Average Medicaid Office Visit Payments in San Marcos, CA: $9.71
Avg. Paid
$9.71
Range
$0.00 – $174.91
Total Claims
866,422
Providers
160
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 Marcos, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Devarshi Nath
150 Valpreda Rd |
$1.30 | 86,423 | 59,631 |
|
Samuel Poniachik
150 Valpreda Rd |
$2.12 | 55,494 | 41,879 |
|
Kaden Gray Willie
150 Valpreda Rd |
$1.35 | 43,406 | 40,173 |
|
Omar Salamanca
150 Valpreda Rd |
$9.80 | 37,849 | 33,594 |
|
Donald Miller
150 Valpreda Road |
$6.95 | 35,218 | 33,074 |
|
Maria Sebiane
150 Valpreda Rd |
$0.51 | 34,427 | 23,611 |
|
Izabela Witczak
150 Valpreda Rd |
$1.77 | 32,694 | 24,235 |
|
Sheila X Cai
150 Valpreda Rd |
$3.53 | 28,684 | 23,339 |
|
Julie Matias
150 Valpreda Rd |
$1.68 | 28,589 | 21,819 |
|
Alberto Chavira
334 Via Vera Cruz |
$38.75 | 27,926 | 23,514 |
|
Ronald Eric Park
235 N Rancho Santa Fe Rd |
$0.19 | 23,998 | 20,440 |
|
Emerito Posadas
150 Valpreda Rd |
$0.10 | 20,974 | 14,764 |
|
Vanessa Leonor Neves
1595 Grand Ave |
$0.10 | 18,357 | 12,717 |
|
Tory Prestera
340 Rancheros Drive |
$42.27 | 17,700 | 17,152 |
|
Reynaldo Hacinas
150 Valpreda Rd |
$1.65 | 15,964 | 12,262 |
|
Jose Luis Ramirez
150 Valpreda Rd |
$0.42 | 15,315 | 11,935 |
|
Basma Al Nahlawi
960 W San Marcos Blvd Ste 210 |
$121.04 | 15,257 | 14,741 |
|
Arati Malhotra
150 Valpreda Rd |
$0.22 | 14,756 | 10,337 |
|
Steven G Farmer
1146 San Marino Dr |
$1.87 | 14,087 | 12,121 |
|
Kathryn Danielle Mchenry
2085 Montiel Rd |
$0.88 | 13,263 | 10,350 |
|
Garrick Gar Tong
150 Valpreda Rd |
$3.77 | 11,036 | 7,180 |
|
Czar Armando Jaranilla Sacramento
150 Valpreda Rd |
$1.32 | 10,983 | 9,719 |
|
Rachel Lehua Lum Ho
150 Valpreda Rd |
$1.49 | 10,978 | 7,272 |
|
Deborshi Dasgupta
150 Valpreda Rd |
$0.81 | 10,058 | 6,678 |
|
Kathryn M Kohout
150 Valpreda Rd |
$2.25 | 9,730 | 6,103 |
|
Claudio Odilon Cabrejos
150 Valpreda Rd |
$8.55 | 9,593 | 9,000 |
|
Kenneth B Rehm
1553 Grand Ave |
$3.78 | 9,443 | 7,148 |
|
Bahareh Tahriri
150 Valpreda Rd |
$2.63 | 8,198 | 5,527 |
|
Joseph Brian Carroll
150 Valpreda Rd |
$1.02 | 7,944 | 6,815 |
|
Cognitive Health Solutions Corp
960 W San Marcos Blvd Ste 200 |
$73.68 | 7,917 | 6,540 |
|
Suzanne M Schweikert
150 Valpreda Rd |
$13.03 | 7,657 | 6,541 |
|
Liliana Alvarez-Martinez
727 W San Marcos Blvd Ste 112 |
$6.38 | 7,267 | 6,542 |
|
Lauren Jefferis
150 Valpreda Rd |
$3.94 | 7,175 | 6,912 |
|
Claudia Romelia Rocha
150 Valpreda Rd |
$0.73 | 7,078 | 4,552 |
|
Peter Allen Novota
150 Valpreda Rd |
$0.89 | 7,077 | 6,031 |
|
Shane Sheridan
225 N Rancho Santa Fe Rd Ste 204 |
$9.54 | 6,987 | 6,882 |
|
North County Health Project, Inc.
150 Valpreda Rd |
$2.48 | 6,507 | 5,622 |
|
Arturo Magno Tolentino
2085 Montiel Rd Ste 102 |
$0.23 | 5,420 | 3,837 |
|
Jacelis Bland
150 Valpreda Rd |
$0.49 | 5,344 | 3,123 |
|
Howard Guan
340 Rancheros Drive |
$54.10 | 5,203 | 5,103 |
|
Wais Alemi
150 Valpreda Rd |
$3.22 | 4,400 | 2,864 |
|
Jennifer Allison Young
150 Valpreda Rd |
$0.50 | 3,741 | 3,522 |
|
Cindi Hedrick
150 Valpreda Rd |
$2.67 | 3,675 | 2,980 |
|
Wanda Freeman
150 Valpreda Rd |
$7.83 | 3,488 | 2,892 |
|
Krisinda Jean Richards
150 Valpreda Rd |
$11.27 | 3,487 | 3,291 |
|
Erin Kay Conroy
150 Valpreda Rd |
$18.84 | 3,415 | 2,225 |
|
Marlene Elizabeth Pountney Levesque
150 Valpreda Rd |
$11.49 | 3,380 | 2,936 |
|
Manuel Montemayor
727 W San Marcos Blvd |
$0.75 | 3,204 | 2,774 |
|
Jennifer Michelle Quail
838 Nordahl Rd Fl 3 |
$39.16 | 3,100 | 3,079 |
|
Edward F Mcclay
838 Nordahl Rd Ste 300 |
$33.12 | 3,078 | 2,884 |
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 Marcos, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Marcos, CA is $9.71 per claim, based on 866,422 claims from 160 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 Marcos, CA?
There are 160 Medicaid providers offering Office Visit related services in San Marcos, CA according to public payment data.
What is the price range for Office Visit in San Marcos, CA?
Medicaid reimbursement for Office Visit in San Marcos, CA ranges from $0.00 to $174.91 per claim, with an average of $9.71. 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 Marcos, CA
Physical Therapy
Avg $21.59
444,600 claims
Dental Cleaning & Exam
Avg $50.15
250,683 claims
Substance Abuse Treatment
Avg $56.90
179,672 claims
Vaccines & Immunizations
Avg $1.15
173,703 claims
Psychiatric Evaluation
Avg $19.67
117,189 claims
Blood Work & Lab Tests
Avg $1.58
98,948 claims
Chiropractic Care
Avg $8.56
89,369 claims
Dental Filling
Avg $65.33
89,060 claims