Average Medicaid Office Visit Payments in San Clemente, CA: $29.87
Avg. Paid
$29.87
Range
$0.00 – $427.82
Total Claims
104,118
Providers
49
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 Clemente, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
La Laser Center, Pc, A Professional Medical Corporation
161 Avenida Vaquero |
$26.21 | 29,295 | 28,053 |
|
Ramin Tayani
653 Camino De Los Mares, Ste 107 |
$36.96 | 10,926 | 10,237 |
|
Parag Medical, Inc
657 Camino De Los Mares |
$30.76 | 9,126 | 8,387 |
|
John P Chard
665 Camino De Los Maes |
$2.42 | 9,014 | 8,163 |
|
Russell Joseph Thompson
629 Camino De Los Mares |
$16.31 | 8,711 | 2,580 |
|
Alma C Sanchez
638 Camino De Los Mares, Suite D4 |
$3.38 | 6,083 | 3,484 |
|
Sara Shokouhi
675 Camino De Los Mares Ste 280 |
$62.62 | 3,188 | 2,881 |
|
Nagi Kamil Saied
653 Camino De Los Mares |
$46.37 | 2,739 | 2,693 |
|
Medhero San Clemente, A Professional Medical Corporation
905 Calle Amanecer |
$105.68 | 2,200 | 1,978 |
|
Alice Wang
831 Via Suerte Ste 102 |
$4.96 | 2,015 | 1,880 |
|
Amit Parag
657 Camino De Los Mares |
$11.08 | 1,827 | 1,642 |
|
Colin Xephary Jairam
1031 Avenida Pico |
$89.15 | 1,622 | 1,525 |
|
Toral Parag
657 Camino De Los Mares |
$8.04 | 1,613 | 1,436 |
|
Mahsa Safavi
724 S El Camino Real |
$39.71 | 1,486 | 1,303 |
|
Peter Jonathan Joson
653 Camino De Los Mares |
$30.73 | 1,274 | 1,144 |
|
John Frederick Gentile
1300 Avenida Vista Hermosa |
$73.28 | 1,248 | 1,173 |
|
Maansi V Doshi
3553 Camino Mira Costa Ste D |
$56.44 | 1,140 | 1,109 |
|
Margaret Anne Vanblerk
1300 Avenida Vista Hermosa |
$6.40 | 923 | 878 |
|
Farrokh Alemzadeh M D Inc
655 Camino De Los Mares Ste 207 |
$57.11 | 814 | 707 |
|
Ramin Tayani Md Inc
653 Camino De Los Mares |
$6.60 | 811 | 787 |
|
Glenn Stewart Katz
3553 Camino Mira Costa |
$61.22 | 777 | 719 |
|
Russell Thompson Chiropractic Inc
629 Camino De Los Mares, Ste. 104 |
$25.75 | 744 | 261 |
|
Tracy A Pantig
724 S El Camino Real |
$41.87 | 576 | 511 |
|
Marvin Tieu Dang
993 Avenida Pico Ste 130 |
$82.54 | 546 | 523 |
|
Colin X Jairam Md Inc
1031 Avenida Pico |
$74.82 | 540 | 514 |
|
Jessica Ann Riley
1300 Avenida Vista Hermosa Ste 150 |
$43.78 | 526 | 512 |
|
Christopher Scott Carlin
1300 Avenida Vista Hermosa |
$62.49 | 476 | 458 |
|
Tala Majaj
905 Calle Amanecer |
$95.65 | 444 | 373 |
|
Jenna K Timboe
1300 Avenida Vista Hermosa Ste 200 |
$5.31 | 429 | 405 |
|
Larissa L. Garth
2719 S El Camino Real |
$54.19 | 382 | 348 |
|
William L Van Der Reis
653 Camino De Los Mares Ste 109 |
$61.17 | 373 | 353 |
|
Lauren Dwinell
1300 Avenida Vista Hermosa |
$10.13 | 306 | 286 |
|
Carrie Crawford
1300 Avenida Vista Hermosa |
$62.05 | 292 | 287 |
|
South County Urgent Care Medical Corporation
1300 Avenida Vista Hermosa |
$69.31 | 269 | 250 |
|
Katarzyna Anna Hudson
638 Camino De Los Mares |
$9.56 | 219 | 213 |
|
Victoria Lynn Whalen
638 Camino De Los Mares |
$9.71 | 211 | 207 |
|
Diana Liz Fruzza
638 Camino De Los Mares |
$57.25 | 192 | 188 |
|
Jennifer Hong
806 Avenida Pico Ste I-330 |
$0.00 | 142 | 68 |
|
Yovana Bruno Pediatric Care Inc.
3553 Camino Mira Costa Ste D |
$4.43 | 111 | 99 |
|
Eric Paul Woodward
102 W Avenida Valencia Apt 3 |
$17.79 | 99 | 98 |
|
Paulina Jose Avendano
1300 Avenida Vista Hermosa |
$14.30 | 83 | 81 |
|
Jessica Marie Pflibsen
905 Calle Amanecer Ste 115 |
$96.16 | 73 | 56 |
|
Francesca Longobardo
2915 Canto De Los Ciervos |
$85.45 | 68 | 66 |
|
Ronald K. Mcgee
3553 Camino Mira Costa |
$71.74 | 46 | 44 |
|
Jennifer Betz Martinez
247 Avenida Granada Apt A |
$63.30 | 46 | 42 |
|
Child Guidance Center, Inc.
3551 Camino Mira Costa |
$427.82 | 40 | 27 |
|
Michelle Dehn
11 Corte Lomas Verdes |
$99.72 | 29 | 25 |
|
Brittany Watson
1401 N El Camino Real Ste 100 |
$0.00 | 12 | 12 |
|
Yelena Wood
724 S El Camino Real |
$19.00 | 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 Clemente, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Clemente, CA is $29.87 per claim, based on 104,118 claims from 49 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 Clemente, CA?
There are 49 Medicaid providers offering Office Visit related services in San Clemente, CA according to public payment data.
What is the price range for Office Visit in San Clemente, CA?
Medicaid reimbursement for Office Visit in San Clemente, CA ranges from $0.00 to $427.82 per claim, with an average of $29.87. 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 Clemente, CA
Dental Cleaning & Exam
Avg $55.07
51,222 claims
Physical Therapy
Avg $13.65
33,188 claims
Eye Exam
Avg $16.36
13,818 claims
Psychiatric Evaluation
Avg $116.08
11,937 claims
Emergency Room Visit
Avg $81.28
11,090 claims
Dental Filling
Avg $64.97
10,671 claims
Vaccines & Immunizations
Avg $7.68
7,687 claims
Chiropractic Care
Avg $7.55
7,549 claims