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Based on public Medicaid payment data.

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

Other Procedures in Sacramento, CA