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Based on public Medicaid payment data.

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
Matthew Audet Cain

6 Woodland Rd Ste 304

 $77.22 13 12
Charles Richard Wilson

6 Woodland Rd Ste 205

 $142.07 14 13
John H. Hart

10 Woodland Rd

 $0.00 15 12
Juan C Vasquez

6 Woodland Rd Ste 101

 $41.96 16 13
Susan Judith Eisenberg

6 Woodland Rd Ste 304

 $26.80 24 24
Stephen R Greenberg

10 Woodland Rd

 $19.68 33 33
Adventist Health Physicians Network

6 Woodland Rd

 $0.01 40 40
Jessica Elizabeth Strock

1530 Railroad Ave

 $27.47 47 45
Daniel G Huber

10 Woodland Road

 $238.05 63 34
Carl Boyer Ermshar

6 Woodland Rd

 $44.67 71 68
Marie Boling Hughes

1222 Pine St

 $0.27 88 81
Adventist Health Physicians Network

6 Woodland Rd

 $27.78 89 87
Melody M. Kim

6 Woodland Rd

 $9.33 156 154
Ari Umutyan

10 Woodland Rd

 $50.22 350 305
Timothy C Lyons

10 Woodland Rd

 $259.63 359 225
Adventist Health California Medical Group, Inc.

1001 Adams St

 $32.93 375 315
John Howarth Kirk

821 Saint Helena Hwy S

 $44.64 406 389
Natasa Bratislav Dragicevic

6 Woodland Rd Ste 304

 $65.27 435 409
Amy E Wallace

10 Woodland Rd

 $47.12 489 360
Jessica Lee Friend

821 Saint Helena Hwy S

 $70.90 500 495
Thomas E Stiles

999 Adams St 201

 $54.72 532 523
Deborah Geary

1530 Railroad Ave

 $6.57 548 490
Keils Kitchen

6 Woodland Rd

 $521.76 794 677
Leah Theresa Riha

1222 Pine St Ste A

 $7.90 960 578
Timothy F Dowling

1222 Pine St Ste A

 $6.28 980 601
Monica S Divakaruni

999 Adams St Ste 106

 $26.72 1,094 1,052
Tegpal Atwal

6 Woodland Rd Ste 303

 $84.57 1,270 1,255
Martin T Paukert

6 Woodland Rd

 $77.13 1,587 1,518
Ramiro Zarate

1222 Pine St Ste A

 $4.31 1,709 1,523
Bruce Anderson

6 Woodland Rd

 $50.27 2,160 1,269
Arun Shrikant Hatwalkar

10 Woodland Rd

 $2.99 4,066 3,834
St. Helena Hospital

10 Woodland Rd

 $207.51 4,787 3,540
Daisy Christina Hoffert

1104 Adams St Ste 201

 $40.66 4,837 4,512
Matthew Corvo

1120 Pope St Ste 100

 $17.26 7,472 5,138
Shawn Fronterhouse

821 Saint Helena Hwy S Ste 1

 $101.87 7,558 7,446
Teresa Lynn Shinder

1222 Pine St Ste A

 $3.70 101,860 63,844

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