Average Medicaid Office Visit Payments in Sacramento, CA: $22.28
Avg. Paid
$22.28
Range
$0.00 – $1,190
Total Claims
5,640,528
Providers
2,066
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 Sacramento, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Perla-Inez Resuello Maulino
7501 Hospital Dr |
$10.40 | 120,578 | 112,595 |
|
Amar Siddique
2315 Stockton Blvd |
$4.34 | 101,983 | 84,726 |
|
Kayvan D Haddadan
650 Howe Ave Ste 600 |
$36.32 | 96,043 | 92,222 |
|
Janine W. Bera
2425 Alhambra Blvd |
$0.93 | 93,681 | 85,096 |
|
Madeline Nguyen
1900 T St |
$1.55 | 88,928 | 55,106 |
|
Terry T. Arikawa
2020 J St |
$8.86 | 81,771 | 66,676 |
|
Nicholas Hilary Forde
4241 Florin Rd Ste 240 |
$0.83 | 79,623 | 75,385 |
|
Charles Scott Harrod
8233 E Stockton Blvd Ste D |
$0.35 | 79,587 | 67,720 |
|
Sandra Soraya Sands-Solgi
10423 Old Placerville Rd Ste A |
$0.97 | 69,082 | 63,304 |
|
Patricia Lynn Samuelson
3415 Martin Luther King Jr Blvd |
$0.50 | 68,405 | 48,208 |
|
Stephanie Anne Walton
7237 E Southgate Dr |
$11.12 | 67,812 | 65,342 |
|
Michael Chay Moua
7275 E Southgate Dr |
$0.04 | 67,508 | 62,899 |
|
Pooja Aggarwal
2425 Alhambra Blvd |
$0.66 | 65,512 | 57,221 |
|
Gustavo A Rosales
3701 J St |
$1.48 | 63,323 | 45,114 |
|
Regents Of The University Of California
2315 Stockton Blvd |
$78.64 | 61,004 | 47,190 |
|
Paramjit S. Takhar
8191 Timberlake Way |
$1.29 | 60,702 | 55,699 |
|
Dennie L Schultheis
3946 Norwood Ave |
$0.53 | 58,775 | 54,309 |
|
Manuel Allen Sabin
1750 Wright St |
$0.23 | 58,506 | 41,050 |
|
Ravinder Singh Khaira
4617 Freeport Blvd Ste B |
$9.38 | 58,148 | 52,434 |
|
Helen Leo Vinogradova
7215 55Th Street |
$0.42 | 56,463 | 44,877 |
|
William Glen Douglas
3701 J St Ste 201 |
$0.95 | 56,211 | 37,827 |
|
Francisco Aguirre
7600 Hospital Dr |
$0.51 | 46,800 | 41,653 |
|
Wendy F Heller
1820 J St |
$0.66 | 46,187 | 40,032 |
|
Masaru Oshita
4150 V St |
$41.73 | 43,814 | 41,328 |
|
Thomas Edward Melchione
77 Cadillac Dr |
$16.22 | 43,399 | 41,934 |
|
Joyce Dixon Hightower
2425 Alhambra Blvd |
$0.77 | 43,104 | 38,505 |
|
Bryan K Lee
5385 Franklin Blvd Ste K |
$0.15 | 42,560 | 26,870 |
|
Raja Sivamani
1495 River Park Dr Ste 200 |
$37.74 | 40,107 | 39,479 |
|
Albert Zalman Owens
3000 Q St Fl 2 |
$0.84 | 38,630 | 35,141 |
|
Ulhas Mahabala Nadgir
3814 Auburn Blvd |
$103.93 | 37,729 | 34,828 |
|
Yinka K Davies
5767 Greenback Ln |
$17.96 | 36,935 | 22,294 |
|
Gregory Gerald Smith
7600 Hospital Dr |
$3.86 | 36,637 | 33,497 |
|
Hector Miguel Guzman
501 J St |
$0.25 | 36,484 | 30,102 |
|
Tri-Dung Gia Hoang
6540 Stockton Blvd Ste 3A |
$1.06 | 35,879 | 33,909 |
|
Victor K Chan
2901 K St |
$58.80 | 33,884 | 31,035 |
|
Sutter Valley Medical Foundation
2700 Gateway Oaks Dr |
$2.90 | 33,527 | 30,320 |
|
Aaron Jason Cleveland
2020 J St |
$0.95 | 32,975 | 21,646 |
|
John Palmer Lovejoy
1500 21St St |
$2.99 | 30,496 | 19,450 |
|
Eric Wilson
1500 21St St |
$1.51 | 30,267 | 17,414 |
|
Charles Iverson Hooper
6339 Mack Rd |
$0.70 | 29,301 | 22,989 |
|
River City Medical Group, Inc.
7311 Greenhaven Drive |
$0.17 | 29,009 | 27,369 |
|
Manuel Antonio Arevalo
4100 E. Commerce Way |
$3.26 | 28,634 | 27,249 |
|
Dennis Peter Padla
2020 J St |
$29.85 | 28,266 | 21,462 |
|
Karen M. Webster
201 29Th St |
$58.16 | 27,648 | 24,980 |
|
Jack Edward Lamendola
7248 S Land Park Dr |
$11.00 | 26,868 | 24,657 |
|
Chainaronk Limanon
7248 Southland Park Dr |
$0.18 | 26,240 | 16,926 |
|
Jonathan Sam Davidson
2288 Auburn Blvd Ste 101 |
$12.07 | 25,964 | 25,619 |
|
Nathan Hale Allen
7237 E Southgate Dr |
$3.20 | 25,932 | 24,194 |
|
Melissa Carol Matulich
4860 Y St Ste 2500 |
$77.36 | 24,344 | 23,467 |
|
Ira Thomas Joyner
5524 Assembly Ct |
$0.05 | 24,332 | 16,786 |
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 Sacramento, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sacramento, CA is $22.28 per claim, based on 5,640,528 claims from 2066 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 Sacramento, CA?
There are 2066 Medicaid providers offering Office Visit related services in Sacramento, CA according to public payment data.
What is the price range for Office Visit in Sacramento, CA?
Medicaid reimbursement for Office Visit in Sacramento, CA ranges from $0.00 to $1,190 per claim, with an average of $22.28. 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 Sacramento, CA
Blood Work & Lab Tests
Avg $3.77
18,102,975 claims
Substance Abuse Treatment
Avg $25.46
4,355,222 claims
Urinalysis & Urine Tests
Avg $1.87
3,071,398 claims
Dental Cleaning & Exam
Avg $32.44
1,847,779 claims
Emergency Room Visit
Avg $137.25
1,743,927 claims
X-Ray
Avg $22.15
1,649,168 claims
Vaccines & Immunizations
Avg $1.91
1,382,181 claims
Case Management Services
Avg $101.96
1,337,952 claims