Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in San Francisco, CA: $27.38

Avg. Paid

$27.38

Range

$0.00 – $1,531

Total Claims

4,381,925

Providers

2,602

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 Francisco, CA

Provider	Avg. Paid	Claims	Patients
City & County Of San Francisco 1001 Potrero Ave	$0.93	222,945	164,908
University Of California San Francisco Medical Center 505 Parnassus Ave	$107.03	74,589	57,396
Lisa G Netherland 995 Potrero Avenue	$82.22	52,719	50,523
Philip Chow 2574 San Bruno Avenue	$0.31	44,081	38,219
North East Medical Services 1520 Stockton Street	$0.00	42,801	39,652
Yiu Ting Chung 1520 Stockton St	$0.54	41,925	26,145
Thinn Thinn Khaing 1520 Stockton Street	$0.81	41,799	25,905
Robert Bradley Williams 240 Shotwell St	$11.55	39,307	26,458
Sofia Pan 1520 Stockton St	$0.46	37,733	34,307
Sabi Ahmed 1520 Stockton St	$0.96	37,695	28,028
Pao-Ching Wang 1520 Stockton St	$0.66	37,482	23,330
Hongyu Pan 2574 San Bruno Ave	$0.44	34,694	32,753
Jack S Huynh 1520 Stockton Street	$0.24	33,404	20,027
Helen K Lu 1520 Stockton St	$0.61	32,896	18,103
Chuanyi M. Lu 4150 Clement St	$6.86	32,836	9,844
Grace R Fuong 1520 Stockton Street	$0.63	32,435	27,600
Pyone Wai Wai Soe 1450 Noriega St	$1.04	31,833	28,610
Delenie Wong 1033 Clement St	$0.01	31,756	27,216
Ruth Ann Cu Kwong 1520 Stockton St	$1.00	30,921	18,143
Esther Hsuan-Hsin Chang 1520 Stockton St	$1.29	30,897	19,655
Richard Sieu Vo Huynh 1520 Stockton St	$1.36	30,823	20,121
Maria Lau 1450 Noriega St	$1.09	29,803	27,446
Jaime Ruiz 240 Shotwell St	$3.16	29,558	18,845
Bao Lin Jian 1520 Stockton St	$1.22	29,269	25,533
Kwokming James Cheng 1520 Stockton St	$0.40	29,146	26,858
Zhen Lu 1520 Stockton St	$1.01	29,111	27,109
Anselm O Lam 1520 Stockton St	$0.56	27,325	17,408
Peir Gen Chiu 1520 Stockton St	$0.01	26,701	16,898
Nancy Hoo 1520 Stockton St	$0.46	26,374	17,678
Audrey Sue-Matsumoto 1520 Stockton St	$7.03	25,906	17,632
Rena Rui Hu 1520 Stockton St	$1.93	24,319	17,365
Audrey Chan Lung 1520 Stockton St	$0.27	23,943	20,491
Ying Zhang 1520 Stockton St	$0.58	23,100	13,273
Ki Hong Kevin Ho 1711 Taraval St	$3.72	22,937	16,458
Theresa Yim 2574 San Bruno Ave	$0.02	22,815	20,938
Lien Tu Luong 1520 Stockton Street	$0.45	22,541	14,070
Lydia Hui-Ling Chan 2674 San Bruno Avenue	$0.40	22,474	20,230
Darren Vo 1520 Stockton Street	$0.01	22,265	19,906
Kun Jiang Huang 950 Stockton St	$0.73	22,003	13,039
Chuan-Hsin Chang 1520 Stockton St	$6.96	21,085	16,131
Le K. Thai 1450 Noriega St	$0.38	20,951	18,598
Judy Hsu 1520 Stockton St	$0.30	18,420	17,520
Jason Henry Lin 1520 Stockton St	$2.12	18,169	12,281
Maki Aoki 1545 Divisadero St	$7.32	17,390	17,151
Sue-Jean Santa Maria 185 Berry St Lobby 2, Suite 130	$0.02	16,759	8,908
Miriam Sheinbein 1001 Potrero Ave Bldg 83	$83.00	16,483	15,559
Wai-Hang Jackie Lam 1450 Noriega St	$1.97	16,277	15,416
Blanca Velez 275 Battery St Ste 650	$0.66	16,188	10,193
Amy Shen Tang 1520 Stockton Street	$6.50	15,232	8,154
Jonathan D Wong 1520 Stockton Street	$1.97	14,942	9,868

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 Francisco, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Francisco, CA is $27.38 per claim, based on 4,381,925 claims from 2602 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 Francisco, CA?

There are 2602 Medicaid providers offering Office Visit related services in San Francisco, CA according to public payment data.

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

Medicaid reimbursement for Office Visit in San Francisco, CA ranges from $0.00 to $1,531 per claim, with an average of $27.38. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in San Francisco, CA: $27.38

Providers Offering Office Visit in San Francisco, 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 Francisco, CA

Substance Abuse Treatment

Blood Work & Lab Tests

Emergency Room Visit

Case Management Services

X-Ray

Vaccines & Immunizations

EKG / ECG (Electrocardiogram)

Behavioral & Mental Health Therapy