Average Medicaid Office Visit Payments in Porterville, CA: $10.91
Avg. Paid
$10.91
Range
$0.00 – $797.74
Total Claims
1,247,200
Providers
140
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 Porterville, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maria Eloisa Hernandez
1107 W Poplar Ave. |
$6.27 | 12 | 12 |
|
County Of Tulare
1055 W Henderson Ave |
$643.76 | 13 | 12 |
|
Melissa Ann Halsey
229 W Cherry Ave |
$0.00 | 14 | 13 |
|
Carolyn Alice Diaz
222 W Henderson Ave |
$0.00 | 15 | 13 |
|
Lisa A Garber
1107 West Poplar Avenue |
$41.47 | 18 | 18 |
|
Rebecca Escobar
585 W Putnam Ave |
$2.67 | 18 | 18 |
|
Kellie Ruth Sulier
1107 W Poplar Ave |
$11.65 | 21 | 12 |
|
Nallathamby Thayapran, Md, Inc.
240 N Porter Rd |
$16.08 | 24 | 24 |
|
Darla Jean Splawn
1107 West Poplar Ave. |
$83.35 | 26 | 26 |
|
Cep America - Auc Pc
263 Pearson Dr |
$9.83 | 28 | 28 |
|
Porterville Community Physicians Inc
465 W Putnam |
$17.49 | 28 | 28 |
|
Kannappan Mohan
583 West Putnam Avenue |
$0.86 | 28 | 28 |
|
Syed Naqvi
1107 West Poplar Ave. |
$0.00 | 31 | 30 |
|
Areli Martinez
1107 W Poplar Ave |
$0.00 | 35 | 34 |
|
Dennis Turnbull
465 W Putnam Ave |
$0.00 | 36 | 36 |
|
Erick Madrigal, Md, Mba, Inc.
222 W Henderson Ave |
$4.42 | 38 | 25 |
|
David H Nguyen
465 W Putnam Ave |
$9.08 | 41 | 41 |
|
Kalpathy V Venkatesan
365 Pearson Dr |
$0.73 | 51 | 46 |
|
Marissa Holtey
1107 W Poplar Ave |
$0.88 | 52 | 36 |
|
Shashi D Ganti
557 W Morton Ave |
$55.20 | 53 | 53 |
|
Maricela Ledezma
1107 W Poplar Ave |
$3.89 | 56 | 55 |
|
Timothy Fong
1107 W Poplar Ave |
$0.73 | 58 | 37 |
|
Jasvir Singh Gill
465 W Putnam Ave |
$2.20 | 62 | 61 |
|
Wendmnew Achenef Ayalew
1107 W Poplar Ave |
$3.53 | 72 | 70 |
|
Rachel Altman
1107 W Poplar Ave |
$0.27 | 74 | 63 |
|
Jarrod Harbour
1107 W Poplar Ave |
$1.79 | 79 | 76 |
|
Daniel T Tran
380 N Reservation Rd |
$9.00 | 82 | 76 |
|
David Larios
1107 West Poplar Ave |
$0.00 | 82 | 80 |
|
Sohrab Rahimi Naini Md Inc
440 W Putnam Ave |
$54.65 | 84 | 77 |
|
Jolly C Mamauag-Camat
524 W Putnam Ave |
$46.37 | 87 | 87 |
|
Michael A Flores
1107 West Poplar Ave |
$1.23 | 87 | 79 |
|
Liberty Lomeli
1107 West Poplar Ave. |
$1.61 | 88 | 86 |
|
Mark Cross
560 W Putnam Ave |
$3.04 | 99 | 55 |
|
Alla Liberstein
560 W Putnam Ave |
$4.95 | 104 | 86 |
|
Spencer Dayton Packer
1107 W Poplar Ave |
$1.83 | 117 | 114 |
|
Elijah B Youssefi
1107 W Poplar Ave |
$1.15 | 123 | 122 |
|
Anil Reddy Anumandla
557 W Morton Ave Unit C |
$16.12 | 132 | 118 |
|
Paul Schwinghamer
591 W Putnam Ave |
$0.00 | 144 | 109 |
|
Thomas Martin Honka
851 W Morton Ave |
$0.52 | 149 | 133 |
|
Orrenzo Benally Snyder
263 Pearson Dr Ste 100 |
$19.96 | 149 | 148 |
|
Rakesh Jindal
332 N Villa St |
$0.58 | 165 | 163 |
|
Antonio Durazo
841 W Morton Ave |
$0.49 | 174 | 155 |
|
Angie Nam
1107 W Poplar Ave |
$7.37 | 179 | 167 |
|
Vinit Agrawal
465 W Putnam Ave |
$12.68 | 182 | 177 |
|
Debra A Martin
1107 West Poplar Ave. |
$0.00 | 190 | 187 |
|
Michael D Geiling Inc
254 N Kessing St |
$26.58 | 221 | 194 |
|
Bindusagar H Reddy
579 W Putnam Ave |
$10.28 | 272 | 267 |
|
Tejal Gaurang Pandya
555 W Putnam Ave |
$18.81 | 301 | 242 |
|
Family Healthcare Network
65 N. Hockett St. |
$5.22 | 466 | 440 |
|
John F Cabrera
465 W Putnam Ave |
$1.17 | 654 | 551 |
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 Porterville, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Porterville, CA is $10.91 per claim, based on 1,247,200 claims from 140 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 Porterville, CA?
There are 140 Medicaid providers offering Office Visit related services in Porterville, CA according to public payment data.
What is the price range for Office Visit in Porterville, CA?
Medicaid reimbursement for Office Visit in Porterville, CA ranges from $0.00 to $797.74 per claim, with an average of $10.91. 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 Porterville, CA
Blood Work & Lab Tests
Avg $6.81
314,639 claims
Urinalysis & Urine Tests
Avg $2.09
263,304 claims
Substance Abuse Treatment
Avg $24.59
222,559 claims
Vaccines & Immunizations
Avg $1.82
181,692 claims
X-Ray
Avg $8.68
161,518 claims
Eye Exam
Avg $19.51
126,621 claims
Dental Cleaning & Exam
Avg $51.21
125,914 claims
Ultrasound
Avg $25.56
73,440 claims