Average Medicaid Office Visit Payments in San Rafael, CA: $11.51
Avg. Paid
$11.51
Range
$0.00 – $875.55
Total Claims
386,259
Providers
120
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 Rafael, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marin Community Clinic
3110 Kerner Blvd |
$4.82 | 196,617 | 164,109 |
|
Marin Community Clinic
3260 Kerner Blvd |
$13.39 | 17,421 | 14,763 |
|
Brian D. Hertz
99 Montecillo Rd |
$2.32 | 10,083 | 5,727 |
|
Carolyn M. Shore
920 Grand Ave |
$0.68 | 8,989 | 7,184 |
|
Kate Mcglashan
361 Third Street |
$5.36 | 8,534 | 4,579 |
|
Renee Marie Howard
5000 Civic Center Dr |
$68.70 | 7,865 | 7,686 |
|
Mercedes Traverso
1650 Los Gamos Dr |
$0.38 | 6,670 | 5,363 |
|
Joanna Gobea
3110 Kerner Blvd |
$3.60 | 5,605 | 4,321 |
|
Claudia A Levine
1004 Northgate Dr |
$0.68 | 5,502 | 4,470 |
|
Leah Sitler
3110 Kerner Blvd |
$4.18 | 5,490 | 3,923 |
|
Ellen G Rosenthal
3260 Kerner Blvd |
$0.84 | 5,310 | 4,466 |
|
Natalie Levine
1004 Northgate Dr |
$6.67 | 5,214 | 3,368 |
|
Alana Reynolds Kane
1466 Lincoln Ave |
$0.46 | 4,966 | 4,808 |
|
Katherine Wei
3110 Kerner Blvd |
$1.59 | 4,933 | 4,005 |
|
Virginia Ann Smith-Bronstein
899 Northgate Dr Ste 110 |
$74.24 | 4,478 | 4,128 |
|
Patricia M. Purcell
1618 2Nd St |
$1.30 | 4,441 | 2,840 |
|
Kiara Stephanie Barbieri
3260 Kerner Blvd |
$1.10 | 4,435 | 2,717 |
|
Lucinda Liu Kohn
5000 Civic Center Dr |
$77.73 | 4,428 | 4,266 |
|
Suzanna Kay Sherer
411 3Rd St # 409 |
$0.45 | 4,297 | 3,599 |
|
Alec Bradbury
16 Ritter St |
$2.88 | 3,634 | 1,950 |
|
Audrey Maureen Combs
3110 Kerner Blvd |
$46.90 | 3,559 | 3,222 |
|
Caitlin Sierra Maclaurin
3260 Kerner Blvd Ste A |
$67.94 | 3,390 | 2,693 |
|
Francisco Siguenza
16 Ritter St |
$41.90 | 3,245 | 1,427 |
|
Ann Reppun
3260 Kerner Blvd |
$32.81 | 3,209 | 2,742 |
|
Joseph A. Habis
4000 Civic Center Dr. |
$6.76 | 3,015 | 2,849 |
|
Eric Bava
4000 Civic Center Dr Ste 209 |
$64.40 | 2,847 | 2,702 |
|
Monika Ferreira Queiroz Do Valle
268 Channing Way |
$16.70 | 2,647 | 2,268 |
|
Peter Douglas Mcqueen
99 Montecillo Rd |
$49.69 | 2,383 | 1,948 |
|
Jennifer Horch Cromar
880 Las Gallinas Ave Ste 2 |
$43.76 | 2,362 | 2,149 |
|
J. Brian Delfanti
99 Montecillo Rd |
$3.47 | 2,238 | 1,356 |
|
Catherine B. Treseler
99 Montecillo Rd |
$1.98 | 2,139 | 2,036 |
|
Huong Le Bui
50 Acacia Ave |
$0.28 | 2,127 | 1,801 |
|
Heather Ann Renz
3260 Kerner Blvd |
$0.00 | 2,012 | 1,854 |
|
Patricia Mary Brockley
361 3Rd St Ste E |
$33.64 | 1,714 | 1,467 |
|
Chantal Elizaga
50 Acacia Ave |
$12.52 | 1,669 | 1,068 |
|
Pamela Doerr-Kashani
9 Unionstone Ln |
$1.48 | 1,535 | 1,212 |
|
John R. Spurzem
3260 Kerner Blvd |
$21.42 | 1,372 | 1,163 |
|
Barbara Shreibman
16 Ritter St |
$4.25 | 1,360 | 1,183 |
|
Nicole Betenia
3260 Kerner Blvd |
$30.98 | 1,339 | 1,058 |
|
Erinn Burke Lance
3260 Kerner Blvd |
$1.98 | 1,315 | 1,001 |
|
Madeline Underwood
1004 Northgate Dr |
$0.34 | 1,146 | 1,106 |
|
Nicolas Sebastian Mottola
99 Montecillo Rd |
$11.57 | 1,127 | 1,051 |
|
Ritter Center
16 Ritter St |
$2.50 | 998 | 832 |
|
Roberta Gordin
4040 Civic Center Dr |
$203.60 | 978 | 878 |
|
Paul H. Katz
99 Montecillo Rd |
$6.94 | 952 | 898 |
|
Molina S. Patel
99 Montecillo Rd |
$1.88 | 883 | 859 |
|
Reed Coast
750 Las Gallinas Ave Ste 115 |
$39.24 | 866 | 821 |
|
Shelley A Palfy
4000 Civic Center Dr |
$1.94 | 771 | 441 |
|
Tanaz Mohammadi
901 E St |
$58.88 | 697 | 697 |
|
Casey William Holden
3110 Kerner Blvd |
$0.00 | 651 | 432 |
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 Rafael, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in San Rafael, CA is $11.51 per claim, based on 386,259 claims from 120 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 Rafael, CA?
There are 120 Medicaid providers offering Office Visit related services in San Rafael, CA according to public payment data.
What is the price range for Office Visit in San Rafael, CA?
Medicaid reimbursement for Office Visit in San Rafael, CA ranges from $0.00 to $875.55 per claim, with an average of $11.51. 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 Rafael, CA
Substance Abuse Treatment
Avg $140.74
123,484 claims
Vaccines & Immunizations
Avg $11.27
104,785 claims
Case Management Services
Avg $262.87
63,854 claims
Psychiatric Evaluation
Avg $51.60
35,151 claims
Behavioral & Mental Health Therapy
Avg $412.00
31,527 claims
Emergency Room Visit
Avg $109.11
30,050 claims
Blood Work & Lab Tests
Avg $5.56
19,838 claims
Dental Cleaning & Exam
Avg $49.03
19,297 claims