Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in San Diego, CA: $33.35

Avg. Paid

$33.35

Range

$0.00 – $1,655

Total Claims

6,429,225

Providers

2,910

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 Diego, CA

Provider	Avg. Paid	Claims	Patients
La Maestra Family Clinic, Inc. 4060 Fairmount Ave	$1.17	80,375	71,107
Cssd Ii A Medical Group Inc 3860 Calle Fortunada	$0.01	77,419	75,497
Bahghi Russom Keflezighi 4725 Market St	$0.47	75,313	70,903
Family Health Centers Of San Diego, Inc 1809 National Ave	$2.79	66,509	59,883
Huan A. Le 5507 El Cajon Blvd #C	$29.53	65,621	63,299
Charles Barton Smoot 1809 National Avenue	$0.36	59,622	56,069
Ghada K Kassab 4606 Mission Bay Dr	$28.90	58,590	45,429
Rady Children'S Hospital San Diego 3020 Childrens Way	$1.43	54,219	52,541
Josie Cahilig Nuqui 10737 Camino Ruiz	$1.61	53,441	37,734
Elaine Watkins 3405 Kenyon St Ste 411	$112.84	48,537	47,093
Laurie J. Han-Conrad 4647 Zion Ave	$116.08	48,104	44,910
Katharine L Sheehan 1075 Camino Del Rio S	$125.46	46,891	43,004
Alicja Steiner 3939 Ruffin Rd	$121.32	46,342	37,863
Matthew Douglas Dickson 1628 Palm Ave	$65.99	41,575	39,075
Adla Tessier 4060 Fairmount Ave	$2.96	41,430	27,610
Grace Ellen Gates 1075 Camino Del Rio S	$123.28	40,718	38,100
Rady Children'S Hospital San Diego 3020 Childrens Way # 5002	$23.32	37,363	32,610
Mark E Brodsky 3705 Mission Blvd	$1.55	36,129	33,047
Khawla H Suleiman-Qafiti 3514 30Th St	$0.32	36,017	32,290
Harris Omar Niazi 1809 National Ave	$0.99	34,535	32,847
Walter K Nahm 7695 Cardinal Court	$110.37	33,705	26,585
Javier Rodriguez 4060 Fairmount Ave	$1.07	32,300	20,286
Sally Alassil 5454 El Cajon Blvd	$0.72	30,646	28,921
Poornima Khanna 4060 Fairmount Ave	$3.05	29,709	20,201
County Of San Diego 1700 Pacific Hwy	$567.80	29,388	26,300
Marcos Borrero 3490 Palm Ave	$1.78	29,298	27,875
Nguyen L Le 5507 El Cajon Blvd # B	$0.24	27,824	23,448
Aaron A Zaheer 4305 University Ave	$0.05	27,368	23,565
Seung-Yil Song 7930 Frost St Ste 405	$53.93	26,788	19,138
Jeffrey A Sandler 4060 4Th Ave Ste 340	$96.14	26,668	25,845
Huong Thi Le Nguyen 4444 El Cajon Blvd	$1.59	26,111	23,980
Gregor Andree 4305 University Ave	$0.04	24,700	20,631
Henry Able Richardson 7525 Metropolitan Dr Ste 302	$91.87	24,686	23,205
Tram Bao Le 5507 El Cajon Blvd	$3.76	24,200	22,534
Wadi Rouel 4060 Fairmount Ave	$0.30	23,321	17,601
Rodrigo Alexander Naranjo 6973 Linda Vista Rd	$0.26	22,896	17,057
Jacqueline Nicole Marston 6973 Linda Vista Rd	$0.15	21,687	18,252
Burhan Mohamedali 200 W Arbor Dr	$84.26	21,222	20,857
Antoanella Calame 6605 Nancy Ridge Dr	$81.85	21,140	20,432
Debra Ann Arsenault 34800 Bob Wilson Drive Naval Medical Center San Diego	$99.65	21,035	20,819
Benedict S. Dillon 1016 Outer Road	$0.36	20,999	16,860
Carla Mary Murray 1075 Camino Del Rio S	$3.12	20,713	18,029
Julia V Souvorova 7067 Camino Revueltos Unit 314	$76.56	20,219	16,364
Jesus Herrera Lao 6699 Alvarado Rd Ste 2304	$40.47	19,995	19,011
Najwan Noori Al Ani 5454 El Cajon Blvd	$0.46	19,973	19,321
Julius Dang 3705 Mission Blvd	$8.61	19,754	15,311
Joseph A Risser 6973 Linda Vista Rd	$0.06	19,051	14,917
Sarah Kathleen Dixon 6973 Linda Vista Road	$0.02	18,750	16,355
Alan James Zieg 1809 National Ave	$8.29	18,102	17,469
Southbay Urgent Care Inc 555 Saturn Blvd	$95.77	17,966	16,822

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 Diego, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Diego, CA is $33.35 per claim, based on 6,429,225 claims from 2910 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 Diego, CA?

There are 2910 Medicaid providers offering Office Visit related services in San Diego, CA according to public payment data.

What is the price range for Office Visit in San Diego, CA?

Medicaid reimbursement for Office Visit in San Diego, CA ranges from $0.00 to $1,655 per claim, with an average of $33.35. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in San Diego, CA: $33.35

Providers Offering Office Visit in San Diego, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in San Diego, CA

Blood Work & Lab Tests

Urinalysis & Urine Tests

Speech Therapy

X-Ray

Emergency Room Visit

Culture & Microbiology Tests

Substance Abuse Treatment

Dental Cleaning & Exam