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 |
|---|---|---|---|
|
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 |
|
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 |
|
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 |
|
Steven T Chan
2025 Morse Ave |
$67.50 | 12 | 12 |
|
Taylor Duke
1201 Alhambra Blvd Ste 340 |
$129.07 | 12 | 12 |
|
Mikla Nina Derlet
2516 Stockton Blvd |
$68.91 | 12 | 12 |
|
Beverly Bovey Garber
2521 Stockton Blvd Ste 7200 |
$21.29 | 12 | 12 |
|
Flora Chang
4301 X St |
$22.92 | 12 | 12 |
|
Jun Park
4150 V Street, Pssb, Suite G400 |
$150.00 | 12 | 12 |
|
Denise Satterfield
83 Scripps Drive |
$85.78 | 12 | 12 |
|
Sarah N Gallager
4150 V St |
$77.08 | 12 | 12 |
|
Amy C. Nesting
4649 Sunset Dr |
$38.33 | 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.
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