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
Bob H. Nguyen 710 Lawrence Expy	$6.00	12	12
Randeep Badwal 700 Lawrence Expy	$60.00	12	12
Kenneth Tack-Ken Leong 700 Lawrence Expy	$0.00	12	12
Priya Venkatesh 900 Kiely Blvd	$0.00	12	12
Irene O. Ho 710 Lawrence Expy	$0.00	12	12
Emanuel Albaran Elias 2734 El Camino Real	$6.83	12	12
Lily H Kim 2366 El Camino Real	$0.00	12	12
Vanessa L. Hsieh-Park 700 Lawrence Expy	$0.00	12	12
Elena Sherman Call 710 Lawrence Expy Dept 460	$235.83	12	12
Todd T. Nguyen 2885 Kaiser Dr	$138.75	12	12
Kelli Andrea Johnson 710 Lawrence Expy	$0.00	12	12
Wendy Won-Ting Chi 710 Lawrence Expy	$0.00	12	12
Luo Luo Zheng 700 Lawrence Expy	$0.00	12	12
Martin K. Wong 710 Lawrence Expy	$0.00	13	12
Farnaz Azarbal 710 Lawrence Expy	$175.38	13	13
Shannon R Jones 5201 Great America Pkwy Ste 320	$4.90	13	12
Sangeeta Dave 700 Lawrence Expy	$28.46	13	13
Jemmy C. Hwang 710 Lawrence Expy	$69.23	13	13
Maryam Yamini 710 Lawrence Expy	$0.00	13	13
Navreen Pandher 710 Lawrence Expy Dept 384	$55.77	13	13
John Woolfrey 700 Lawrence Expy	$25.77	13	12
Heather Esposo Narciso 700 Lawrence Expy	$60.38	13	12
Deborah Ann Gill 710 Lawrence Expy	$126.15	13	13
Vidhi Shah 2734 El Camino Real	$4.52	13	12
Marcos H. Siqueiros 710 Lawrence Expy	$206.44	13	13
Asal Fathian 700 Lawrence Expy	$43.30	14	14
Uyen P Huynh 710 Lawrence Expy	$6.07	14	12
Thomas W. Yang 900 Kiely Blvd	$0.00	15	15
Bernadette A. Macart 710 Lawrence Expy	$24.27	15	14
Mary Costello Wright 710 Lawrence Expy # 190	$29.79	16	12
Marisa Leal 3466 El Camino Real	$6.30	17	17
Sudabeh Moein 700 Lawrence Expy	$31.47	17	13
Sarah Piper Macmahon 710 Lawrence Expy	$0.00	18	15
Dore Dorzia 700 Lawrence Expy	$0.00	19	19
Peter Kai-Wong Chung 1470 Halford Ave	$24.15	24	18
Randell E. Camantigue 710 Lawrence Expy	$76.00	25	25
Annapurna Yarlagadda 710 Lawrence Expy	$34.19	26	26
Amy Morishima 2734 El Camino Real	$25.55	26	26
Steven Chen 710 Lawrence Expy	$20.58	26	24
Ja Young Kim 2734 El Camino Real	$24.98	26	26
Varsha V. Joshi 710 Lawrence Expy	$4.26	27	25
Barbara Ching-Man Liu 710 Lawrence Expy	$42.59	27	27
Jeffery Allen Calmere 770 Scott Blvd	$0.00	27	27
James Kim 2652 El Camino Real	$1.26	27	27
Ramya Chitters 710 Lawrence Expy	$54.40	28	28
Albert Ma 710 Lawrence Expy	$27.52	29	26
Polina Simone Niedle 710 Lawrence Expy	$5.97	31	25
Jacqueline Elizabeth Culver 700 Lawrence Expy	$0.00	32	30
Momina Waqar 710 Lawrence Expy Dept 360	$53.61	32	31
Azinda Morrow 770 Scott Blvd	$25.95	36	25

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

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

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