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 |
|---|---|---|---|
|
Chad Fuller
1250 Peach St Ste A |
$33.39 | 12 | 12 |
|
Courtney Anne Ray
77 Casa St |
$155.73 | 12 | 12 |
|
Gholamreza Firouz Pourzia
1941 Johnson Ave Ste 101 |
$90.73 | 12 | 12 |
|
Jason Bunker
689 Tank Farm Rd Ste 100 |
$53.40 | 12 | 12 |
|
Jeffrey Kai Wu
100 Casa St Ste C |
$70.23 | 12 | 12 |
|
Daniel Mark Gordon
620 California Blvd Ste P |
$0.00 | 13 | 13 |
|
Maria G Sciammarella
1941 Johnson Ave Ste 101 |
$0.00 | 13 | 12 |
|
Joseph B Oldenburg
3855 Broad Street |
$15.40 | 14 | 12 |
|
Diane De Vos-Schmidt
1551 Bishop St Ste A110 |
$19.41 | 14 | 13 |
|
Deneen Cherry Dicarlo
77 Casa St Ste 101 |
$88.20 | 14 | 13 |
|
Amanda Hannah Thorson
1941 Johnson Ave Ste 301 |
$115.49 | 14 | 14 |
|
Pacific Central Coast Health Centers
1250 Peach St |
$21.74 | 14 | 14 |
|
Claudia Franke
1304 Ella St Ste A |
$68.26 | 14 | 14 |
|
Joseph Michael Cleveland
892 Aerovista Pl Ste 240 |
$157.39 | 16 | 13 |
|
Gene Hori, M.D. Incorporated
4251 S Higuera St |
$15.73 | 17 | 14 |
|
Russ Raj Arjal
77 Casa St Ste 106 |
$41.76 | 17 | 16 |
|
David Sanford Levy
10 Santa Rosa St |
$34.49 | 17 | 12 |
|
Lisa Lindvall Aquino
990 Pacific St |
$80.31 | 25 | 25 |
|
Margaret B Greenough
4251 S Higuera St Ste 701 |
$10.94 | 26 | 25 |
|
Arthur Corwin Mclean
1551 Bishop St Ste 520 |
$152.06 | 27 | 27 |
|
Patrice Andrea Lalonde
2180 Johnson Street |
$59.25 | 29 | 27 |
|
Abraham W Suhr
689 Tank Farm Rd |
$58.93 | 29 | 29 |
|
Eric Colton
35 Casa St |
$55.24 | 29 | 28 |
|
Michael J Malotte
895 Aerovista Pl |
$127.76 | 32 | 28 |
|
Limberg Eye Surgery A Medical Corporation
1270 Peach St |
$6.86 | 38 | 36 |
|
Christina Pyo
35 Casa St Ste 320 |
$49.03 | 39 | 38 |
|
Elizabeth Kay Keller
1485 Kansas Ave |
$62.84 | 40 | 40 |
|
Lorianna Fletcher
1941 Johnson Ave |
$134.52 | 40 | 40 |
|
Jennifer Poe
1250 Peach St Ste B |
$39.16 | 40 | 39 |
|
Nancy Seiler
1305 Peach St Suite 301 |
$72.88 | 41 | 40 |
|
Daniel W Woods
862 Meinecke Ave |
$105.39 | 42 | 36 |
|
Vanessa Jean Ewing
3855 Broad St., Suite B |
$43.87 | 42 | 37 |
|
Central Coast Neurological Surgery Pc
1531 Higuera St |
$51.21 | 42 | 38 |
|
Jemely Ramos Villegas
1304 Ella St Ste A |
$11.83 | 43 | 41 |
|
Benjamin Ross Frimmer
777 E Foothill Blvd |
$51.65 | 45 | 43 |
|
Kenneth P. Tway, M.D., F.A.C.C., Inc.
1106 Pacific St |
$32.22 | 49 | 49 |
|
Mark J Sada
1941 Johnson Ave |
$130.48 | 50 | 49 |
|
Ragesh Panikkath
1304 Ella St Ste A |
$45.84 | 53 | 51 |
|
Nihal Naccasha
100 Casa St |
$34.13 | 54 | 54 |
|
Rabab Hajar
35 Casa St Ste 130 |
$41.57 | 55 | 55 |
|
John Barry Siebenlist
1551 Bishop St |
$117.43 | 57 | 56 |
|
Michael J Ryan
1428 Phillips Ln Ste 203 |
$52.12 | 63 | 61 |
|
Aaron D. Kromhout
1551 Bishop St Ste B240 |
$2.61 | 65 | 57 |
|
Michael A Famularo
1941 Johnson Ave |
$50.72 | 68 | 67 |
|
Damian Olivier Fernandez
1010 Murray Ave |
$69.64 | 70 | 70 |
|
Robert Simons
35 Casa St |
$41.53 | 75 | 75 |
|
Mona Abutouk
1235 Osos St Ste 100 |
$0.33 | 79 | 79 |
|
Richard S Marks
1941 Johnson Ave |
$0.00 | 80 | 77 |
|
Robin Scott Dibiase
715 Tank Farm Rd Ste C |
$42.78 | 81 | 74 |
|
Soquel Schafer
84 Santa Rosa St |
$39.99 | 81 | 58 |
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