Average Medicaid Office Visit Payments in San Andreas, CA: $38.53
Avg. Paid
$38.53
Range
$0.00 – $1,276
Total Claims
70,413
Providers
18
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 San Andreas, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
M A C T Health Board Incorporated
1113 Highway 49 |
$2.47 | 52,484 | 46,787 |
|
Mark Twain Medical Center
704 Mountain Ranch Rd |
$19.97 | 5,564 | 5,251 |
|
Danielle Pyevich
891 Mountain Ranch Rd |
$15.84 | 2,673 | 2,298 |
|
Kabir Singh Matharu
768 Mountain Ranch Rd |
$1.09 | 2,188 | 1,136 |
|
County Of Calaveras
704 Mountain Ranch Rd Ste 103-105 |
$1,276 | 1,805 | 1,708 |
|
Kenneth S Romans
588 St Charles Street |
$2.10 | 1,511 | 842 |
|
Sean F Anderson
768 Mountain Ranch Rd |
$19.94 | 897 | 832 |
|
Dean Matthew Kelaita
702 Mountain Ranch Rd. |
$39.62 | 774 | 721 |
|
Karen Orbeta
1113 Highway 49 |
$0.00 | 577 | 530 |
|
Athena Villasenor Taylan
768 Mountain Ranch Rd |
$40.91 | 550 | 536 |
|
Michael Dennis Kifune
1333 Highway 49 |
$30.53 | 487 | 463 |
|
Matthew Joshua King-Lung Kor
702 Mountain Ranch Rd |
$61.71 | 383 | 362 |
|
Sarah Margaret Grimes
702 Mountain Ranch Rd |
$18.87 | 336 | 237 |
|
Mark Twain Medical Center
768 Mountain Ranch Rd |
$9.15 | 73 | 72 |
|
James Francis Brennan
768 Mountain Ranch Rd |
$65.91 | 72 | 71 |
|
M A C T Health Board, Incorporated
1113 Hwy 49 |
$0.00 | 13 | 12 |
|
Rodger Stuart Orman
700 Mountain Ranch Rd Ste C-1 |
$14.96 | 13 | 12 |
|
Shane Michael Patterson
702 Mountain Ranch Rd |
$0.00 | 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 San Andreas, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Andreas, CA is $38.53 per claim, based on 70,413 claims from 18 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 San Andreas, CA?
There are 18 Medicaid providers offering Office Visit related services in San Andreas, CA according to public payment data.
What is the price range for Office Visit in San Andreas, CA?
Medicaid reimbursement for Office Visit in San Andreas, CA ranges from $0.00 to $1,276 per claim, with an average of $38.53. 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 San Andreas, CA
Blood Work & Lab Tests
Avg $12.29
93,595 claims
X-Ray
Avg $10.02
48,268 claims
Case Management Services
Avg $317.92
26,585 claims
Urinalysis & Urine Tests
Avg $4.98
20,825 claims
CT Scan (Computed Tomography)
Avg $47.81
16,811 claims
Behavioral & Mental Health Therapy
Avg $240.87
16,008 claims
Psychiatric Evaluation
Avg $131.61
14,070 claims
Ultrasound
Avg $45.09
11,425 claims