Average Medicaid Office Visit Payments in Santa Ana, CA: $36.81
Avg. Paid
$36.81
Range
$0.00 – $1,003
Total Claims
2,438,108
Providers
518
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 Santa Ana, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Chen
719 E 1St St Ste C |
$5.25 | 145,246 | 84,677 |
|
South Coast Pediatrics
2650 S Bristol St |
$38.15 | 139,415 | 123,951 |
|
Altamed Health Services Corp
2720 S Bristol St |
$1.97 | 80,040 | 68,641 |
|
Advance Urgent Medical Group Inc
1401 W 1St St |
$62.59 | 67,946 | 62,574 |
|
Tammy Tam Nguyen
1421 E 17Th St |
$115.39 | 62,805 | 61,092 |
|
Teresa Flores
1014 N Broadway |
$13.91 | 61,628 | 52,989 |
|
University Of California Irvine
800 N Main St |
$14.74 | 52,841 | 47,988 |
|
Altamed Health Services Corp
1400 N Main St |
$1.26 | 46,463 | 41,089 |
|
Childrens Hospital Of Orange County
406 S Main St |
$29.92 | 44,503 | 42,476 |
|
Strongkids Medical Group Inc
2222 S Main St |
$29.27 | 43,315 | 40,247 |
|
Michael Davis
2720 S Bristol St Ste 110 |
$9.70 | 41,220 | 36,696 |
|
Dara Saghafi
1638 E 17Th St Ste A |
$53.05 | 40,631 | 33,836 |
|
Bristol Mcfadden Medical Group,Inc.
1212 S Bristol St |
$66.37 | 36,731 | 32,521 |
|
Victoria Kang
1900 E 4Th St |
$35.85 | 36,209 | 35,564 |
|
Raul A. Estrada
2650 S Bristol St |
$27.47 | 35,524 | 29,845 |
|
Southern California Dermatology, Inc
1125 E 17Th St |
$97.84 | 33,698 | 32,916 |
|
Jason Yang
2720 Bristol St |
$8.38 | 33,688 | 30,218 |
|
Amy Anne Tressan
1421 E 17Th St |
$115.07 | 33,628 | 32,903 |
|
Kelvin Mai, D.O., Inc
1002 N Fairview St |
$2.52 | 31,567 | 26,191 |
|
Matteo Leveroni-Calvi
800 N Main St |
$32.70 | 29,647 | 27,534 |
|
H Joseph Khan M D Inc
111 W 17Th St |
$47.10 | 24,793 | 22,699 |
|
Minh Canh Do
4718 W 1St St Unit 100 |
$2.91 | 24,160 | 21,087 |
|
Mahmood Mostoufi
1125 E 17Th St |
$70.20 | 23,911 | 21,129 |
|
Jose Mayorga
800 N Main St |
$34.43 | 23,175 | 21,795 |
|
Essam R Quraishi
2621 S Bristol St Ste 202 |
$70.24 | 20,280 | 18,863 |
|
Lindsey Marie Barnett
1241 E Dyer Rd Ste 145 |
$91.56 | 20,094 | 14,519 |
|
Nazanin Sanaei
1206 E 17Th St Ste 101 |
$2.76 | 18,756 | 14,224 |
|
Praful Sarode
999 N Tustin Ave |
$53.30 | 18,398 | 14,607 |
|
Ajay G Meka
2740 S Bristol St |
$35.66 | 18,307 | 16,072 |
|
Ian Eric Solomon
1400 N Main St |
$2.17 | 18,059 | 12,855 |
|
Abhipsa Kar
1421 E 17Th St |
$113.82 | 17,414 | 16,751 |
|
Suzanne Nguyen
800 N Main St |
$6.39 | 16,485 | 9,981 |
|
P K A Medical Corporation
1610 W Edinger Ave Ste B |
$49.39 | 16,014 | 14,291 |
|
Harinder S. Gogia, M.D., Inc.
801 N Tustin Ave |
$20.80 | 15,849 | 15,252 |
|
Popular Medical Clinic Inc
420 S Bristol Street |
$65.53 | 15,442 | 13,881 |
|
Olga Gabriela Ventura
2720 S Bristol St |
$9.21 | 15,126 | 13,320 |
|
Edward E Chai
1212 S Bristol St |
$44.41 | 14,984 | 12,809 |
|
Van Thanh Nguyen
3501 S Harbor Blvd |
$8.97 | 14,836 | 9,921 |
|
Javed Nisar Sadiq
2621 S Bristol St Ste 202 |
$73.25 | 14,526 | 14,385 |
|
Reza Shafee
2010 E 1St St |
$16.86 | 14,313 | 12,102 |
|
Santi Pattara
2101 E 4Th St # 185B |
$55.21 | 14,086 | 8,542 |
|
Mitali Mitra
1629 W 17Th St |
$0.15 | 14,074 | 12,254 |
|
Lynette Bui Anderson
800 N Main St |
$20.49 | 13,863 | 11,685 |
|
Smita Manoj Soans
1226 N Broadway |
$24.91 | 13,844 | 12,209 |
|
Gastrointestinal And Liver Consultants Inc.
2621 S Bristol St Ste 202 |
$50.64 | 13,069 | 12,814 |
|
Weiming David Chu
520 N Main St Ste 220 |
$73.85 | 13,067 | 10,676 |
|
Christopher Duong Bui
202 N. Euclid |
$21.12 | 13,011 | 12,091 |
|
Kelvin Mai
1002 N Fairview St |
$9.47 | 12,823 | 11,446 |
|
Dimitri Sirakoff
1206 E 17Th St |
$23.00 | 12,482 | 9,909 |
|
Eliott Romero
999 N Tustin Ave |
$40.11 | 12,417 | 10,677 |
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 Santa Ana, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Santa Ana, CA is $36.81 per claim, based on 2,438,108 claims from 518 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 Santa Ana, CA?
There are 518 Medicaid providers offering Office Visit related services in Santa Ana, CA according to public payment data.
What is the price range for Office Visit in Santa Ana, CA?
Medicaid reimbursement for Office Visit in Santa Ana, CA ranges from $0.00 to $1,003 per claim, with an average of $36.81. 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 Santa Ana, CA
Dental Cleaning & Exam
Avg $51.75
822,754 claims
Vaccines & Immunizations
Avg $8.33
663,442 claims
Speech Therapy
Avg $17.67
630,486 claims
Blood Work & Lab Tests
Avg $6.60
415,445 claims
Urinalysis & Urine Tests
Avg $2.32
413,569 claims
Physical Therapy
Avg $21.20
408,827 claims
Behavioral & Mental Health Therapy
Avg $125.58
408,769 claims
Eye Exam
Avg $15.86
403,514 claims