Average Medicaid Office Visit Payments in San Pablo, CA: $39.02
Avg. Paid
$39.02
Range
$0.00 – $1,154
Total Claims
208,003
Providers
66
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 Pablo, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Melanie Paed Baluyut Perez
2101 Vale Rd Ste 201 |
$0.00 | 13 | 13 |
|
Ina Claire Mclaughlin
Brookside Community Health Center |
$0.00 | 22 | 17 |
|
Tingting Christine Ko
2000 Vale Rd |
$42.26 | 25 | 25 |
|
Priscilla Elizabeth Beavers-Silva
2023 Vale Rd |
$73.44 | 28 | 12 |
|
Immanuel Atienza Asuncion
2101 Vale Rd Ste 201 |
$29.22 | 28 | 25 |
|
Aparna Upadhyaya
2970 Hilltop Mall Rd Ste 305 |
$7.70 | 38 | 38 |
|
Lifelong Medical Care
2023 Vale Rd |
$23.33 | 49 | 49 |
|
Joseph Morrell Dodge
2023 Vale Rd |
$39.31 | 52 | 51 |
|
Sarah Krasny
100A San Pablo Towne Ctr |
$1.92 | 57 | 44 |
|
Contra Costa County
13601 San Pablo Ave |
$0.00 | 63 | 63 |
|
Rehimat Momoh Mendy
2023 Vale Rd |
$27.13 | 77 | 75 |
|
Pablo Ivan Guevara
100 A San Pablo Town Center |
$42.05 | 83 | 77 |
|
Darcy Stanley
2023 Vale Rd |
$34.78 | 94 | 77 |
|
William W Chen Md Medical Corporation
2089 Vale Rd # 34 |
$46.96 | 136 | 135 |
|
David M. Hill
2101 Vale Rd |
$84.03 | 214 | 201 |
|
William James Hindle-Katel
2101 Vale Rd Ste 201 |
$50.58 | 257 | 255 |
|
Lee Camarillo Villanueva
2023 Vale Rd Ste 107 |
$36.00 | 460 | 446 |
|
West Contra Costa Urological Surgery Medical Group Inc.
2089 Vale Rd |
$14.52 | 482 | 428 |
|
Steven Louis Anton
2101 Vale Rd |
$26.46 | 566 | 553 |
|
Lynette Stromberg
13601 San Pablo Ave |
$0.00 | 720 | 692 |
|
Kathleen Mckenna
2023 Vale Rd |
$60.25 | 794 | 767 |
|
Joscelyne Ciarroni
2023 Vale Rd |
$18.04 | 817 | 554 |
|
Audrey I Schaps
2023 Vale Rd |
$15.55 | 818 | 735 |
|
Margaret Schultz
2023 Vale Rd |
$10.92 | 835 | 478 |
|
Maria F Alatorre
2023 Vale Rd |
$15.07 | 963 | 598 |
|
Alea Catherine Campos
2023 Vale Rd Ste 107 |
$2.97 | 982 | 599 |
|
Guadalupe Aimee Paredes Ramirez
2023 Vale Rd Ste 107 |
$39.09 | 1,171 | 836 |
|
Contra Costa County
13585 San Pablo Avenue |
$1,154 | 1,177 | 1,080 |
|
Farah Tasleema Rahiem
13585 San Pablo Ave Fl 1 |
$29.35 | 1,220 | 819 |
|
Edward Yoon
2101 Vale Rd |
$23.26 | 1,363 | 1,341 |
|
Mark Harold Kogan
2089 Vale Rd |
$124.75 | 1,437 | 1,427 |
|
Sarah Romanow Briand
2023 Vale Rd |
$29.54 | 1,438 | 900 |
|
Matthew Silas Auyoung
2101 Vale Rd Ste 201 |
$93.96 | 1,448 | 1,439 |
|
Anna Teresa Dailey
2023 Vale Rd Ste 14B |
$40.48 | 1,584 | 1,122 |
|
Olga Franklin Eaglin
2023 Vale Rd Ste 107 |
$10.50 | 1,797 | 1,038 |
|
Kiran Fatima Narsinh
2089 Vale Rd |
$97.28 | 1,947 | 1,924 |
|
Manoj Sumanlal Desai
2023 Vale Rd |
$23.82 | 2,217 | 2,029 |
|
Laura Rebeca Mata Lopez
2023 Vale Rd |
$20.87 | 2,398 | 1,649 |
|
Tara Apriletti
2023 Vale Rd # 94806 |
$14.45 | 2,448 | 1,642 |
|
Farhat S Surti
2089 Vale Rd |
$1.52 | 2,458 | 2,316 |
|
Angelina Maria Molina
2023 Vale Rd |
$11.78 | 2,577 | 1,656 |
|
Marvelle Tekola Maloney
100 San Pablo Towne Center A Ste 100 |
$64.95 | 2,690 | 2,331 |
|
Mark Silvert
2089 Vale Rd |
$27.03 | 2,730 | 2,521 |
|
Richard S. Stern
2101 Vale Rd |
$26.20 | 2,805 | 2,605 |
|
David S. Weiland
2101 Vale Rd |
$19.57 | 2,887 | 2,801 |
|
Sara Evangeline Delaney
2023 Vale Rd |
$0.99 | 2,964 | 1,582 |
|
Emma Estelle Richardson
13601 San Pablo Ave |
$0.08 | 2,977 | 1,868 |
|
Abid Majid
2101 Vale Rd |
$136.75 | 3,609 | 3,507 |
|
Stephen B. Arnold
2101 Vale Rd |
$1.06 | 4,215 | 2,551 |
|
Jennifer Nicole Espinoza
2023 Vale Rd |
$11.24 | 4,246 | 2,145 |
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 Pablo, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Pablo, CA is $39.02 per claim, based on 208,003 claims from 66 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 Pablo, CA?
There are 66 Medicaid providers offering Office Visit related services in San Pablo, CA according to public payment data.
What is the price range for Office Visit in San Pablo, CA?
Medicaid reimbursement for Office Visit in San Pablo, CA ranges from $0.00 to $1,154 per claim, with an average of $39.02. 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 Pablo, CA
Emergency Room Visit
Avg $98.38
67,003 claims
Psychiatric Evaluation
Avg $145.77
45,059 claims
Vaccines & Immunizations
Avg $4.18
41,507 claims
Dental Cleaning & Exam
Avg $48.09
39,554 claims
Behavioral & Mental Health Therapy
Avg $366.01
33,499 claims
Case Management Services
Avg $199.82
31,800 claims
Tooth Extraction
Avg $86.41
28,917 claims
Dental Filling
Avg $75.22
25,664 claims