Average Medicaid Office Visit Payments in Salinas, CA: $33.22
Avg. Paid
$33.22
Range
$0.00 – $932.94
Total Claims
2,189,013
Providers
394
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 Salinas, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Monterey
1441 Constitution Blvd |
$9.45 | 124,766 | 111,850 |
|
County Of Monterey
1441 Constitution Blvd |
$6.06 | 110,400 | 99,798 |
|
County Of Monterey
559 E Alisal St |
$3.38 | 109,521 | 97,970 |
|
Hsp40248F
1441 Constitution Blvd |
$52.37 | 97,986 | 79,362 |
|
Jon Yoshito Yoshiyama
219 N Sanborn Rd |
$16.42 | 82,843 | 58,807 |
|
County Of Monterey
1441 Constitution Blvd |
$15.46 | 65,361 | 60,875 |
|
Terrence C Hack
950 Circle Dr |
$16.43 | 53,995 | 34,715 |
|
Melissa Nothnagle
1441 Constitution Blvd Bldg 4003 |
$0.67 | 42,731 | 39,996 |
|
Ma Cristina Mariano Mercado
505 E Romie Ln Ste K |
$3.65 | 40,339 | 37,737 |
|
Chuyen Le Trieu
505 E Romie Ln Ste K |
$5.36 | 38,573 | 36,586 |
|
Nicolas Kissell
355 Abbott St Ste 200 |
$91.18 | 33,945 | 33,629 |
|
Steve Darmawan
333 Abbott St Ste C |
$6.07 | 31,307 | 27,586 |
|
Nadia Cristina Arias Pena
950 Circle Dr |
$13.49 | 25,752 | 13,033 |
|
Guillermina W. Erni
219 N Sanborn Rd |
$18.81 | 25,301 | 16,630 |
|
Clinica De Salud Del Valle De Salinas
219 N Sanborn Rd |
$29.76 | 25,252 | 21,845 |
|
Orlando Rodriguez
1336 Natividad Rd |
$1.30 | 24,125 | 21,427 |
|
Andrea Rivas
950 Circle Dr |
$14.19 | 24,029 | 16,418 |
|
William Khieu
335 Katherine Ave |
$66.79 | 23,352 | 17,663 |
|
Anuradha Reddy
831 S. Main St. |
$0.15 | 22,077 | 20,342 |
|
Edgar Hugo Castellanos
275 W Laurel Dr Ste A |
$36.52 | 21,675 | 19,895 |
|
Clinica De Salud Del Valle De Salinas
950 Circle Dr |
$32.86 | 21,269 | 19,557 |
|
Steven Sherman Prager
45 E San Joaquin St |
$101.72 | 18,257 | 17,067 |
|
Pablo Romero
335 Katherine Ave |
$5.26 | 18,173 | 15,161 |
|
Michael Andrew German
1095 Los Palos Dr |
$109.79 | 17,929 | 17,345 |
|
Steven William Harrison
1441 Constitution |
$1.95 | 17,850 | 13,176 |
|
Nathan Blau
335 Katherine Ave # T |
$8.19 | 15,649 | 10,122 |
|
Liliana P. Prakasam
219 N Sanborn Rd |
$7.37 | 15,359 | 9,624 |
|
Mariedel Laranang Barroga-Schlegel
559 E Alisal St |
$10.73 | 15,164 | 14,410 |
|
Kenneth C Nowak
1095 Los Palos Drive |
$107.27 | 14,807 | 14,540 |
|
Steven C Schumann
558 Abbott St |
$29.74 | 14,689 | 13,900 |
|
Eva Maria Perusquia Frias
219 N Sanborn Rd |
$15.53 | 14,481 | 9,729 |
|
Salinas Valley Memorial Healthcare System
450 E Romie Ln |
$62.70 | 14,280 | 10,046 |
|
Joyce Marianne Dumdum Beltran
1441 Constitution Blvd |
$10.60 | 13,908 | 9,652 |
|
Eloy Romero
450 E Romie Ln |
$6.05 | 13,242 | 12,223 |
|
Michael Luder
1212 S Main St |
$28.87 | 12,629 | 11,992 |
|
Clinica De Salud Del Valle De Salinas
2180 N Main St |
$27.84 | 12,533 | 10,715 |
|
County Of Monterey
1441 Constitution Blvd Bldg 400 |
$10.86 | 12,085 | 11,123 |
|
Valerie Elaine Choy
1441 Constitution Blvd |
$0.03 | 12,050 | 11,593 |
|
Terrence K Trapp
1095 Los Palos Drive |
$103.88 | 11,839 | 11,198 |
|
Sara Jane Lyon
559 E Alisal St |
$5.74 | 11,694 | 10,505 |
|
M. K. Serio
1441 Constitution Blvd |
$28.33 | 11,287 | 9,143 |
|
Mario R Quintero
1441 Constitution Blvd |
$23.22 | 11,269 | 11,206 |
|
Rajiv Prakash Dange
1441 Constitution Blvd |
$2.82 | 11,237 | 9,050 |
|
Geetha Varma
505 E Romie Ln |
$88.06 | 11,236 | 9,598 |
|
Patrick Jordan
110 Harden Pkwy Ste 101 |
$62.03 | 11,172 | 9,693 |
|
Robert M Block
1095 Los Palos Drive |
$94.98 | 11,121 | 10,430 |
|
Hong Zhao
505 E Romie Ln Ste A |
$80.53 | 10,948 | 9,243 |
|
Doctors On Duty Medical Group, Inc
1212 S Main St |
$82.83 | 10,299 | 9,066 |
|
John M Gray
1212 S Main St |
$31.41 | 10,255 | 9,929 |
|
Heloisa Santos Junqueira
1441 Constitution Blvd |
$0.71 | 10,150 | 9,422 |
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 Salinas, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Salinas, CA is $33.22 per claim, based on 2,189,013 claims from 394 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 Salinas, CA?
There are 394 Medicaid providers offering Office Visit related services in Salinas, CA according to public payment data.
What is the price range for Office Visit in Salinas, CA?
Medicaid reimbursement for Office Visit in Salinas, CA ranges from $0.00 to $932.94 per claim, with an average of $33.22. 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 Salinas, CA
Emergency Room Visit
Avg $85.58
703,028 claims
Substance Abuse Treatment
Avg $31.70
606,121 claims
Blood Work & Lab Tests
Avg $10.63
598,121 claims
Dental Cleaning & Exam
Avg $48.08
569,658 claims
Vaccines & Immunizations
Avg $16.52
469,548 claims
Case Management Services
Avg $207.44
334,508 claims
Urinalysis & Urine Tests
Avg $3.73
307,621 claims
Behavioral & Mental Health Therapy
Avg $282.62
272,080 claims