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 |
|---|---|---|---|
|
Norman Lamarr Banks
Brookside Community Health Center |
$1.13 | 18,701 | 10,697 |
|
Brian Matthew Swope
Brookside Community Health Center |
$17.50 | 18,408 | 12,711 |
|
Jason Owyang
2101 Vale Rd Ste 201 |
$0.32 | 16,180 | 14,516 |
|
Aarentino Maximillian Smith
100 San Pablo Towne Center A Ste 100 |
$1.92 | 10,324 | 5,570 |
|
Thomas W Crawford
2000 Vale Rd |
$46.40 | 9,419 | 6,521 |
|
Laurie M. Trombla
2000 Vale Rd |
$17.15 | 8,641 | 5,093 |
|
Ashley Ro
2023 Vale Rd |
$2.71 | 7,800 | 4,563 |
|
William Wei Ming Chen
2089 Vale Rd |
$24.99 | 7,686 | 7,314 |
|
Michel Sam
13601 San Pablo Ave |
$0.05 | 7,273 | 4,447 |
|
Mously Diakhate
2023 Vale Rd |
$28.89 | 7,124 | 4,229 |
|
Kimberly Ann Ceci
2023 Vale Rd Ste 107 |
$30.32 | 6,753 | 4,127 |
|
Brian Beachler
2023 Vale Rd |
$21.49 | 6,584 | 4,124 |
|
Emily Hunter-Adamson
2023 Vale Rd |
$23.62 | 4,837 | 3,061 |
|
Rashad Abrahim Froz
100 San Pablo Towne Center A Ste 100 |
$1.25 | 4,735 | 3,762 |
|
Azucena Barocio
2023 Vale Rd Ste 107 |
$17.46 | 4,730 | 3,131 |
|
Contra Costa County
13585 San Pablo Avenue |
$646.28 | 4,332 | 4,177 |
|
Jennifer Nicole Espinoza
2023 Vale Rd |
$11.24 | 4,246 | 2,145 |
|
Stephen B. Arnold
2101 Vale Rd |
$1.06 | 4,215 | 2,551 |
|
Abid Majid
2101 Vale Rd |
$136.75 | 3,609 | 3,507 |
|
Emma Estelle Richardson
13601 San Pablo Ave |
$0.08 | 2,977 | 1,868 |
|
Sara Evangeline Delaney
2023 Vale Rd |
$0.99 | 2,964 | 1,582 |
|
David S. Weiland
2101 Vale Rd |
$19.57 | 2,887 | 2,801 |
|
Richard S. Stern
2101 Vale Rd |
$26.20 | 2,805 | 2,605 |
|
Mark Silvert
2089 Vale Rd |
$27.03 | 2,730 | 2,521 |
|
Marvelle Tekola Maloney
100 San Pablo Towne Center A Ste 100 |
$64.95 | 2,690 | 2,331 |
|
Angelina Maria Molina
2023 Vale Rd |
$11.78 | 2,577 | 1,656 |
|
Farhat S Surti
2089 Vale Rd |
$1.52 | 2,458 | 2,316 |
|
Tara Apriletti
2023 Vale Rd # 94806 |
$14.45 | 2,448 | 1,642 |
|
Laura Rebeca Mata Lopez
2023 Vale Rd |
$20.87 | 2,398 | 1,649 |
|
Manoj Sumanlal Desai
2023 Vale Rd |
$23.82 | 2,217 | 2,029 |
|
Kiran Fatima Narsinh
2089 Vale Rd |
$97.28 | 1,947 | 1,924 |
|
Olga Franklin Eaglin
2023 Vale Rd Ste 107 |
$10.50 | 1,797 | 1,038 |
|
Anna Teresa Dailey
2023 Vale Rd Ste 14B |
$40.48 | 1,584 | 1,122 |
|
Matthew Silas Auyoung
2101 Vale Rd Ste 201 |
$93.96 | 1,448 | 1,439 |
|
Sarah Romanow Briand
2023 Vale Rd |
$29.54 | 1,438 | 900 |
|
Mark Harold Kogan
2089 Vale Rd |
$124.75 | 1,437 | 1,427 |
|
Edward Yoon
2101 Vale Rd |
$23.26 | 1,363 | 1,341 |
|
Farah Tasleema Rahiem
13585 San Pablo Ave Fl 1 |
$29.35 | 1,220 | 819 |
|
Contra Costa County
13585 San Pablo Avenue |
$1,154 | 1,177 | 1,080 |
|
Guadalupe Aimee Paredes Ramirez
2023 Vale Rd Ste 107 |
$39.09 | 1,171 | 836 |
|
Alea Catherine Campos
2023 Vale Rd Ste 107 |
$2.97 | 982 | 599 |
|
Maria F Alatorre
2023 Vale Rd |
$15.07 | 963 | 598 |
|
Margaret Schultz
2023 Vale Rd |
$10.92 | 835 | 478 |
|
Audrey I Schaps
2023 Vale Rd |
$15.55 | 818 | 735 |
|
Joscelyne Ciarroni
2023 Vale Rd |
$18.04 | 817 | 554 |
|
Kathleen Mckenna
2023 Vale Rd |
$60.25 | 794 | 767 |
|
Lynette Stromberg
13601 San Pablo Ave |
$0.00 | 720 | 692 |
|
Steven Louis Anton
2101 Vale Rd |
$26.46 | 566 | 553 |
|
West Contra Costa Urological Surgery Medical Group Inc.
2089 Vale Rd |
$14.52 | 482 | 428 |
|
Lee Camarillo Villanueva
2023 Vale Rd Ste 107 |
$36.00 | 460 | 446 |
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