Average Medicaid Office Visit Payments in San Carlos, CA: $43.41
Avg. Paid
$43.41
Range
$0.00 – $1,247
Total Claims
65,405
Providers
48
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 Carlos, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Charlotte Veronica Gonzales
1186 Brittan Ave |
$25.47 | 11,743 | 9,802 |
|
Wenting Jiang
301 Industrial Rd |
$0.00 | 9,386 | 7,007 |
|
Michelle Karen Lee
301 Industrial Rd |
$0.20 | 8,123 | 5,246 |
|
Leila Chaychi
1660 San Carlos Ave |
$101.87 | 5,221 | 4,508 |
|
Amanda Marie Romero
301 Industrial Rd |
$10.13 | 5,103 | 4,361 |
|
Grace Watson
301 Industrial Rd |
$66.16 | 4,529 | 3,573 |
|
Ninh H Tran
750 El Camino Real |
$44.45 | 3,315 | 3,111 |
|
Amy Kathleen Mccarthy
301 Industrial Rd |
$7.10 | 3,290 | 3,034 |
|
Jeanne Chiu
301 Industrial Rd |
$5.69 | 2,175 | 1,788 |
|
Sirvart Kassabian
301 Industrial Rd |
$94.94 | 2,012 | 1,968 |
|
Suyang Zhou
301 Industrial Rd |
$3.88 | 1,587 | 1,496 |
|
Grace S Kim
1660 San Carlos Ave |
$27.90 | 1,552 | 1,501 |
|
Deryk G Jones
301 Industrial Rd |
$41.24 | 1,523 | 1,309 |
|
Kim Van Le
301 Industrial Rd |
$38.07 | 1,206 | 1,179 |
|
Dung Gloria Tu Lam
301 Industrial Rd |
$1.10 | 896 | 853 |
|
Telecare Corporation
1692 El Camino Real |
$1,247 | 843 | 747 |
|
Rebecca Ashe
301 Industrial Rd |
$12.13 | 402 | 393 |
|
Kathy Lien
301 Industrial Rd |
$19.16 | 375 | 299 |
|
Payal Karsan
301 Industrial Rd |
$0.68 | 271 | 265 |
|
Kenneth Seh Jay Lin
301 Industrial Rd |
$20.26 | 251 | 249 |
|
Darci Phillips
301 Industrial Rd |
$8.54 | 226 | 223 |
|
Ann Le Dorsey
301 Industrial Rd |
$60.08 | 186 | 168 |
|
Neel Dipak Patel
301 Industrial Rd |
$10.83 | 147 | 140 |
|
Chen Chen
301 Industrial Rd |
$0.48 | 124 | 122 |
|
Rachel Young
301 Industrial Rd |
$211.18 | 107 | 102 |
|
Patricia Santana
301 Industrial Rd |
$6.38 | 100 | 92 |
|
Anna Petrova
301 Industrial Rd |
$20.50 | 94 | 91 |
|
Kenneth Kin Ning Poon
301 Industrial Rd |
$3.21 | 88 | 86 |
|
Aimee Leigh Harris
301 Industrial Rd |
$2.89 | 62 | 61 |
|
Alison Nguyen
301 Industrial Rd |
$7.45 | 59 | 58 |
|
Ellen G Offermann
301 Industrial Rd |
$0.00 | 58 | 55 |
|
Ginger H. Roehrig
301 Industrial Rd |
$23.17 | 49 | 42 |
|
David Michael Andreski
301 Industrial Rd |
$47.03 | 40 | 40 |
|
Sarah Cheyette
301 Industrial Rd |
$55.88 | 40 | 40 |
|
Patrick Phillip Hand
301 Industrial Rd |
$30.91 | 31 | 30 |
|
Janice Kim
301 Industrial Rd |
$0.00 | 27 | 25 |
|
Rajashri S Iyengar
301 Industrial Rd |
$9.55 | 15 | 14 |
|
Judith Alderman
301 Industrial Rd |
$33.73 | 15 | 14 |
|
Ivy Rose Loreto Lorilla
301 Industrial Rd |
$42.56 | 15 | 15 |
|
Kerri Ann Ashling
301 Industrial Rd |
$23.44 | 14 | 14 |
|
Elden Madera Schuller
301 Industrial Rd |
$59.26 | 14 | 14 |
|
Radmila Grin
301 Industrial Rd |
$95.56 | 14 | 13 |
|
Peter Edward Newsom
1692 El Camino Real |
$3.05 | 14 | 13 |
|
David Hiroshima
301 Industrial Rd |
$25.85 | 13 | 13 |
|
Adam Cheng
301 Industrial Rd |
$5.71 | 13 | 12 |
|
Joseph Shubert
301 Industrial Rd |
$45.42 | 13 | 13 |
|
Hui-Chia Huang
301 Industrial Rd |
$128.87 | 12 | 12 |
|
Shoko Odani
301 Industrial Rd |
$19.17 | 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 San Carlos, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Carlos, CA is $43.41 per claim, based on 65,405 claims from 48 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 Carlos, CA?
There are 48 Medicaid providers offering Office Visit related services in San Carlos, CA according to public payment data.
What is the price range for Office Visit in San Carlos, CA?
Medicaid reimbursement for Office Visit in San Carlos, CA ranges from $0.00 to $1,247 per claim, with an average of $43.41. 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 Carlos, CA
Molecular & Genetic Testing
Avg $56.82
1,521,918 claims
Non-Emergency Medical Transportation
Avg $25.69
89,947 claims
Behavioral & Mental Health Therapy
Avg $244.49
78,865 claims
Psychiatric Evaluation
Avg $172.75
44,470 claims
Case Management Services
Avg $121.15
23,361 claims
Blood Work & Lab Tests
Avg $3.08
14,907 claims
Ambulance Transport
Avg $20.61
12,879 claims
Prescription Medications
Avg $88.28
12,766 claims