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 |
|---|---|---|---|
|
Stanley Cheung-Kit Hui
222 W 39Th Ave |
$56.18 | 12 | 12 |
|
Julian Hardy Mclain
50 S San Mateo Dr |
$0.00 | 12 | 12 |
|
Lois Shiow Balster
50 S San Mateo Dr |
$0.00 | 12 | 12 |
|
Daniel Teng
1000 Franklin Pkwy |
$25.42 | 12 | 12 |
|
Kerry Diantha Zandee Van Rilland
280 Baldwin Ave |
$63.26 | 12 | 12 |
|
Jonathan Garth Briskin
101 S San Mateo Dr |
$0.00 | 12 | 12 |
|
James Rice Meier
222 W 39Th Ave |
$65.63 | 12 | 12 |
|
Scott A Morrow
225 37Th Ave |
$9.91 | 13 | 13 |
|
Laura L Mcmullen
123 S San Mateo Dr |
$7.05 | 13 | 13 |
|
Benjamin Anjo
999 Baker Way Ste 150 |
$172.31 | 13 | 13 |
|
Hamill And Buduan Ods
152 N San Mateo Dr |
$16.96 | 13 | 12 |
|
Melissa Nasiruddin
1000 Franklin Pkwy |
$55.77 | 13 | 12 |
|
Nicole Westercamp
222 W 39Th Ave |
$38.93 | 13 | 12 |
|
Regina Gar Yee
1000 Franklin Pkwy |
$0.00 | 14 | 14 |
|
Dina Sverdlov Md A Professional Corporation
100 S Ellsworth Ave Ste 208 |
$4.22 | 14 | 14 |
|
Patricia Soong
50 S San Mateo Dr |
$13.09 | 14 | 13 |
|
Hannah H Lee
101 S San Mateo Dr Ste 302 |
$12.28 | 14 | 12 |
|
Kapil Chopra
2000 Alameda De Las Pulgas Ste 235 |
$128.25 | 14 | 14 |
|
Jennifer A Brown
218 De Anza Blvd |
$38.73 | 16 | 13 |
|
Barbara J Gambaro
222 W 39Th Ave |
$16.46 | 18 | 18 |
|
Marcia Evette Spencer
100 S San Mateo Dr |
$0.00 | 19 | 13 |
|
County Of San Mateo
222 W 39Th Ave |
$23.88 | 20 | 20 |
|
Mohammed Rami Bailony
3050 S Delaware St Ste 130 |
$37.13 | 21 | 20 |
|
Amanda Bouy Balch
951 Mariners Island Blvd |
$17.25 | 24 | 18 |
|
Jeanine Gore
100 S San Mateo Dr |
$15.31 | 24 | 24 |
|
David A Kurzrock
100 S San Mateo Dr |
$44.02 | 24 | 24 |
|
Pamela Ann Trent
951 Mariners Island Blvd Ste 300 |
$54.01 | 26 | 25 |
|
Daniel Soongyeup Han
1000 Franklin Pkwy |
$58.04 | 28 | 28 |
|
Mary Teresa Ramirez
222 W 39Th Ave |
$2.09 | 28 | 25 |
|
Lennis Joyce
951 Mariners Island Blvd Ste 300 |
$8.34 | 29 | 29 |
|
Jessica B Barra
951 Mariners Island Blvd Ste 300 |
$30.70 | 33 | 33 |
|
George William Shorago
50 S San Mateo Dr |
$65.46 | 37 | 37 |
|
John Anderson
222 W 39Th Ave |
$41.21 | 37 | 36 |
|
Susanne Pelley Martin Herz
222 West 39Th Avenue |
$49.14 | 40 | 39 |
|
Lisa Gooze
222 W 39Th Ave |
$47.53 | 40 | 39 |
|
John Vaughn Siebel
218 De Anza Blvd |
$29.09 | 41 | 39 |
|
Ernestina Araiza
1900 Ofarrell St |
$1.88 | 42 | 41 |
|
Rajvi Mehta
101 S San Mateo Dr Ste 306 |
$45.61 | 45 | 41 |
|
Oner Gonen
1900 Ofarrell St Ste 140 |
$295.58 | 51 | 43 |
|
David Eugene Yocum
1149 Shoreline Dr |
$1.56 | 53 | 53 |
|
Autumn Dawn Eglitis
1875 S Grant St Ste 760 |
$67.62 | 53 | 49 |
|
Jennifer Vergara Aguila
951 Mariners Island Blvd Ste 300 |
$4.80 | 54 | 51 |
|
Anthony Liu
101 S San Mateo Dr Ste 310 |
$55.18 | 56 | 53 |
|
Victoria Galanter
222 W 39Th Ave |
$42.91 | 75 | 73 |
|
Lucy Marie Schmidt
36 N San Mateo Dr Ste C |
$55.45 | 76 | 76 |
|
Tracy L. Pham
222 W 39Th Ave |
$16.64 | 78 | 67 |
|
County Of San Mateo
222 W 39Th Ave |
$0.00 | 81 | 79 |
|
Joonhee Cho
177 Bovet Rd Fl 3 |
$99.44 | 82 | 76 |
|
Jennifer Renee Deem
2950 S Delaware St Ste 150 |
$12.70 | 82 | 78 |
|
Umesh Hansraj Gheewala
100 S San Mateo Dr |
$27.80 | 91 | 89 |
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