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
Christopher Rombaoa 751 South Bascom Avenue	$42.99	12	12
Lakshmi Priya Esturi 280 Hospital Pkwy	$0.00	12	12
Sara L Colby 2400 Samaritan Dr Ste 203	$122.58	12	12
Chia-Yi Selena Hung 2410 Samaritan Dr Ste 201	$12.50	12	12
Inna Ravkin 260 International Cir	$0.00	12	12
Good Samaritan Hospital, L.P. 2425 Samaritan Dr	$77.16	12	12
Evelyn Rosas Nunez 260 International Cir	$0.00	12	12
Tiffany Yvonne Loh 1071 Blossom Hill Rd	$45.82	12	12
Peter Man Hon Cham 276 International Circle	$21.25	12	12
Pamela Mehta 2430 Samaritan Dr	$76.52	12	12
Monica Donovan 260 International Cir	$0.00	12	12
Julie Alison Cragholm 333 Oconnor Dr	$14.69	12	12
Yueh-Tze Lan 751 S Bascom Ave	$20.88	12	12
Matthew T. Rockmael 260 International Cir	$0.00	12	12
Neil Samuel Adler 751 S Bascom Ave	$25.02	12	12
Momentum For Health 86 S 14Th St	$1,616	12	12
Evergreen Urgent Care Inc 2365 Quimby Road	$0.00	12	12
Marco R Randazzo 2105 Forest Ave	$42.78	12	12
Mehrdad Rezaee 2030 Forest Ave	$54.80	12	12
Arthur C. Lee 260 International Cir	$23.31	12	12
Alexander Adu Clerk 455 Oconnor Dr Ste 110	$0.00	13	13
Christina Nguyen 455 Oconnor Dr Ste 370	$0.00	13	12
Shawn Shiyang Jin 6620 Via Del Oro	$55.38	13	13
Lin Htut Naing 2105 Forest Ave	$13.69	13	13
Piyanka Estelle Chandra 275 Hospital Pkwy Ste 706	$19.45	13	12
Amelia Foster 1720 Ringwood Ave	$59.50	13	13
Vera Lee 2050 Clarmar Way	$27.32	13	12
Rishi Bhatnagar 751 S Bascom Ave	$40.31	13	12
Heena Deepak Panchal 5755 Cottle Rd	$38.85	13	13
Nisha Jadhaw 2105 Forest Ave	$43.91	13	12
Robert Diaz 751 S Bascom Ave	$0.00	13	13
Vajiramala R. Dharmasena 260 International Cir	$14.23	13	13
Kenneth Job 260 International Cir Bldg 41	$133.46	13	13
Afshan Asghar 260 International Cir	$0.00	13	12
Jeffrey Lynn Fraser 751 S Bascom Ave	$12.92	13	13
Anna Graziella Barbara Gorski 280 Hospital Pkwy Bldg B	$66.54	13	13
Khoi Anh Lam 225 N. Jackson Avenue	$7.42	13	13
Eric Michael Masao Imoto 270 International Cir	$1.71	14	12
Jason Vuong 751 S Bascom Ave	$4.69	14	14
Joseph Roy Acevedo 280 Hospital Pkwy Bldg B	$50.71	14	14
Sreedevi P. Menon 260 International Cir	$0.00	14	14
Jeyling Chou 2400 Samaritan Dr Ste 105	$0.00	14	14
Asian Americans For Community Involvement Of Santa Clara County 2400 Moorpark Ave	$0.00	14	14
Katrina Chaung 2577 Samaritan Dr Ste 765	$38.93	14	13
Maricela E Aguaristi 455 Oconnor Dr	$0.00	14	12
Sohrab Pahlavan 275 Hospital Pkwy Fl 3	$154.33	15	12
Dana Danielle Duncan 1993 Mckee Rd	$3.77	15	15
Catherine Van Pham 255 N White Rd Ste 200	$29.72	15	12
Frank Da Shin 1440 S De Anza Blvd	$32.59	15	15
Dana Frederick Hoch 500 Tully Rd	$122.00	15	14

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

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Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

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X-Ray

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Non-Emergency Medical Transportation