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Based on public Medicaid payment data.

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
Abdulbaset Taher Abdulgader

4451 Valley Ave Apt H

$0.00 12 12
Michael I. Louie

7601 Stoneridge Dr

$151.25 12 12
Laurie Chen

3825 Hopyard Rd

$38.33 12 12
Dolor Mia Pena

7601 Stoneridge Dr

$0.00 12 12
Ravneet Kaur

5575 W Las Positas Blvd

$0.00 12 12
Ted Y. Young

7601 Stoneridge Dr

$0.00 12 12
David Michael Tehrani

5565 W Las Positas Blvd Ste 150

$35.13 12 12
Thomas Yang Sun

5725 W Las Positas Blvd Ste 100A

$27.09 13 12
Swapna Kamireddy

5725 W Las Positas Blvd Ste 110

$31.92 13 13
Axis Community Health Inc

4361 Railroad Ave

$0.00 13 12
Stan T Lin

2324 Santa Rita Rd

$4.02 14 14
Parvathi D. Banda

7601 Stoneridge Dr

$151.28 14 13
Susan Y. Shen

5776 Stoneridge Mall Rd Ste 376

$95.23 15 12
Elizabeth Mole

4695 Chabot Dr Ste 200

$0.00 15 15
Badeia Abdel Morsy

5860 Owens Dr

$18.72 15 13
Brian R. Mccreery

7601 Stoneridge Dr

$4.09 16 15
Sadaf Nagshbandi

5725 W Las Positas Blvd Ste 100

$0.00 20 18
Ramford Kin Ng

5565 W Las Positas Blvd Ste 150

$38.04 25 25
Leena K Mehandru

5720 Stoneridge Mall Rd Ste 300

$29.85 26 26
Marilena Sandru

5725 W Las Positas Blvd

$1.51 26 24
Rick S. Weisser

7601 Stoneridge Dr

$0.00 27 25
Todd W. Dillard

7601 Stoneridge Dr

$0.00 29 24
Claire Andra Putnam

4725 1St St Ste 100

$9.93 29 16
Abinav Baweja

5555 W Las Positas Blvd

$57.24 32 28
Elizabeth Avelar Freitas

5924 Stoneridge Dr Ste 206

$110.67 39 38
Donald Mang-Sum Lai

5565 W Las Positas Blvd Ste 150

$40.33 39 39
Srikrishin A Rohra

5565 W Las Positas Blvd

$1.83 41 40
Yanxia Li

300 Neal St

$44.75 41 38
Meghana R Kasetty

7601 Stoneridge Dr

$46.54 42 42
Lindsey Rachel Izurieta

5565 W Las Positas Blvd Ste 240

$51.59 44 42
Samuel Kwong-Ming Liu

5565 W Las Positas Blvd Ste 260

$77.73 47 47
Amy Yakaitis

7601 Stoneridge Dr

$33.27 49 49
Morgan Zaw-Naing Lin

5565 W Las Positas Blvd Ste 150

$48.42 51 51
Irene Roy Chowdhury

7601 Stoneridge Dr

$55.57 52 51
Angela S Lee

7601 Stoneridge Dr

$4.11 56 54
Jennifer Cynthia Fuh

5568 Gibraltar Dr

$91.31 60 59
Axis Community Health Inc

5925 W Las Positas Blvd

$0.74 65 58
Joseph Martin Grant

5725 W Las Positas Blvd

$30.63 66 66
Margaret C Ford

5311 Hopyard Rd

$1.19 79 77
Angelina Rose Burke

7601 Stoneridge Dr

$1.66 84 79
Sanna Daqiq

5725 W Las Positas Blvd Ste 100

$3.87 88 80
Pramodh S Sidhu

5860 Owens Dr Ste 220

$13.14 97 97
Amy L. Gruber

7601 Stoneridge Dr

$0.43 98 92
Yumna Azizuddin

5925 W Las Positas Blvd Ste 100

$6.41 98 63
David Chen

7601 Stoneridge Dr

$21.98 101 100
Manisha Nitin Shingate

5820 Stoneridge Mall Rd

$84.13 105 104
Aklil M. Rostai

5555 W Las Positas Blvd

$17.51 106 93
Ayemyint Ma

7601 Stoneridge Dr

$74.64 107 105
Stanford Health Care Tri-Valley

5555 W Las Positas Blvd

$23.22 112 98
Rebecca Jane Stone

5575 W Las Positas Blvd Ste 330

$10.36 112 96

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

Other Procedures in Pleasanton, CA