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
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
Janice K Louie 2460 22Nd Street	$16.96	12	12
Jessica Phyllis Dong 505 Parnassus Ave	$187.15	12	12
Lucas Stange Zier 505 Parnassus Ave	$0.00	12	12
Danielle Nicole Perez Sharp 550 16Th St Fl Hall4	$0.00	12	12
William Alvin Berrigan 1500 Owens St Ste 170	$103.65	12	12
Jennifer Elizabeth Reid 1001 Potrero Ave Bldg 5	$8.75	12	12
Michael Masao Lindeborg 2233 Post St Fl 3	$0.00	12	12
Barbara M. Bishop 1580 Valencia St Ste 201	$15.86	12	12
Jessica Jasmin Pourian 521 Parnassus Ave	$133.97	12	12
Jonathan Edward Lynne 2175 Market St	$84.38	12	12
Rebecca G Sheehan 2 Embarcadero Ctr	$53.48	12	12
Tzong Tzu Rogers 915 Irving St	$0.00	12	12
Constance Ruth Wylie 1100 Van Ness Ave	$30.76	12	12
Jessamyn Conell-Price 4370A 17Th St	$139.86	12	12
Ada Ping Lee 400 Parnassus Ave	$1.73	12	12
Mark J. Pletcher 1701 Divisadero St Fl 5	$29.68	12	12
Rupsa R Yee 2100 Webster St	$14.87	12	12
Sarah Anne Muni 505 Parnassus Ave	$32.96	12	12
Thomas A Dewland 505 Parnassus Ave	$101.79	12	12
Christine S. O'Brien 2200 Ofarrell St	$70.00	12	12
William Zhu 401 Parnassus Ave	$51.67	12	12
Diokson Rena 500 Sutter St Ste 320	$4.00	12	12
Helen C Lam 2238 Geary Blvd Fl 3	$36.43	12	12
Sue Lee 1626A Union St	$0.00	12	12
Mark Andrew Jacobson 1001 Potrero Ave	$2.00	12	12
Peter G. Stock 400 Parnassus Ave	$130.00	12	12
Mark Joseph Anderson 513 Parnassus Ave # S321	$70.46	12	12
Sandra Lujan 520B Lombard St	$75.79	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
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

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