Average Medicaid Office Visit Payments in Santa Cruz, CA: $33.23
Avg. Paid
$33.23
Range
$0.00 – $214.70
Total Claims
980,453
Providers
334
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 Cruz, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Santa Cruz
1080 Emeline Ave |
$32.46 | 107,282 | 91,797 |
|
Santa Cruz Community Health Centers
1510 Capitola Rd |
$29.39 | 79,557 | 72,071 |
|
Cassy Friedrich
1510 Capitola Rd |
$71.93 | 49,959 | 47,191 |
|
Flavio Cornejo
550A Water St |
$16.84 | 45,163 | 30,875 |
|
Richard Duncan Minkner
540 Soquel Ave |
$13.30 | 42,559 | 25,377 |
|
Garry Crummer
1510 Capitola Rd |
$7.59 | 36,571 | 24,403 |
|
Salla Inkeri Hennessy
1510 Capitola Rd |
$10.79 | 32,331 | 19,894 |
|
Santa Cruz Community Health Centers
250 Locust St |
$25.55 | 29,099 | 25,606 |
|
Wendy Sickels
250 Locust St |
$7.94 | 28,609 | 19,171 |
|
Casey A Kirkhart
1510 Capitola Rd |
$8.98 | 27,525 | 19,317 |
|
Miki R Joy
615 Ocean St |
$29.46 | 25,625 | 23,759 |
|
Robin Penelope Brooks
1080 Emeline Ave |
$0.06 | 21,394 | 18,321 |
|
Carrie Coxwell Eisberg
250 Locust St |
$10.51 | 18,676 | 12,241 |
|
Dimitri J Bacos
1080 Emeline Ave |
$0.00 | 18,136 | 16,041 |
|
Victor Li
3143 Paul Sweet Rd |
$99.40 | 12,428 | 11,824 |
|
Allyson Aileen Garcia
1156 High St |
$0.50 | 11,902 | 10,874 |
|
Aaron B Morse
1665 Dominican Way |
$108.60 | 11,800 | 11,738 |
|
Rebecca Marie Breton
1510 Capitola Rd |
$7.76 | 11,685 | 7,984 |
|
Rose Helene Lovell
1510 Capitola Rd |
$9.15 | 10,650 | 7,143 |
|
Benjamin N Potkin
1595 Soquel Dr |
$37.60 | 9,626 | 8,921 |
|
Andrew Spedding Calciano
1661 Soquel Dr Ste E |
$80.06 | 8,972 | 8,770 |
|
Daniel A Spilman
550 Water St Ste A |
$61.93 | 8,324 | 5,240 |
|
Morgan Lawrence Magid
1661 Soquel Dr Ste E |
$65.76 | 8,101 | 7,679 |
|
Rashmi Mathew
1080 Emeline Ave |
$0.02 | 7,753 | 6,872 |
|
Dignity Health
1555 Soquel Dr |
$85.22 | 7,673 | 6,165 |
|
Michael Hsi-Ming Yen
1669 Dominican Way |
$83.47 | 7,657 | 5,749 |
|
Diana Maria Mokaya
1080 Emeline Ave |
$5.21 | 7,451 | 5,696 |
|
Molly Courtwright Shields
1661 Soquel Dr Ste E |
$79.43 | 6,800 | 6,655 |
|
Raelene Walker
1510 Capitola Rd |
$25.82 | 6,787 | 4,677 |
|
Linda Mann Chien Lou
1080 Emeline Avenue |
$0.12 | 6,329 | 5,844 |
|
Sirish Nakka
1665 Dominican Way Ste 222 |
$115.98 | 5,738 | 5,724 |
|
Judith Robinson Kelley-Macek
1080 Emeline Ave |
$0.17 | 5,607 | 5,164 |
|
Aaron W Pardini
1595 Soquel Dr Ste 411 |
$39.32 | 5,039 | 4,541 |
|
Ilona Letmanyi
2025 Soquel Ave |
$90.53 | 4,885 | 4,801 |
|
Minoo Sarkarati
1080 Emeline Ave |
$0.00 | 4,684 | 4,267 |
|
Jackson Cameron Nagle
2018 Mission St |
$7.35 | 4,667 | 4,192 |
|
Michael A O'Connor
1080 Emeline Ave |
$0.00 | 4,452 | 3,964 |
|
Christopher Xiao
550 Water St Ste A |
$97.02 | 4,297 | 3,312 |
|
Benjamin Ramsden-Stein
115A Coral St |
$0.22 | 4,264 | 3,876 |
|
Padmashri Komandur Srinivasa
1595 Soquel Dr Ste 330 |
$15.82 | 4,246 | 4,203 |
|
Stephanie Hedy Yunchung Chang
1510 Capitola Rd |
$13.10 | 4,189 | 3,065 |
|
Michelle Sanchez
2907 Chanticleer Ave |
$4.02 | 4,148 | 2,367 |
|
Linh Truc Nguyen
1080 Emeline Ave |
$0.06 | 4,095 | 3,789 |
|
Joydip Bhattacharya
1575 Soquel Dr |
$107.26 | 4,005 | 3,904 |
|
Sandra Gayle Mendel
21507 E Cliff Dr |
$1.79 | 3,875 | 2,657 |
|
Mackenzie E Douglass
1505 Soquel Dr Ste 1 |
$69.61 | 3,848 | 3,405 |
|
Amy D Mcmullen
1669 Dominican Way |
$54.53 | 3,817 | 2,990 |
|
Gregory Michael Empey
220 Sylvania Ave |
$0.01 | 3,586 | 3,337 |
|
Pritisheel Banga
1595 Soquel Dr Ste 411 |
$112.49 | 3,584 | 3,285 |
|
Behavioral Health Care, Inc.
1663 Dominican Way |
$126.49 | 3,438 | 2,828 |
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 Cruz, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Santa Cruz, CA is $33.23 per claim, based on 980,453 claims from 334 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 Cruz, CA?
There are 334 Medicaid providers offering Office Visit related services in Santa Cruz, CA according to public payment data.
What is the price range for Office Visit in Santa Cruz, CA?
Medicaid reimbursement for Office Visit in Santa Cruz, CA ranges from $0.00 to $214.70 per claim, with an average of $33.23. 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 Cruz, CA
Substance Abuse Treatment
Avg $32.01
703,736 claims
Psychiatric Evaluation
Avg $65.40
298,214 claims
Emergency Room Visit
Avg $85.44
235,236 claims
Behavioral & Mental Health Therapy
Avg $272.72
195,735 claims
Blood Work & Lab Tests
Avg $11.46
185,254 claims
Non-Emergency Medical Transportation
Avg $31.30
175,051 claims
X-Ray
Avg $12.48
166,316 claims
Eye Exam
Avg $26.81
99,991 claims