Average Medicaid Office Visit Payments in San Marino, CA: $17.15
Avg. Paid
$17.15
Range
$0.37 – $138.51
Total Claims
61,141
Providers
16
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 Marino, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Warren Ritchie Christianson
2400 Mission St |
$0.98 | 28,160 | 20,579 |
|
Fatma Haney
840 Winthrop Rd |
$18.80 | 6,846 | 4,874 |
|
Judy Tung
1385 Blackstone Rd |
$82.40 | 5,939 | 5,872 |
|
David Matthe Speiser
1444 Wembley Rd |
$17.56 | 5,038 | 4,964 |
|
Derek Cheung
375 Huntington Dr Ste G |
$0.74 | 3,626 | 2,429 |
|
Rubio Reyes Punzalan
1241 Encino Dr |
$47.46 | 2,797 | 2,686 |
|
Chien-Chi Chiu
1290 Belhaven Rd |
$5.96 | 1,966 | 1,944 |
|
Paul T Liu
2233 Huntington Dr Ste 12 |
$0.37 | 1,554 | 1,481 |
|
Henry Wu
2275 Huntington Dr # 860 |
$1.16 | 1,551 | 1,501 |
|
Toan A Nguyen
2154 Huntington Dr |
$42.34 | 1,284 | 1,281 |
|
Cal Care Ipa
2360 Huntington Dr Ste 201 |
$65.86 | 1,246 | 1,164 |
|
Karsol Group Inc
1580 Avonrea Rd |
$27.87 | 603 | 595 |
|
Sabrina Hong
1946 Montrobles Pl |
$5.91 | 327 | 322 |
|
Jeffrey Huang
375 Huntington Dr |
$25.64 | 151 | 134 |
|
Daniel Thomas Suzuki
2400 Mission St |
$138.51 | 40 | 13 |
|
Mu-Chien Chiang
375 Huntington Dr |
$28.15 | 13 | 12 |
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 Marino, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Marino, CA is $17.15 per claim, based on 61,141 claims from 16 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 Marino, CA?
There are 16 Medicaid providers offering Office Visit related services in San Marino, CA according to public payment data.
What is the price range for Office Visit in San Marino, CA?
Medicaid reimbursement for Office Visit in San Marino, CA ranges from $0.37 to $138.51 per claim, with an average of $17.15. 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 Marino, CA
Blood Work & Lab Tests
Avg $0.91
15,220 claims
Urinalysis & Urine Tests
Avg $3.71
9,938 claims
Vaccines & Immunizations
Avg $5.14
9,931 claims
X-Ray
Avg $4.43
7,452 claims
Physical Therapy
Avg $6.86
5,311 claims
Psychiatric Evaluation
Avg $9.77
4,002 claims
Hearing Test (Audiometry)
Avg $6.17
3,554 claims
Eye Exam
Avg $18.62
3,191 claims