Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Santa Clara, CA: $17.48

Avg. Paid

$17.48

Range

$0.00 – $235.83

Total Claims

205,653

Providers

170

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 Clara, CA

Provider	Avg. Paid	Claims	Patients
Pratima Misra 710 Lawrence Expy	$10.90	22,907	13,853
Archana Bhogill 2441 Mission College Blvd	$5.53	18,937	11,671
Yeshi Hu 2652 El Camino Real	$0.94	17,781	15,329
Neha Vashishtha 710 Lawrence Expy	$2.18	16,397	12,211
Yu-Tzu Tseng 710 Lawrence Expy	$3.59	10,452	6,816
Janani Sankaran 710 Lawrence Expy	$4.32	10,062	8,690
Kavitha Kambham 2233 Lenox Pl	$3.76	9,739	6,299
Ramandeep Kaur 3466 El Camino Real	$38.58	9,300	8,322
David Tran La 710 Lawrence Expy	$0.04	8,531	7,900
Ki S Cho 2344 El Camino Real	$23.99	7,169	6,088
Aravind Swaminathan 710 Lawrence Expressway	$7.46	7,162	7,056
Reena Thomas 710 Lawrence Expy	$51.08	5,287	4,236
Dormico Latashia Walker 4633 Old Ironsides Dr Ste 304	$69.96	4,519	4,283
Joanne Marie D Gloria 814 Maryann Dr Apt 6	$16.14	4,423	4,211
Benjamin Reyes Mandac 710 Lawrence Expy	$6.21	2,703	1,355
Lynn Semersky 2316 Running Water Ct	$2.58	2,592	1,678
Gracia Matoto Kwete 710 Lawrence Expy Fl 1	$21.68	2,586	2,430
Bianca Best 4633 Old Ironsides Dr Ste 304	$43.79	1,948	1,437
Sandra H. Lee 710 Lawrence Expy	$7.73	1,711	1,644
Michael Tsao 710 Lawrence Expy	$3.47	1,619	1,558
Alexander Young Jong Park 2366 El Camino Real	$90.21	1,516	1,387
Fulgencio Braganza Del Castillo 710 Lawrence Expy Dept 190	$128.15	1,377	1,343
Satish G Namjoshi Kaiser Permanente Santa Clara	$55.88	1,376	1,248
Jessica Amano 700 Lawrence Expy	$4.59	1,296	1,251
Sharon Ann Castellanos 710 Lawrence Expy	$0.00	1,185	518
Elena Ermakova 2734 El Camino Real	$5.21	1,172	1,126
Kenneth W. Purdy 710 Lawrence Expy	$3.19	1,167	1,135
Timothee Fabrice Fruhauf 710 Lawrence Expy Dept 386	$16.24	1,143	661
Michael Lynn Hall 4633 Old Ironsides Dr Ste 304	$46.86	1,047	907
Tae Wook Noh 4585 Stevens Creek Blvd Ste 110	$2.47	1,000	584
Clare Dimaunahan 710 Lawrence Expy	$19.78	914	842
Reija Matheson Rawle 2518 Mission College Blvd Ste 101	$25.84	912	840
Sridivya Majji 2734 El Camino Real	$2.20	905	884
Irene A Mason 710 Lawrence Expy	$8.47	878	832
Sofia Teresa Moreno 710 Lawrence Expy	$8.26	865	841
Mary Rhee 710 Lawrence Expy	$5.70	843	813
Pupi Demissie 710 Lawrence Expy	$80.10	801	761
Vanessa Naval 483 Clarkwood Ct	$230.44	791	708
Susan Kay Miller 5201 Great America Pkwy Ste 320	$2.21	782	563
Ngoc Tuyen Thi Tran 2712 Augustine Dr Ste 120	$34.11	777	675
Uma Devi Kantamuneni 3655 Pruneridge Ave Apt 224	$107.17	759	698
Diane E. Craig 900 Kiely Blvd	$11.06	699	458
Sarah M Griffin 710 Lawrence Expy	$0.51	585	556
Halee Fullerton 4633 Old Ironsides Dr Ste 304	$157.37	580	564
Karen Y. Cruz-Brenneman 900 Kiely Blvd	$23.58	573	559
Plomarz Rustom Irani 700 Lawrence Expressway	$73.14	559	547
Oyinloye Olapeju Nayin 5201 Great America Pkwy Ste 320	$89.34	537	417
Kalgi Hasmukh Parmar 710 Lawrence Expy Dept 140	$25.59	534	460
Alan H. Man 710 Lawrence Expy	$32.85	530	491
Phuong Tuy Nguyen 4585 Stevens Creek Blvd Ste 110	$0.00	508	483

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 Clara, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Santa Clara, CA is $17.48 per claim, based on 205,653 claims from 170 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 Clara, CA?

There are 170 Medicaid providers offering Office Visit related services in Santa Clara, CA according to public payment data.

What is the price range for Office Visit in Santa Clara, CA?

Medicaid reimbursement for Office Visit in Santa Clara, CA ranges from $0.00 to $235.83 per claim, with an average of $17.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Santa Clara, CA: $17.48

Providers Offering Office Visit in Santa Clara, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

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Houston, TX

Las Vegas, NV

Other Procedures in Santa Clara, CA

Blood Work & Lab Tests

Dental Cleaning & Exam

Emergency Room Visit

Vaccines & Immunizations

X-Ray

EKG / ECG (Electrocardiogram)

Urinalysis & Urine Tests

Behavioral & Mental Health Therapy