Average Medicaid Office Visit Payments in Poway, CA: $45.20
Avg. Paid
$45.20
Range
$0.00 – $131.14
Total Claims
172,325
Providers
71
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 Poway, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shafi M. Khalid
15725 Pomerado Rd |
$82.67 | 48,759 | 37,569 |
|
Amanda Marie Caparso
15611 Pomerado Rd Ste 400 |
$0.20 | 16,616 | 15,902 |
|
Nathan Rendler
15525 Pomerado Road #B1 |
$6.76 | 9,927 | 9,160 |
|
Claire Elizabeth Andersen
13010 Poway Road |
$12.05 | 9,916 | 8,601 |
|
Victoria Regina Barrio
15725 Pomerado Rd Ste 102 |
$31.10 | 9,240 | 9,122 |
|
Anthony James Farshler
13029 Pomerado Rd |
$6.89 | 7,813 | 7,747 |
|
Calvin T Stone
13010 Poway Rd |
$6.45 | 7,761 | 6,153 |
|
Collin Silas Smith
15706 Pomerado Rd Ste S-102 |
$52.11 | 5,482 | 4,905 |
|
Kuangkai Tai
15525 Pomerado Road |
$6.72 | 5,445 | 4,938 |
|
Naomi Travers
15725 Poway Road |
$86.71 | 4,198 | 4,051 |
|
Silvia Susana Grindle
13525 Midland Rd |
$0.41 | 3,744 | 3,600 |
|
Loubaba Adlouni
15525 Pomerado Rd |
$4.24 | 3,388 | 3,188 |
|
Gilbert J Ho
15708 Pomerado Rd Ste 103 |
$116.65 | 3,268 | 3,203 |
|
Arch Health Partners, Inc
15611 Pomerado Rd |
$32.42 | 3,252 | 2,962 |
|
Smitha Reddy
15725 Pomerado Rd Ste 117 |
$114.04 | 2,963 | 2,548 |
|
Sarah M Lindback
15725 Pomerado Rd. |
$5.38 | 2,724 | 2,605 |
|
Matthew O Kelchner
14103 Poway Rd |
$2.27 | 2,328 | 1,700 |
|
Kevin Owsley
15525 Pomerado Rd |
$88.91 | 2,239 | 2,196 |
|
Kayla Ferrari Schmidt
13010 Poway Rd |
$0.00 | 2,209 | 2,141 |
|
Neeta Varshney
13035 Pomerado Rd |
$50.71 | 1,860 | 1,799 |
|
Soumya G Rao
15611 Pomerado Rd |
$99.80 | 1,803 | 1,791 |
|
Patrick Joseph Fitzgerald
15525 Pomerado Rd |
$100.28 | 1,789 | 1,772 |
|
Michael William Delaney
15611 Pomerado Rd Ste 580 |
$131.14 | 1,582 | 1,577 |
|
Ludmilla N Ionescu
15611 Pomerado Rd |
$10.24 | 1,240 | 1,199 |
|
William W Winternitz
12630 Monte Vista Rd |
$120.32 | 1,219 | 1,147 |
|
Paul Neustein
15644 Pomerado Rd |
$62.19 | 1,121 | 1,098 |
|
Lynn Berman Herring
15725 Pomerado Rd |
$6.90 | 1,098 | 1,040 |
|
Sandeep Ashu Soni
15644 Pomerado Rd |
$73.49 | 856 | 797 |
|
Brad Steven Cohen
15525 Pomerado Rd |
$111.48 | 718 | 690 |
|
Kyoung Min Han
15706 Pomerado Rd Ste 102 |
$48.32 | 642 | 544 |
|
Dennis Mamaril
15611 Pomerado Rd |
$4.92 | 549 | 513 |
|
Kelly Lynn Neil
15611 Pomerado Rd |
$0.58 | 512 | 494 |
|
Paul Chun-Pu Jou
15611 Pomerado Rd Ste 400 |
$109.99 | 505 | 498 |
|
Joann L Totah
15644 Pomerado Rd |
$36.81 | 492 | 487 |
|
Sachi Patel
15725 Pomerado Rd Ste 102 |
$127.41 | 403 | 402 |
|
Richard Alfonso Merino
15721 Pomerado Rd |
$0.82 | 385 | 374 |
|
Patrick Andrew Armstrong
15721 Pomerado Rd Ste 300 |
$117.10 | 380 | 379 |
|
James Michael Bried
15525 Pomerado Rd |
$108.48 | 290 | 273 |
|
Marcelo R Rivera
15644 Pomerado Rd |
$3.46 | 288 | 275 |
|
Ayda Dashtaei
15611 Pomerado Rd Ste 400 |
$111.93 | 248 | 248 |
|
David James Carty
15611 Pomerado Rd |
$6.02 | 243 | 233 |
|
Diane M Scott
15611 Pomerado Rd |
$124.32 | 200 | 200 |
|
Pinto Franco Ng Zhao
13625 Adrian St |
$119.31 | 200 | 199 |
|
Todd David Wells
15611 Pomerado Rd |
$110.31 | 199 | 191 |
|
Hedieh Badkoobehi
15611 Pomerado Rd |
$6.36 | 175 | 172 |
|
Tatyana Ita Williams
15611 Pomerado Rd Fl 3 |
$0.00 | 172 | 170 |
|
Philip J Balikian
15611 Pomerado Rd |
$95.39 | 167 | 159 |
|
Larry Alan Presant
15611 Pomerado Rd |
$8.57 | 157 | 145 |
|
Tracy Vandewater
15611 Pomerado Rd Ste 400 |
$12.49 | 150 | 101 |
|
Stuart Nathan Graham
15611 Pomerado Rd |
$5.35 | 145 | 134 |
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 Poway, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Poway, CA is $45.20 per claim, based on 172,325 claims from 71 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 Poway, CA?
There are 71 Medicaid providers offering Office Visit related services in Poway, CA according to public payment data.
What is the price range for Office Visit in Poway, CA?
Medicaid reimbursement for Office Visit in Poway, CA ranges from $0.00 to $131.14 per claim, with an average of $45.20. 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 Poway, CA
Dental Cleaning & Exam
Avg $51.07
142,671 claims
Blood Work & Lab Tests
Avg $60.30
112,160 claims
Tooth Extraction
Avg $132.81
62,945 claims
Emergency Room Visit
Avg $198.91
46,133 claims
Chiropractic Care
Avg $8.89
37,447 claims
Physical Therapy
Avg $17.34
36,882 claims
Dental Filling
Avg $62.42
34,852 claims
X-Ray
Avg $53.16
31,563 claims