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 |
|---|---|---|---|
|
Elizabeth Kline Satter
2565 Ingulf Place |
$0.00 | 12 | 12 |
|
Marina Clarissa Thomas
9455 Clairemont Mesa Blvd |
$12.45 | 12 | 12 |
|
Kendell Renee Anderson
4077 Fifth Ave # Mer35 |
$0.00 | 12 | 12 |
|
Etienne Maria Vasconcellosde Macedo
4168 Front St |
$37.80 | 12 | 12 |
|
Lynn Ngo Kihara
4405 Vandever Ave |
$0.00 | 12 | 12 |
|
Jeanne G. Lee
200 W Arbor Dr |
$29.99 | 12 | 12 |
|
Erin Beth Storie
5893 Copley Dr |
$52.92 | 12 | 12 |
|
Matthew Alan Zapala
200 W Arbor Dr |
$33.87 | 12 | 12 |
|
Mark Andrew Snider
3020 Childrens Way |
$70.83 | 12 | 12 |
|
Mary-Katherine Cecelia Mcgovern
200 W Arbor Dr |
$79.21 | 12 | 12 |
|
Keith C Rich
7565 Mission Valley Rd |
$43.33 | 12 | 12 |
|
Aditya Bagrodia
200 W Arbor Dr |
$27.68 | 12 | 12 |
|
Deema B. Arafah
3030 Childrens Way |
$101.48 | 12 | 12 |
|
Brian Ashley Speh
200 W Arbor Dr |
$52.50 | 12 | 12 |
|
Nancy A. Folks
4647 Zion Ave |
$75.19 | 12 | 12 |
|
Tuhin Mukherjee
6920 Miramar Rd Ste 106 |
$52.52 | 12 | 12 |
|
Zinat Sobhani
9095 Rio San Diego Dr Ste 250 |
$26.05 | 12 | 12 |
|
Marianne Richard
4647 Zion Ave |
$57.92 | 12 | 12 |
|
Shyamanga R Borooah
200 W Arbor Dr |
$52.02 | 12 | 12 |
|
Peter Hodson Custis
4647 Zion Ave |
$64.52 | 12 | 12 |
|
Jandark F Yuseif
200 W Arbor Dr |
$2.00 | 12 | 12 |
|
Charles J. Hamori
4647 Zion Ave |
$162.61 | 12 | 12 |
|
Vikki Lane
3811 Valley Centre Dr |
$20.69 | 12 | 12 |
|
Jerome Keith Manson
200 W Arbor Dr |
$78.46 | 12 | 12 |
|
Eugene W Rumsey
4060 Fourth Avenue |
$74.50 | 12 | 12 |
|
Laura Toppen
200 W Arbor Dr |
$14.65 | 12 | 12 |
|
Carolyn Mariko Sawyer
200 W Arbor Dr |
$113.22 | 12 | 12 |
|
Parvin Pam Mani
5555 Reservoir Dr, Ste 208 |
$66.93 | 12 | 12 |
|
Ruth Abeles
200 W Arbor Dr |
$35.86 | 12 | 12 |
|
Samer S. Assaf
2020 Genesee Ave |
$5.60 | 12 | 12 |
|
Graham Kuizin
4077 Fifth Ave # Mer35 |
$125.42 | 12 | 12 |
|
Brandon Isariyawongse
5893 Copley Dr |
$80.60 | 12 | 12 |
|
Arthur Wei Yan
8008 Frost St Ste 200 |
$51.45 | 12 | 12 |
|
Majid Shahbaz Md Inc
5555 Reservoir Dr |
$16.74 | 12 | 12 |
|
Anne Chmilewski
1016 Outer Rd |
$13.69 | 12 | 12 |
|
Rachel Shapiro
200 W Arbor Dr |
$28.60 | 12 | 12 |
|
Siu Ming J. Geary
15004 Innovation Dr |
$8.70 | 12 | 12 |
|
Kathleen B. Schwarz
3030 Childrens Way |
$46.91 | 12 | 12 |
|
Linda S Evans
4647 Zion Ave |
$36.67 | 12 | 12 |
|
San Diego Sports Medicine & Orthopaedic Center Inc.
6719 Alvarado Rd Ste 200 |
$30.50 | 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 |
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