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 |
|---|---|---|---|
|
Shreya Aiyar
400 Craven Rd |
$38.75 | 12 | 12 |
|
Amber Nicole Jatoft Knight
400 Craven Rd |
$32.50 | 12 | 12 |
|
Bat Alexander Smith
400 Craven Rd |
$0.00 | 12 | 12 |
|
Casey Stumpf
197 Woodland Pkwy Ste 104 |
$85.00 | 13 | 13 |
|
Alan L Berkowitz
277 Rancheros Dr Ste 301 |
$84.80 | 14 | 12 |
|
Ann Cottrell Bolander
400 Craven Rd |
$0.00 | 14 | 14 |
|
Stephanie Hunt Smith
400 Craven Rd |
$56.79 | 14 | 14 |
|
Rupinderjit K Jadav
777 S Twin Oaks Valley Rd |
$0.00 | 18 | 18 |
|
Susanne Ching Klaudt
400 Craven Rd |
$0.00 | 24 | 24 |
|
Elizabeth Saez
111 Campus Way |
$6.42 | 24 | 24 |
|
Amy C Trewella
277 Rancheros Dr |
$0.00 | 26 | 26 |
|
Gordon A Booth
740 Nordahl Rd |
$91.11 | 26 | 25 |
|
North County Health Project, Inc.
1595 Grand Ave Ste 100 |
$7.52 | 27 | 24 |
|
Kelly Ann Martinez
150 Valpreda Rd |
$0.00 | 28 | 28 |
|
Dennis M Ordas
277 Rancheros Dr Ste 301 |
$89.34 | 30 | 27 |
|
Michelle R Kleiner
277 Rancheros Dr |
$118.78 | 38 | 37 |
|
Rabia Yasin
838 Nordahl Rd Ste 310 |
$64.49 | 40 | 39 |
|
Nicholas R Frost
277 Rancheros Dr Ste 301 |
$103.61 | 51 | 51 |
|
Meenu Bawa
400 Craven Rd |
$0.00 | 55 | 55 |
|
Alexander Eller
400 Craven Rd |
$71.59 | 55 | 55 |
|
Lauren Hayley Stieger Clarine
400 Craven Rd |
$3.68 | 65 | 62 |
|
M J Peters
400 Craven Rd |
$2.24 | 67 | 65 |
|
Chelsea Jordan Hodgkiss-Harlow
400 Craven Rd |
$2.24 | 69 | 65 |
|
Christopher Bruce Cutter
400 Craven Rd |
$0.00 | 70 | 68 |
|
Rachel T Pack
400 Craven Rd |
$4.57 | 70 | 70 |
|
Mona Arasoghli
400 Craven Rd |
$9.19 | 82 | 78 |
|
Marie Ann Russell
150 Valpreda Rd |
$1.67 | 85 | 67 |
|
Richard Ryan Carreon
400 Craven Rd |
$20.36 | 96 | 95 |
|
Hamid Qazi
277 Rancheros Dr Ste 100 |
$33.70 | 98 | 90 |
|
Sze Hoay Ding
400 Craven Rd |
$39.07 | 113 | 109 |
|
Michael Tzyy-Shyan Chuang
400 Craven Rd |
$59.74 | 119 | 116 |
|
Saeed Afaneh
111 Campus Way Ste 300 |
$30.90 | 129 | 121 |
|
Cindy Tran
150 Valpreda Rd |
$56.06 | 138 | 137 |
|
Crystal Joy Lister
150 Valpreda Rd |
$21.24 | 141 | 133 |
|
Luis Esquenazi
400 Craven Rd |
$53.23 | 146 | 126 |
|
Steven Daniel Dickerson
1595 Grand Ave Ste 106 |
$14.90 | 152 | 144 |
|
Catherine Uchino
400 Craven Rd |
$6.55 | 161 | 156 |
|
Kenneth Gary Charp
1553 Grand Ave |
$21.97 | 172 | 170 |
|
Eric Guerrero Adiarte
400 Craven Rd |
$3.66 | 184 | 167 |
|
Christian Michael Absi
2085 Montiel Rd Ste 102 |
$0.24 | 194 | 135 |
|
Matthew John Kosel
150 Valpreda Rd |
$3.16 | 207 | 174 |
|
Brittany Sumerel
1706 Descanso Ave |
$43.15 | 219 | 212 |
|
Kathleen S. Coco
150 Valpreda Rd |
$47.72 | 240 | 234 |
|
Massud R Weiss
400 Craven Rd |
$79.98 | 251 | 246 |
|
Safwat Rafla
1595 Grand Ave |
$89.03 | 253 | 246 |
|
Nicole Elizabeth Esposito
150 Valpreda Rd |
$26.79 | 257 | 142 |
|
Cheng Lin Lee
277 Rancheros Dr |
$70.70 | 260 | 254 |
|
Mario Mojica
150 Valpreda Rd |
$0.00 | 274 | 145 |
|
Jannah Firdaous Alaoui
150 Valpreda Rd |
$0.00 | 297 | 190 |
|
Twila A Noble
1582 W San Marcos Blvd Ste 100 |
$47.53 | 298 | 267 |
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