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
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