Average Medicaid Office Visit Payments in Rancho Santa Margarita, CA: $27.18
Avg. Paid
$27.18
Range
$0.00 – $64.46
Total Claims
39,314
Providers
24
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 Rancho Santa Margarita, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Levi Benjamin Williamson
22431 Antonio Pkwy # B160-613 |
$42.67 | 15 | 14 |
|
Michael Weiss
29941 Aventura |
$0.00 | 26 | 26 |
|
Jacqueline Michelle Levin
22032 El Paseo Ste 220 |
$55.47 | 112 | 110 |
|
Kasra Maasumi
30212 Tomas Ste 180 |
$23.23 | 118 | 89 |
|
Sumant Nagarkar
29472 Avenida De Las Bandera |
$64.46 | 214 | 209 |
|
Marsha Funderburk Granese
22032 El Paseo |
$33.41 | 274 | 252 |
|
Bonnie Pittaluga
29472 Avenida De Las Bandera |
$3.34 | 300 | 282 |
|
Rena Alexa Palmer
11 Porcelana |
$16.80 | 333 | 333 |
|
Stephen Tang
29941 Aventura |
$5.30 | 520 | 503 |
|
Can Mustafa Tamkoc
22032 El Paseo Ste 130 |
$28.74 | 542 | 527 |
|
Eric J Wong
29472 Avenida De Las Bandera |
$4.69 | 592 | 562 |
|
Antoinette Delvalle
22521 Avenida Empresa Ste 107 |
$16.30 | 658 | 627 |
|
Matthew Louis Schneider
22032 El Paseo Ste 140 |
$57.89 | 898 | 858 |
|
Cynthia A Dimalanta
30212 Tomas |
$11.54 | 913 | 881 |
|
Siamak Zamani
29873 Santa Margarita Pkwy |
$31.48 | 1,131 | 1,082 |
|
Iwan Nyotowidjojo
29472 Avenida De Las Banderas |
$3.72 | 1,197 | 771 |
|
Rose Yson-Zaragoza
30212 Tomas |
$5.28 | 1,413 | 1,330 |
|
Shaparak Kamarei
29873 Santa Margarita Pkwy Ste 100 |
$37.53 | 1,462 | 1,322 |
|
James T Wang Md Inc
29833 Santa Margarita Pkwy |
$47.08 | 1,862 | 1,704 |
|
Afshin Hamidi
30511 Avenida De Las Flores # 1064 |
$28.31 | 2,565 | 2,522 |
|
Shruti S Vora
30212 Tomas Ste 220 |
$0.33 | 3,328 | 1,936 |
|
James T Wang
29833 Santa Margarita Pkwy |
$37.33 | 3,968 | 3,679 |
|
Faranak Chloe Ghazi
29873 Santa Margarita Pkwy Ste 100 |
$39.31 | 3,972 | 3,568 |
|
Nicholas Kleen
34 Calle Maria |
$28.46 | 12,901 | 12,743 |
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 Rancho Santa Margarita, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rancho Santa Margarita, CA is $27.18 per claim, based on 39,314 claims from 24 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 Rancho Santa Margarita, CA?
There are 24 Medicaid providers offering Office Visit related services in Rancho Santa Margarita, CA according to public payment data.
What is the price range for Office Visit in Rancho Santa Margarita, CA?
Medicaid reimbursement for Office Visit in Rancho Santa Margarita, CA ranges from $0.00 to $64.46 per claim, with an average of $27.18. 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 Rancho Santa Margarita, CA
Physical Therapy
Avg $9.85
21,126 claims
Dental Cleaning & Exam
Avg $56.20
10,214 claims
Eye Exam
Avg $17.26
9,920 claims
Speech Therapy
Avg $2.06
6,513 claims
Vaccines & Immunizations
Avg $3.28
4,416 claims
Emergency Room Visit
Avg $25.27
3,443 claims
Psychiatric Evaluation
Avg $66.19
2,858 claims
Root Canal
Avg $445.00
1,387 claims