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
Pritika Gupta 2025 Morse Ave	$12.08	12	12
Robert Anthony Dias 3000 Q St	$37.76	12	12
Winifred Hui-Lin Lee 4150 V St	$63.41	12	12
Kent Kunio Ishihara 4150 V Street, Suite G400	$0.00	12	12
Imran Aurangzeb 1508 Alhambra Blvd Ste 200	$86.19	12	12
Roger S Akins 2516 Stockton Blvd	$89.33	12	12
Ashish Patel 2315 Stockton Blvd	$24.21	12	12
Ricardo H Bardales 7750 College Town Dr	$9.53	12	12
April Marie Ramelli 6600 Bruceville Rd	$32.92	12	12
Vicki L. Wheelock 4860 Y St	$68.17	12	12
Michael Thomas Barger 3000 Q St	$0.00	12	12
Shivani Sharma 500 University Ave	$0.00	12	12
Yevgeniy A. Lepler 6600 Bruceville Rd	$29.82	12	12
Jose Daniel Rosa 6600 Bruceville Rd	$17.08	12	12
Florence Van Mai Chau-Etchepare 4150 V St Ste 3400	$45.90	12	12
Kevin E. Mackey 6600 Bruceville Rd	$10.83	12	12
Kelsey Wong 4150 V St # 1100	$75.00	12	12
Heartland Child & Family Services 6833 Stockton Blvd Ste 485	$1,035	12	12
Vitreo-Retinal Medical Group, Inc. 3939 J St Ste 106	$37.88	12	12
Crystal Barajas 3810 Rosin Ct Ste 100	$57.08	12	12
Sotiris T Papamichail 2800 L St	$16.14	12	12
Aaron Ross Gutierrez Jimenez 2300 Bell Executive Ln	$59.45	12	12
Jana Chtchetinin 4610 X St	$71.67	12	12
Cindy Piao 6600 Bruceville Rd	$127.35	12	12
Anne K. Johnstone 6600 Bruceville Rd	$22.50	12	12
Gerald J. Kohn 6600 Bruceville Rd	$0.00	12	12
Nicole Leonard 4860 Y St Ste 1600	$3.20	12	12
Mariana Kurchin 8120 Timberlake Way	$23.00	12	12
Kyle Edward Walker 6620 Coyle Ave	$82.85	12	12
Sally Medhat Kamal 2025 Morse Ave	$37.50	12	12
Gillian L.S. Soles 4860 Y St Ste 3800	$67.19	12	12
Mauro M Giordani 4860 Y St	$13.50	12	12
Garrett B. Wong 4860 Y St # 2820	$44.50	12	12
Darryl James Turner 2315 Stockton Blvd	$65.00	12	12
Lehman Ernest Black 2825 Capitol Ave Rm 1S118	$6.83	12	12
Clayton Thomas Rector 3000 Q Street	$8.05	12	12
Jasdeep Kumar Sharma 6600 Bruceville Rd	$0.00	12	12
Karen Elise Cleary 3160 Folsom Blvd Ste 2100	$153.00	12	12
Susan E Robinson 5301 F St	$0.00	12	12
Michael Caton 2230 Stockton Blvd	$0.00	12	12
Navdeep Singh Nijher 2800 L St	$5.70	12	12
Wenda Su 7275 E. Southgate Drive Suite 303	$41.00	12	12
Rajinder Kaur Trewn 4400 Duckhorn Dr Ste 100	$25.02	12	12
Ryan Martin 4860 Y St	$76.58	12	12
Louise F. Glaser 1020 29Th St Ste 550	$0.00	12	12
Rachel Fisher Hollander 4860 Y St Ste 1600	$0.00	12	12
Miguel Alonso Ruvalcaba 4150 V St # 1100	$115.83	12	12
Mohammad Arsalan Yusufzai 3000 Q Street	$6.25	12	12
Emerald Nguyen 1201 Alhambra Blvd Ste 300	$88.37	12	12
Jonathan J Patane 6600 Bruceville Rd	$50.00	12	12

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.

Average Medicaid Office Visit Payments in Sacramento, CA: $22.28

Providers Offering Office Visit in Sacramento, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Sacramento, CA

Blood Work & Lab Tests

Substance Abuse Treatment

Urinalysis & Urine Tests

Dental Cleaning & Exam

Emergency Room Visit

X-Ray

Vaccines & Immunizations

Case Management Services