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
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