Average Medicaid Office Visit Payments in San Mateo, CA: $50.22
Avg. Paid
$50.22
Range
$0.00 – $1,537
Total Claims
249,879
Providers
177
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 Mateo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Connie Streifinger Kniveton
210 Baldwin Ave |
$174.37 | 11,210 | 10,215 |
|
Elvera Sofos
50 S San Mateo Dr Ste 180 |
$3.07 | 10,053 | 6,465 |
|
Elizabeth Grady
222 W 39Th Ave |
$11.47 | 9,770 | 7,535 |
|
Dina Sverdlov
100 S Ellsworth Ave Ste 208 |
$5.70 | 8,559 | 8,129 |
|
Dominic K. Ho
50 S San Mateo Dr Ste 488 |
$14.41 | 7,498 | 7,257 |
|
Richard Ehling
222 W 39Th Ave |
$9.16 | 6,760 | 6,283 |
|
Alexander Saul Cardenas
222 W 39Th Ave |
$163.54 | 6,576 | 5,986 |
|
Rosa Brody
222 W 39Th Ave |
$9.69 | 6,528 | 5,615 |
|
County Of San Mateo
222 W 39Th Ave |
$12.95 | 6,507 | 5,985 |
|
Sana Jivraj
2950 S Delaware St Ste 150 |
$2.71 | 6,251 | 4,275 |
|
Yi Yi Liu
222 W 39Th Ave |
$7.13 | 5,788 | 5,436 |
|
Emily Rodda
222 W. 39Th Avenue |
$11.55 | 5,759 | 4,837 |
|
Stephanie Hwanying Yeh
46 Hillsdale Mall |
$0.52 | 5,722 | 3,322 |
|
Richard Keith Turner
100 S San Mateo Dr |
$57.85 | 5,099 | 3,770 |
|
Brita Christina Almog
222 W 39Th Ave |
$10.31 | 4,902 | 3,670 |
|
Indu Fotedar
222 W 39Th Ave |
$18.38 | 4,878 | 4,689 |
|
Rachel Marie Borovina
222 W 39Th Ave |
$5.42 | 4,576 | 4,217 |
|
San Mateo County
1950 Alameda De Las Pulgas |
$1,049 | 4,301 | 3,916 |
|
Margaret Ann Monge
222 W 39Th Ave |
$5.16 | 4,237 | 3,886 |
|
Demetra Serena Stamm
222 W 39Th Ave |
$63.30 | 4,226 | 3,773 |
|
County Of San Mateo
222 W 39Th Ave |
$0.01 | 3,869 | 3,685 |
|
Diana V Jao
222 W 39Th Ave |
$17.55 | 3,834 | 3,700 |
|
Evelyn Victoria Haddad
222 W 39Th Ave |
$9.31 | 3,827 | 3,569 |
|
Bryan D Gescuk
222 W 39Th Ave |
$55.81 | 3,757 | 3,590 |
|
Nancy Chiao-Castle
222 W 39Th Ave |
$13.45 | 3,504 | 3,301 |
|
Mary J Tierney
222 W 39Th Ave |
$20.67 | 3,504 | 3,247 |
|
Rakhi Singh
222 W 39Th Ave |
$6.80 | 3,428 | 3,184 |
|
Jessica Brittany Sclafani
222 W 39Th Ave |
$4.36 | 3,359 | 2,114 |
|
Steven Hassid
222 W 39Th Ave |
$47.84 | 3,359 | 3,199 |
|
Susan Joseph
222 W 39Th Ave |
$17.11 | 3,329 | 3,205 |
|
Sanjay Bindra
222 W 39Th Ave |
$53.88 | 3,134 | 2,916 |
|
Janet Chaikind
222 W 39Th Ave |
$10.14 | 2,998 | 2,593 |
|
Raymond R Gaeta
1900 Ofarrell St |
$39.18 | 2,633 | 2,598 |
|
Carol Lemmon
222 W 39Th Ave |
$6.45 | 2,465 | 2,133 |
|
Anita M Pereira
255 Hillsdale Mall |
$10.34 | 2,458 | 1,567 |
|
Joan Nichole Taylor
29 Baywood Ave |
$17.84 | 2,302 | 2,082 |
|
William Scott Lock
222 W 39Th Ave |
$39.78 | 2,297 | 1,926 |
|
Andrea Ruth Quintana
222 W 39Th Ave Fl 3 |
$46.07 | 2,208 | 1,880 |
|
Melissa Gore
222 W 39Th Ave |
$1.54 | 2,171 | 2,082 |
|
Somya Jalan
50 S San Mateo Dr |
$2.20 | 2,125 | 1,558 |
|
Rachel Kogan
609 Harvard Rd |
$5.49 | 2,120 | 2,026 |
|
Tina Au
222 W 39Th Ave |
$5.29 | 1,968 | 1,870 |
|
Chester Kunnappilly
222 W 39Th Ave |
$9.44 | 1,912 | 1,817 |
|
County Of San Mateo
222 W 39Th Ave |
$56.85 | 1,878 | 1,814 |
|
Aparna M Bhagavat
222 W 39Th Ave |
$61.01 | 1,824 | 1,761 |
|
Yenting Chen
100 S San Mateo Dr |
$2.58 | 1,820 | 1,234 |
|
Ameera Kimiko Snell
29 Baywood Ave |
$5.60 | 1,761 | 1,688 |
|
Farzaneh Raoufi
19 West 39Th Street |
$0.00 | 1,729 | 918 |
|
Clara Y. Choi
3020 Monterey St |
$7.75 | 1,649 | 1,617 |
|
Scott Oesterling
222 W 39Th Ave |
$45.80 | 1,631 | 1,362 |
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 Mateo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Mateo, CA is $50.22 per claim, based on 249,879 claims from 177 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 Mateo, CA?
There are 177 Medicaid providers offering Office Visit related services in San Mateo, CA according to public payment data.
What is the price range for Office Visit in San Mateo, CA?
Medicaid reimbursement for Office Visit in San Mateo, CA ranges from $0.00 to $1,537 per claim, with an average of $50.22. 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 Mateo, CA
Blood Work & Lab Tests
Avg $9.15
708,827 claims
Vaccines & Immunizations
Avg $18.63
281,622 claims
Case Management Services
Avg $223.69
159,131 claims
Urinalysis & Urine Tests
Avg $3.65
138,075 claims
Emergency Room Visit
Avg $59.55
90,910 claims
X-Ray
Avg $13.51
87,661 claims
Behavioral & Mental Health Therapy
Avg $289.85
76,791 claims
EKG / ECG (Electrocardiogram)
Avg $20.50
71,458 claims