Average Medicaid Office Visit Payments in Saint Helena, CA: $24.49
Avg. Paid
$24.49
Range
$0.00 – $521.76
Total Claims
145,797
Providers
36
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 Saint Helena, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Teresa Lynn Shinder
1222 Pine St Ste A |
$3.70 | 101,860 | 63,844 |
|
Shawn Fronterhouse
821 Saint Helena Hwy S Ste 1 |
$101.87 | 7,558 | 7,446 |
|
Matthew Corvo
1120 Pope St Ste 100 |
$17.26 | 7,472 | 5,138 |
|
Daisy Christina Hoffert
1104 Adams St Ste 201 |
$40.66 | 4,837 | 4,512 |
|
St. Helena Hospital
10 Woodland Rd |
$207.51 | 4,787 | 3,540 |
|
Arun Shrikant Hatwalkar
10 Woodland Rd |
$2.99 | 4,066 | 3,834 |
|
Bruce Anderson
6 Woodland Rd |
$50.27 | 2,160 | 1,269 |
|
Ramiro Zarate
1222 Pine St Ste A |
$4.31 | 1,709 | 1,523 |
|
Martin T Paukert
6 Woodland Rd |
$77.13 | 1,587 | 1,518 |
|
Tegpal Atwal
6 Woodland Rd Ste 303 |
$84.57 | 1,270 | 1,255 |
|
Monica S Divakaruni
999 Adams St Ste 106 |
$26.72 | 1,094 | 1,052 |
|
Timothy F Dowling
1222 Pine St Ste A |
$6.28 | 980 | 601 |
|
Leah Theresa Riha
1222 Pine St Ste A |
$7.90 | 960 | 578 |
|
Keils Kitchen
6 Woodland Rd |
$521.76 | 794 | 677 |
|
Deborah Geary
1530 Railroad Ave |
$6.57 | 548 | 490 |
|
Thomas E Stiles
999 Adams St 201 |
$54.72 | 532 | 523 |
|
Jessica Lee Friend
821 Saint Helena Hwy S |
$70.90 | 500 | 495 |
|
Amy E Wallace
10 Woodland Rd |
$47.12 | 489 | 360 |
|
Natasa Bratislav Dragicevic
6 Woodland Rd Ste 304 |
$65.27 | 435 | 409 |
|
John Howarth Kirk
821 Saint Helena Hwy S |
$44.64 | 406 | 389 |
|
Adventist Health California Medical Group, Inc.
1001 Adams St |
$32.93 | 375 | 315 |
|
Timothy C Lyons
10 Woodland Rd |
$259.63 | 359 | 225 |
|
Ari Umutyan
10 Woodland Rd |
$50.22 | 350 | 305 |
|
Melody M. Kim
6 Woodland Rd |
$9.33 | 156 | 154 |
|
Adventist Health Physicians Network
6 Woodland Rd |
$27.78 | 89 | 87 |
|
Marie Boling Hughes
1222 Pine St |
$0.27 | 88 | 81 |
|
Carl Boyer Ermshar
6 Woodland Rd |
$44.67 | 71 | 68 |
|
Daniel G Huber
10 Woodland Road |
$238.05 | 63 | 34 |
|
Jessica Elizabeth Strock
1530 Railroad Ave |
$27.47 | 47 | 45 |
|
Adventist Health Physicians Network
6 Woodland Rd |
$0.01 | 40 | 40 |
|
Stephen R Greenberg
10 Woodland Rd |
$19.68 | 33 | 33 |
|
Susan Judith Eisenberg
6 Woodland Rd Ste 304 |
$26.80 | 24 | 24 |
|
Juan C Vasquez
6 Woodland Rd Ste 101 |
$41.96 | 16 | 13 |
|
John H. Hart
10 Woodland Rd |
$0.00 | 15 | 12 |
|
Charles Richard Wilson
6 Woodland Rd Ste 205 |
$142.07 | 14 | 13 |
|
Matthew Audet Cain
6 Woodland Rd Ste 304 |
$77.22 | 13 | 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 Saint Helena, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Saint Helena, CA is $24.49 per claim, based on 145,797 claims from 36 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 Saint Helena, CA?
There are 36 Medicaid providers offering Office Visit related services in Saint Helena, CA according to public payment data.
What is the price range for Office Visit in Saint Helena, CA?
Medicaid reimbursement for Office Visit in Saint Helena, CA ranges from $0.00 to $521.76 per claim, with an average of $24.49. 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 Saint Helena, CA
Blood Work & Lab Tests
Avg $2.41
132,482 claims
X-Ray
Avg $9.43
34,154 claims
Urinalysis & Urine Tests
Avg $1.48
32,195 claims
Emergency Room Visit
Avg $79.45
31,101 claims
Culture & Microbiology Tests
Avg $1.38
16,870 claims
Vaccines & Immunizations
Avg $12.67
13,805 claims
Pathology & Lab Services
Avg $24.27
11,266 claims
Physical Therapy
Avg $48.94
6,831 claims