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 |
|---|---|---|---|
|
Louise Forrest
401 Parnassus Ave |
$0.00 | 12 | 12 |
|
Abby Cobb-Walch
1825 4Th St Fl 6 |
$159.42 | 12 | 12 |
|
David Randall Blair
550 16Th St # 706 |
$143.59 | 12 | 12 |
|
Rachel Ellen Brodie
2238 Geary Blvd |
$27.50 | 12 | 12 |
|
Erin Goerlich
505 Parnassus Ave |
$176.47 | 12 | 12 |
|
Lawrence C. C. Cheung M.D. A Professional Corporation
595 Buckingham Way |
$11.23 | 12 | 12 |
|
Aaron Lee Berkowitz
1001 Potrero Avenue |
$25.07 | 12 | 12 |
|
Shabnam Peyvandi
505 Parnassus Ave |
$66.02 | 12 | 12 |
|
Daisy L. Sundstrom
2200 Ofarrell St |
$102.92 | 12 | 12 |
|
Elizabeth Erin Rogers
505 Parnassus Ave |
$67.05 | 12 | 12 |
|
Arul Thangavel
500 Parnassus Ave |
$45.64 | 12 | 12 |
|
Arielle Louisa Klepper
505 Parnassus Ave |
$2.67 | 12 | 12 |
|
Qing Wang
490 Illinois Street |
$0.00 | 12 | 12 |
|
Benn Morrie Lancman
1001 Potrero Ave |
$4.27 | 12 | 12 |
|
William F Simmons
400 Parnassus Ave # 336 |
$130.81 | 12 | 12 |
|
Shalini Dixit
505 Parnassus Ave |
$161.15 | 12 | 12 |
|
Rosalydia Tamayo
1697B 7Th Ave |
$0.00 | 12 | 12 |
|
Vijay Kumar Bhandari
1001 Potrero Ave |
$0.00 | 12 | 12 |
|
John Albert Rose
505 Parnassus Ave |
$190.68 | 12 | 12 |
|
Karly Adele Murphy
1545 Divisadero St., First And Second Floor |
$99.69 | 12 | 12 |
|
Justin Ahn
400 Parnassus Ave |
$76.54 | 12 | 12 |
|
Mark J. Savant
1 Shrader St |
$9.38 | 12 | 12 |
|
Kamesh Krishnamurthy
505 Parnassus Ave # 114 |
$163.33 | 12 | 12 |
|
Edward H. Kim
2330 Post St |
$9.05 | 12 | 12 |
|
Brant Paul Harradine
400 Parnassus Ave Fl 3 |
$147.50 | 12 | 12 |
|
Steve Braunstein
1600 Divisadero St, Suite H1031 |
$161.60 | 12 | 12 |
|
Gaurav K Shah
1445 Bush St |
$50.30 | 12 | 12 |
|
Jessica Plauche
1001 Potrero Ave |
$0.00 | 12 | 12 |
|
Leslie C West
400 Parnassus Ave |
$108.28 | 12 | 12 |
|
Brittany Anderson
2425 Geary Blvd |
$2.00 | 12 | 12 |
|
Katherine C Yung
2340 Clay St Fl 5 |
$24.86 | 12 | 12 |
|
Brian Huang
1600 Owens St |
$5.83 | 12 | 12 |
|
Anamika Gupta
900 Hyde St |
$0.00 | 12 | 12 |
|
Seneca Family Of Agencies
2513 24Th St |
$921.22 | 12 | 12 |
|
Kevin Shee
400 Parnassus Ave # A610 |
$0.00 | 12 | 12 |
|
Michael Harvey Rokeach
2333 Buchanan St |
$20.84 | 12 | 12 |
|
Sophia Trimica Hurd
1 Daniel Burnham Ct Ste 370C |
$39.27 | 12 | 12 |
|
Jeffrey Eldon Deweese
1199 Bush St |
$14.30 | 12 | 12 |
|
Mariel Velez
1100 Van Ness Ave Fl 6 |
$2.88 | 12 | 12 |
|
Chris London Carpenter
1001 Potrero Ave. Bldg. 5, #6M |
$65.77 | 12 | 12 |
|
Janet Chi-Jane Shimotake
2425 Geary Blvd |
$41.72 | 12 | 12 |
|
Jeffrey M Baumgardner
1001 Potrero Ave |
$24.49 | 12 | 12 |
|
Diane Corinne Putney
2550 23Rd St Bldg 92Nd |
$1.37 | 12 | 12 |
|
Mercedes Paredes
400 Parnassus Ave |
$135.00 | 12 | 12 |
|
Donald E Hershman
450 Sutter St |
$132.94 | 12 | 12 |
|
Madina Tugizova
400 Parnassus Ave, Eight Floor |
$153.72 | 12 | 12 |
|
Janeen Aleja Rojas
400 Parnassus Ave |
$0.00 | 12 | 12 |
|
William Tyson Buis
2340 Clay St Fl 5 |
$5.72 | 12 | 12 |
|
Brandon Son Truong Nguyen
2000 Van Ness Ave Ste 402 |
$0.00 | 12 | 12 |
|
Mary Wong
2340 Clay St |
$170.06 | 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 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.
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 Francisco, CA
Substance Abuse Treatment
Avg $24.87
3,627,413 claims
Blood Work & Lab Tests
Avg $9.39
1,330,034 claims
Emergency Room Visit
Avg $99.86
864,304 claims
Case Management Services
Avg $219.34
857,389 claims
X-Ray
Avg $10.29
837,190 claims
Vaccines & Immunizations
Avg $4.60
793,901 claims
EKG / ECG (Electrocardiogram)
Avg $13.42
477,994 claims
Behavioral & Mental Health Therapy
Avg $384.22
468,630 claims