Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in San Jose, CA: $17.76

Avg. Paid

$17.76

Range

$0.00 – $1,683

Total Claims

4,087,517

Providers

1,112

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 Jose, CA

Provider	Avg. Paid	Claims	Patients
Vladimir G. Skorokhod 1375 Blossom Hill Rd	$30.89	250,775	141,601
Ranjani Chandramouli 3030 Alum Rock Ave	$15.12	140,723	92,273
Laura Elizabeth Dalton 1691 The Alameda	$84.08	106,557	103,515
Abraham Cabico Cabebe 5440 Thornwood Dr	$75.39	87,577	84,648
Elizabeth Joy Mccraven 1333 Meridian Ave	$9.82	65,003	41,697
Hien Ngoc Truong 2593 S King Rd Ste 4	$0.82	39,452	31,948
Joselito C Cabaccan 2690 S White Rd Ste 50	$3.41	38,079	37,087
Tung Thanh Nguyen 621 Tully Rd	$1.69	36,301	34,506
Angelica Mendoza Ruiz 2880 Story Rd	$2.94	35,310	21,704
John Tso 1870 Lundy Ave	$1.03	35,103	26,888
Tim Thanh Nguyen 1870 Lundy Ave	$1.48	31,470	22,795
Sonya Lobana 1642 E Capitol Expy	$9.13	29,726	20,204
Sofia Mahari 751 S Bascom Ave	$5.17	27,296	15,431
Nutan H Poseria 2585 Samaritan Dr	$2.16	25,641	15,893
Gerardo Solorio Cortes 751 S Bascom Ave	$3.09	24,244	15,233
June Siufong Lee 1715 Lundy Ave	$0.69	23,525	17,094
Dwight David Lim 1993 Mckee Rd	$3.74	23,482	15,585
Michelle Phuong Dinh 195 E Virginia St	$2.23	22,821	14,130
County Of Santa Clara 751 S. Bascom Avenue	$29.68	22,546	19,795
Jamie Thien-Huong Nguyen 500 Tully Rd	$2.31	22,450	14,257
Carson Welty 750 S Bascom Ave	$2.56	21,722	13,986
Vu Anh Nguyen 1993 Mckee Rd	$2.45	21,242	13,543
Sara S Pinkel 500 Tully Rd	$2.33	20,244	12,710
Dung My Phan 1693 Flanigan Dr	$0.66	20,237	19,049
Aisha Umbreen 751 S Bascom Ave	$3.30	19,361	12,617
Zohreh Azadfar 1650 S White Rd	$2.07	19,284	11,522
Dan Van Dang 969 Story Rd	$7.00	19,226	19,172
Michelle S. Tam 1870 Lundy Ave	$1.25	18,559	13,251
Lakshmi Bythadka 25 Rio Robles E	$2.49	18,368	11,635
Jana Lynn Mannan 500 Tully Rd	$4.35	18,361	10,877
Tuyet-Linh Thi Doan 1993 Mckee Rd	$2.63	18,085	11,522
Yuetin Tina Wong 1715 Lundy Ave Ste 108-116	$3.19	17,730	11,847
My-Phuc Le 1642 E Capitol Expy	$6.97	17,604	10,842
Judith Agudo Galario 455 Oconnor Dr Ste 250	$2.94	17,558	11,771
John Chanh Phan 751 S Bascom Ave	$2.28	17,502	11,680
Shuk Fong Tang 2150 N 1St St Fl 2	$0.04	17,387	10,855
Kshonija Batchu 751 S Bascom Ave	$1.97	17,371	11,487
Jennifer Ramos 455 Oconnor Dr Ste 250	$10.76	17,369	10,917
Angela G Lee 751 S Bascom Ave	$1.79	17,254	11,751
Sekhar Ujwala Eadula 200 Jose Figueres Ave Ste 285	$6.23	17,053	11,570
Fook Y Wong 175 N Jackson Ave	$4.41	16,971	16,314
Ngoclien Thi Nguyen 1569 Lexann Ave Ste 120	$0.41	16,919	15,632
Danielle Acosta 751 S Bascom Ave, Dept Of Medicine, 4Th Fl	$2.47	16,761	11,069
Tam Hoang Nguyen 200 Jose Figueres Ave Ste 180	$3.29	16,703	15,701
Jennifer W Foreman 751 S Bascom Ave	$2.94	16,621	10,694
Jacqueline Fr Lou 751 S Bascom Ave	$3.90	16,620	10,132
Padmapriya Krishnamurthy 65 Rio Robles E Unit 1203	$2.49	16,380	10,644
Bindu Chandran 1066 S White Rd	$10.38	16,031	12,324
Luhua Cheng 751 S Bascom Ave	$2.90	15,992	10,154
Swapnaja Chandrachood 2670 S White Rd	$1.42	15,403	9,703

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 Jose, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Jose, CA is $17.76 per claim, based on 4,087,517 claims from 1112 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 Jose, CA?

There are 1112 Medicaid providers offering Office Visit related services in San Jose, CA according to public payment data.

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

Medicaid reimbursement for Office Visit in San Jose, CA ranges from $0.00 to $1,683 per claim, with an average of $17.76. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in San Jose, CA: $17.76

Providers Offering Office Visit in San Jose, 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 Jose, CA

Blood Work & Lab Tests

Dental Cleaning & Exam

Case Management Services

Behavioral & Mental Health Therapy

Vaccines & Immunizations

X-Ray

Substance Abuse Treatment

Non-Emergency Medical Transportation