Average Medicaid Office Visit Payments in San Luis Obispo, CA: $62.92
Avg. Paid
$62.92
Range
$0.00 – $980.51
Total Claims
514,146
Providers
212
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 Luis Obispo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Satish Padmaraj Raj
77 Casa St |
$0.06 | 50,455 | 45,501 |
|
Timothy Kuang
10 Santa Rosa St |
$64.25 | 32,788 | 29,886 |
|
Jashvant Gangaram Patel
10 Santa Rosa St |
$60.30 | 19,860 | 18,322 |
|
Deborah Lynn Brewster
2180 Johnson Ave |
$26.67 | 18,255 | 9,228 |
|
Anna Bobba
1551 Bishop St Ste B260 |
$10.10 | 15,204 | 13,140 |
|
Samer S. Othman
10 Santa Rosa St Ste 201 |
$57.67 | 14,505 | 13,439 |
|
Pedro Deoliveira Guimaraes
1329 Broad St |
$167.16 | 14,305 | 12,762 |
|
Shahriar Pirouz
10 Santa Rosa St |
$59.86 | 13,567 | 12,636 |
|
John A Khan-Variba
1551 Bishop St |
$0.07 | 13,495 | 12,243 |
|
Daniel Robert More
1551 Bishop St Ste 220 |
$95.01 | 12,708 | 11,785 |
|
Pain Management Specialists Medical Group
10 Santa Rosa St |
$2.28 | 12,482 | 11,190 |
|
Sarah Van Camp
1551 Bishop St |
$21.38 | 10,857 | 9,625 |
|
Richard Altesman
1304 Ella St Ste B |
$174.49 | 10,440 | 9,417 |
|
Richard J Macias
1235 Osos St |
$43.31 | 9,502 | 8,863 |
|
Stephen T. Penepacker
2178 Johnson Ave |
$66.78 | 9,246 | 5,519 |
|
Joanne Tarkington
1941 Johnson Ave |
$125.51 | 8,812 | 8,668 |
|
Brandon James Slade
1551 Bishop St |
$37.48 | 8,522 | 7,890 |
|
Mary B Garrett
1551 Bishop St |
$128.01 | 8,351 | 7,491 |
|
Julie R Anselmo
1235 Osos St |
$46.62 | 7,532 | 7,117 |
|
Kara Danielle November Bryden
1235 Osos St Suite 100 |
$49.88 | 7,242 | 6,755 |
|
Ashley Rae Mishra
777 E Foothill Blvd |
$79.41 | 6,974 | 5,688 |
|
Carlos Untal
10 Santa Rosa Street |
$44.32 | 6,766 | 6,216 |
|
Tamara J Battle
1235 Osos St |
$42.81 | 6,637 | 6,204 |
|
Penny Ellen Borenstein
2191 Johnson Ave |
$151.09 | 6,616 | 6,400 |
|
Krystal Angeli Aquino Valdez
35 Casa St Ste 130 |
$45.53 | 6,463 | 5,326 |
|
Christine Denise Kilcline
892 Aerovista Pl Ste 120 |
$99.25 | 6,223 | 6,085 |
|
Michael J Mcnerney
1235 Osos St |
$43.77 | 6,171 | 5,868 |
|
Russ Lloyd Levitan
10 Santa Rosa St Ste 201 |
$48.48 | 6,010 | 5,519 |
|
Thomas Toan Nguyen
892 Aerovista Pl Ste 210 |
$33.12 | 5,978 | 5,648 |
|
Douglas P Murphy
1304 Ella St Ste B |
$182.93 | 5,916 | 4,616 |
|
Morgan Anderson
77 Casa St |
$97.08 | 5,911 | 5,414 |
|
Christopher M Byrne
1551 Bishop St Ste B210 |
$55.76 | 5,798 | 5,424 |
|
Yvonne Dolores Jones-Wicks
1241 Johnson Ave # 316 |
$19.47 | 5,253 | 4,161 |
|
Abdellatif A. Aichouri
3220 S Higuera St |
$185.37 | 4,439 | 4,018 |
|
Kristopher Lyon
283 Madonna Rd Ste B |
$15.38 | 4,086 | 3,974 |
|
Joel A Lardizabal
835 Aerovista Pl |
$142.33 | 3,846 | 3,811 |
|
Peter L Dornhofer
1911 Johnson Ave |
$0.08 | 3,837 | 3,208 |
|
Urology Associates Of The Central Coast
225 Prado Rd |
$4.43 | 3,803 | 3,512 |
|
Christopher Warren Johnson
35 Casa St Ste 370 |
$42.22 | 3,426 | 3,272 |
|
Farnaz Pirayesh
865 Aerovista Pl Ste 140 |
$37.72 | 3,285 | 3,227 |
|
Randall M Silver
1250 Peach St Ste B |
$33.58 | 3,171 | 2,893 |
|
Megan Burkett
35 Casa St Ste 130 |
$128.32 | 3,113 | 3,082 |
|
Thomas J Spillane
715 Tank Farm Road |
$124.03 | 3,012 | 2,615 |
|
Chansa Cha
1010 Murray Ave |
$2.63 | 2,708 | 2,641 |
|
David Jackson Levin
100 Casa St Ste B |
$141.68 | 2,701 | 2,442 |
|
Michael Steele
1941 Johnson Ave Ste 204 |
$32.62 | 2,679 | 2,439 |
|
Rene Henry Bravo
620 California Blvd |
$27.73 | 2,556 | 2,315 |
|
Janna Tyler
1030 Southwood Dr |
$107.48 | 2,546 | 2,300 |
|
County Of San Luis Obispo
2178 Johnson Ave |
$307.62 | 2,519 | 1,805 |
|
Amy Lynn Zachary
1551 Bishop St |
$15.97 | 2,508 | 2,216 |
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 Luis Obispo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Luis Obispo, CA is $62.92 per claim, based on 514,146 claims from 212 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 Luis Obispo, CA?
There are 212 Medicaid providers offering Office Visit related services in San Luis Obispo, CA according to public payment data.
What is the price range for Office Visit in San Luis Obispo, CA?
Medicaid reimbursement for Office Visit in San Luis Obispo, CA ranges from $0.00 to $980.51 per claim, with an average of $62.92. 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 Luis Obispo, CA
Blood Work & Lab Tests
Avg $6.74
1,542,494 claims
Urinalysis & Urine Tests
Avg $2.49
200,234 claims
Behavioral & Mental Health Therapy
Avg $182.89
130,665 claims
Psychiatric Evaluation
Avg $111.99
121,406 claims
Substance Abuse Treatment
Avg $90.65
112,808 claims
Case Management Services
Avg $203.23
98,142 claims
Culture & Microbiology Tests
Avg $4.65
87,338 claims
Dental Cleaning & Exam
Avg $56.08
79,567 claims