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Based on public Medicaid payment data.

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
Vince Gabriel Delgadillo

1033 3Rd St

$0.00 12 12
Yin Zheng

99 Montecillo Rd

$2.00 12 12
Jan L. Herr

99 Montecillo Rd

$0.00 13 13
Torsten Hall Durkan

50 Acacia Ave

$74.69 13 13
Jenny Soriano

361 3Rd St

$0.00 13 13
Elaine Jenny Lin

5000 Civic Center Dr

$85.82 13 13
Yessika Xuexia Woo Lee

750 Las Gallinas Ave Ste 115

$44.62 14 12
Kevin J. Kobalter

99 Montecillo Rd

$0.00 18 13
Michael E. Mason

99 Montecillo Rd

$34.90 27 27
Side By Side

810 5Th Ave Ste 100

$875.55 27 26
Nancy Singer

1004 Northgate Dr

$99.54 28 28
Ekta Patel

4000 Civic Center Dr Ste 200B

$31.67 29 28
Jennifer Catherine Hanson

4000 Civic Center Dr Ste 100

$2.64 30 26
Mohammed Roshad Tarr

1601 2Nd St Ste 108

$17.03 33 33
Roseanna M Duenas

4040 Civic Center Dr Ste 200

$162.11 37 25
Carlos G Lopez

3270 Kerner Blvd

$0.00 38 38
Maria G Iniguez

99 Montecillo Rd

$0.81 40 40
Jessica Jane Daniel

4000 Civic Center Dr Ste 209

$93.42 42 40
Rachael Marie Renton

291 Smith Ranch Rd

$1.07 44 42
Daniel J. Solomon, Md Inc

4000 Civic Center Dr

$37.98 45 45
Joseph H Greenberg Ltd A Medical Corp

750 Las Gallinas Ave

$12.24 45 45
Ruth Leslie Rogow

3260 Kerner Blvd

$49.79 46 46
Xi Chen

3230 Kerner Blvd

$114.17 47 47
Christian K Kim

901 E St

$6.27 51 50
Dorota Krystyna Rhoads

1650 Los Gamos Dr

$43.81 54 52
Peter K. Heinlein

99 Montecillo Rd

$0.41 59 55
Douglas Peter Davidson

50 Acacia Ave

$0.40 60 57
David Shevick

34 Dolores St

$50.12 66 66
Arman Serebrakian

4000 Civic Center Dr Ste 209

$95.62 81 81
Marcia Tumy Byrnes

16 Ritter St

$2.43 82 69
Virginia Marie Farnsworth

99 Montecillo Rd

$5.42 83 47
Francesca Flynn

4000 Civic Center Dr Ste 209

$26.59 86 74
Arash Salari

1650 Los Gamos Dr

$56.83 87 82
Keyvan Pourmehr

99 Montecillo Rd

$34.48 93 88
Julie Ann Mistretta

1004 Northgate Dr

$0.00 97 91
Erica Sutherland

16 Ritter St

$1.72 112 102
Ryan Cook

1650 Los Gamos Dr

$65.86 133 127
Marin Ophthalmic Consultants, A Medical Corporation

901 E St

$8.58 145 138
Asfand Khan

111 Smith Ranch Rd

$31.31 159 157
Karen Maciejko

411 3Rd St

$0.00 159 28
Jeffrey Neil Vanderheym

1050 Northgate Dr Ste 352

$0.00 163 163
Rajdeep Singh

4000 Civic Center Dr

$3.90 176 125
Cooper Wallace Bloyd

1650 Los Gamos Dr

$4.33 198 197
Robert J. Stein

99 Montecillo Rd

$4.72 210 207
Meenal Sunit Lohtia

4000 Civic Center Drive

$7.83 215 204
Cynthia Sarah Barbee Adam

1299 4Th St Ste 202E

$128.21 218 196
Brooke Ann Gibson

3110 Kerner Blvd

$0.87 220 158
Prima Medical Group-Terra Linda

4000 Civic Center Drive

$8.21 225 203
Bertha Bin-San Lin

99 Montecillo Rd

$63.32 233 230
Drew E Maris

155 Andersen Dr Ste 1108

$3.71 253 246

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

Other Procedures in San Rafael, CA