Average Medicaid Office Visit Payments in Pomona, CA: $29.82
Avg. Paid
$29.82
Range
$0.00 – $1,256
Total Claims
1,091,740
Providers
354
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 Pomona, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sapna P Patel
1920 N Garey Ave |
$30.78 | 72,892 | 66,388 |
|
James J Wu
1818 N Orange Grove Ave |
$11.67 | 38,975 | 37,054 |
|
Erasto Gutierrez
1749 N Garey Ave |
$36.38 | 33,102 | 30,004 |
|
Bryan Xiao-Qiu Lee
250 W Bonita Ave |
$73.70 | 29,722 | 28,054 |
|
Ewa Hanna Konca
520 W. Foothill Blvd |
$77.11 | 26,758 | 25,556 |
|
Greg Ellis Maler
1450 E Holt Ave |
$0.26 | 24,430 | 22,916 |
|
Dat Q Trinh
795 E. Second Street |
$0.07 | 21,434 | 17,302 |
|
Asheesh Pasi
887 E 2Nd St |
$0.46 | 19,627 | 17,238 |
|
Vandana Agarwal
350 Vinton Ave Ste 101 |
$29.04 | 18,603 | 13,605 |
|
Vijay Chandrudu Katukota
1177 N Park Ave |
$63.22 | 18,177 | 16,896 |
|
Amit Reenu Paliwal
2740 N Garey Ave Ste 100 |
$4.63 | 17,561 | 16,627 |
|
Sandra A. Hollenberg
250 W Bonita Ave |
$5.66 | 17,188 | 16,128 |
|
Sadiq Lafta Altamimi
2895 N Towne Ave |
$113.79 | 16,662 | 16,488 |
|
Luis Jesus Mejia Perez
2776 N Garey Ave |
$1.10 | 16,538 | 15,481 |
|
Mallu C Reddy
1196 N Park Ave |
$16.09 | 16,523 | 14,875 |
|
Manuel Daniel Manrique Chavez
1798 N Garey Ave |
$13.78 | 15,645 | 12,818 |
|
Nilem Patel
1866 N Orange Grove Ave |
$26.41 | 14,406 | 13,850 |
|
Maria Siu
160 E Artesia St Ste 330 |
$1.31 | 14,258 | 6,950 |
|
Christopher Joseph Edward Harper
160 E Artesia St Ste 220 |
$26.87 | 14,201 | 13,354 |
|
Nan Jiang
1555 S Garey Ave |
$0.25 | 14,156 | 11,949 |
|
Kevin Dathien Nguyen
1501 E Holt Ave # A |
$7.93 | 13,888 | 9,527 |
|
Fiorella M Zambrano
502 W Holt Ave |
$2.36 | 13,085 | 12,004 |
|
David T Chen
3191 W Temple Ave Ste 190 |
$12.65 | 12,541 | 11,685 |
|
Ching Chih David Huang
160 E Artesia St # 235 |
$9.32 | 12,304 | 11,480 |
|
Aracely Perales
716 E. Mission Blvd |
$0.10 | 11,544 | 11,014 |
|
David T Robles
160 E Artesia St Ste 325 |
$36.40 | 11,112 | 10,163 |
|
Rebecca Ogembo
1555 S Garey Ave |
$0.67 | 10,962 | 9,902 |
|
Narsis Golkarieh
1920 N Garey Ave |
$3.04 | 10,931 | 10,453 |
|
Antonio M Garcia
586 E Mission Blvd |
$0.24 | 10,070 | 9,702 |
|
Gisella Victoria Olivares
1770 N Orange Grove Ave |
$15.61 | 9,184 | 8,644 |
|
Yogesh Kumar Paliwal
2740 N Garey Ave Ste 100 |
$21.89 | 8,360 | 7,944 |
|
Toya Ann Tillis
250 W Bonita Ave |
$5.24 | 8,226 | 7,845 |
|
Snezana Begovic
1770 N Orange Grove Ave Ste 101 |
$28.58 | 8,141 | 7,754 |
|
Carrie E. Knoll
250 W Bonita Ave |
$5.57 | 8,117 | 7,599 |
|
Samir Anabi
160 E Artesia St Ste 225 |
$24.37 | 8,074 | 6,435 |
|
Kyu D Ahn
1902 Royalty Dr |
$25.10 | 8,055 | 7,165 |
|
Deborah K. Scheuerell
887 E. Second Street |
$0.58 | 7,487 | 6,737 |
|
Patrick Dominic Arias
502 W Holt Ave |
$1.34 | 7,167 | 6,275 |
|
James Meyers
1770 N Orange Grove Ave Ste 101 |
$30.39 | 7,089 | 6,840 |
|
Heather Hyojin Kim
1450 E Holt Ave |
$0.84 | 7,056 | 6,552 |
|
Dennis W Chui
795 E 2Nd St Ste 2 |
$0.62 | 6,957 | 6,763 |
|
Nghia Thanh Phan
795 E 2Nd St Ste 5 |
$4.97 | 6,896 | 6,724 |
|
Allan D Cabral
1770 N Orange Grove Ave Ste 101 |
$28.55 | 6,809 | 6,369 |
|
Ericka Y Hong
250 W. Bonita Ave |
$5.01 | 6,721 | 6,367 |
|
Jaffar Abbas Tremazi
1904 N Orange Grove Ave |
$86.11 | 6,540 | 6,426 |
|
Josephine Lin
795 E. Second St. |
$0.17 | 6,489 | 6,305 |
|
Yasir Shareef
2895 N Towne Ave |
$76.42 | 6,368 | 6,122 |
|
Steven Tamba
1450 E Holt Ave |
$2.30 | 6,153 | 5,725 |
|
Autar Kristen Wali
155 W Willow St |
$44.62 | 6,048 | 5,829 |
|
Jason Haeshik Shin
250 W Bonita Ave |
$60.68 | 5,777 | 5,536 |
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 Pomona, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pomona, CA is $29.82 per claim, based on 1,091,740 claims from 354 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 Pomona, CA?
There are 354 Medicaid providers offering Office Visit related services in Pomona, CA according to public payment data.
What is the price range for Office Visit in Pomona, CA?
Medicaid reimbursement for Office Visit in Pomona, CA ranges from $0.00 to $1,256 per claim, with an average of $29.82. 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 Pomona, CA
Blood Work & Lab Tests
Avg $3.21
4,565,012 claims
Urinalysis & Urine Tests
Avg $1.47
848,645 claims
Physical Therapy
Avg $34.06
464,973 claims
Substance Abuse Treatment
Avg $64.29
429,941 claims
Dental Cleaning & Exam
Avg $49.69
313,121 claims
Emergency Room Visit
Avg $72.32
308,969 claims
X-Ray
Avg $10.26
271,954 claims
Vaccines & Immunizations
Avg $4.70
257,721 claims