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 |
|---|---|---|---|
|
Patricia A. Tsung
4647 Zion Ave |
$47.50 | 12 | 12 |
|
Lucia Mieko Hunter
4575 College Ave |
$19.44 | 12 | 12 |
|
James Zheng Gang Zhou
4647 Zion Ave |
$0.00 | 12 | 12 |
|
Laura J Duffy
4647 Zion Ave |
$70.00 | 12 | 12 |
|
John W Adamson
8929 University Center Ln |
$37.08 | 12 | 12 |
|
Samuel Fish
1084 Johnson Ave |
$15.08 | 12 | 12 |
|
Niral Mukund Patel
200 W Arbor Dr |
$35.70 | 12 | 12 |
|
Nathan L Scott
200 W Arbor Dr |
$48.82 | 12 | 12 |
|
Lloyd C. Chang
4647 Zion Ave |
$71.25 | 12 | 12 |
|
Community Research Foundation Inc
1260 Morena Blvd Ste 200 |
$548.37 | 12 | 12 |
|
Melissa Province Bennett
4647 Zion Ave |
$6.25 | 12 | 12 |
|
Jeanette Schnierle
7910 Frost St Ste 250 |
$29.70 | 12 | 12 |
|
Brittany Rice
2650 Camino Del Rio N Ste 101 |
$33.34 | 12 | 12 |
|
Sean Magtoto
4647 Zion Ave |
$64.17 | 12 | 12 |
|
David Charles Kunkel
200 W Arbor Dr |
$36.04 | 12 | 12 |
|
Stephen Lyon
4647 Zion Ave |
$0.00 | 12 | 12 |
|
Ronald J Ellis
200 W Arbor Dr |
$37.89 | 12 | 12 |
|
John Brian Bronson
4647 Zion Ave |
$35.83 | 12 | 12 |
|
Elen Yip Zepeda
10455 Sorrento Valley Rd |
$0.00 | 12 | 12 |
|
Amy Colleen French
7695 Cardinal Ct |
$37.13 | 12 | 12 |
|
Jose E. Otero
6367 Alvarado Ct |
$149.05 | 12 | 12 |
|
Lisa Nakhleh Boyd
2999 Health Center Drive |
$18.26 | 12 | 12 |
|
Michael R. Donahoe
4647 Zion Ave |
$0.00 | 12 | 12 |
|
Jose S Loredo
200 W Arbor Dr |
$19.10 | 12 | 12 |
|
Ruth Hsiao
200 W Arbor Dr |
$0.00 | 12 | 12 |
|
Sarah Herrera
6911 Convoy Ct Fl 2 |
$0.00 | 12 | 12 |
|
Meghan Fagundes
8765 Aero Dr Ste 228 |
$0.00 | 12 | 12 |
|
Jessica Lynn Kovall
200 W Arbor Dr |
$0.00 | 12 | 12 |
|
Timothy Minh-Tien Dang
200 W Arbor Dr |
$31.38 | 12 | 12 |
|
Donna M Borowy
4647 Zion Ave |
$0.00 | 12 | 12 |
|
Andrew John Denevan
200 W Arbor Dr |
$10.53 | 12 | 12 |
|
Sarah Grace
200 W Arbor Dr |
$150.00 | 12 | 12 |
|
Stacey White
6655 Alvarado Rd |
$88.72 | 12 | 12 |
|
Omana Thomas Kaliangara
3033 Bunker Hill St |
$0.00 | 12 | 12 |
|
Sarah Fox Horman
200 W Arbor Dr |
$70.18 | 12 | 12 |
|
Karen Michiko Kling
8010 Frost St Ste 414 |
$0.00 | 12 | 12 |
|
Kristen Marie Giamona
6973 Linda Vista Rd |
$0.00 | 12 | 12 |
|
Jasmine Palmiano Henderson
6195 Lusk Blvd Ste 250 |
$0.00 | 12 | 12 |
|
Minh-Lien Khuat
200 W Arbor Dr |
$0.00 | 12 | 12 |
|
Jean-Jacques Abitbol M D A Medical Corporation
5395 Ruffin Rd Ste 102 |
$68.21 | 12 | 12 |
|
George Zhi Cheng
200 W Arbor Dr |
$15.50 | 12 | 12 |
|
Jarrett Emerson Santorelli
200 W Arbor Dr |
$25.08 | 12 | 12 |
|
John Davis Clark
200 W Arbor Dr |
$23.80 | 12 | 12 |
|
Tuyet T. Lather
3544 30Th St |
$23.40 | 12 | 12 |
|
Brittany Catherine Passiak
3030 Childrens Way |
$125.47 | 12 | 12 |
|
Carrie Kimberly Rathburn
4650 Palm Ave |
$0.00 | 12 | 12 |
|
Belal Outhman Al Khiami
200 W Arbor Dr |
$35.23 | 12 | 12 |
|
Andy M Chan
4077 Fifth Ave # Mer35 |
$7.43 | 12 | 12 |
|
Calvin Philip Miller
601 Mccain Blvd |
$50.95 | 12 | 12 |
|
Christine Roddy Lichtenberg
7675 Mission Valley Rd |
$69.01 | 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 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.
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 Diego, CA
Blood Work & Lab Tests
Avg $4.97
35,607,223 claims
Urinalysis & Urine Tests
Avg $1.06
5,271,070 claims
Speech Therapy
Avg $16.23
4,362,220 claims
X-Ray
Avg $14.53
2,038,180 claims
Emergency Room Visit
Avg $104.48
1,987,395 claims
Culture & Microbiology Tests
Avg $1.81
1,568,174 claims
Substance Abuse Treatment
Avg $88.82
1,360,427 claims
Dental Cleaning & Exam
Avg $51.23
1,288,126 claims