 W Las Positas Blvd |
$1.13 | 1,609 | 1,122 |
|
Kavitha Pandy Raj
5725 W Las Positas Blvd Ste 100A |
$26.72 | 1,550 | 1,382 |
|
Hiawatha Harris Md Inc
5674 Stoneridge Dr |
$439.88 | 1,516 | 1,132 |
|
Sepideh Tafreshian
5860 Owens Dr |
$77.67 | 1,508 | 1,415 |
|
Howard Daniel Yoshioka
5555 W Las Positas Blvd |
$19.93 | 1,265 | 1,252 |
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 Pleasanton, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pleasanton, CA is $33.17 per claim, based on 388,049 claims from 146 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 Pleasanton, CA?
There are 146 Medicaid providers offering Office Visit related services in Pleasanton, CA according to public payment data.
What is the price range for Office Visit in Pleasanton, CA?
Medicaid reimbursement for Office Visit in Pleasanton, CA ranges from $0.00 to $1,017 per claim, with an average of $33.17. 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 Pleasanton, CA
Emergency Room Visit
Avg $59.54
111,107 claims
Blood Work & Lab Tests
Avg $11.30
88,625 claims
Physical Therapy
Avg $34.23
73,530 claims
Dental Cleaning & Exam
Avg $55.53
70,875 claims
Behavioral & Mental Health Therapy
Avg $163.21
59,315 claims
Home Health Visit
Avg $170.03
56,001 claims
EKG / ECG (Electrocardiogram)
Avg $12.58
47,696 claims
Vaccines & Immunizations
Avg $7.71
42,202 claims