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 |
|---|---|---|---|
|
Lawrence Rosenbaum
1595 Soquel Dr |
$4.69 | 12 | 12 |
|
Zenowij Majuk
1505 Soquel Dr |
$24.25 | 12 | 12 |
|
David Sofen
2025 Soquel Ave |
$52.93 | 12 | 12 |
|
John L Strutner
1595 Soquel Dr Ste 400 |
$0.00 | 12 | 12 |
|
Krish Gandhi
1662 Dominican Way |
$83.12 | 12 | 12 |
|
Michaela Melissa Chavez
2025 Soquel Ave |
$16.00 | 12 | 12 |
|
Jennie Jet
1595 Soquel Dr |
$70.36 | 12 | 12 |
|
Steven Roberts
2911 Chanticleer Ave |
$25.51 | 12 | 12 |
|
Tracy Anne Maclay
1203 Mission Street |
$36.98 | 13 | 13 |
|
Joydip Bhattacharya, D.O., Medical Corporation
1575 Soquel Dr # B |
$26.61 | 13 | 13 |
|
David John Beck
2025 Soquel Ave |
$4.33 | 13 | 12 |
|
Surinder Kumar
1595 Soquel Dr. |
$68.30 | 14 | 14 |
|
Paul Jeffrey Godin
1595 Soquel Dr Ste 230 |
$97.23 | 14 | 14 |
|
Lisa Segnitz
2850 Commercial Crossing |
$70.62 | 14 | 13 |
|
Thomas J Welle
2907 Chanticleer Ave. |
$49.19 | 14 | 12 |
|
Laura Garvin
2025 Soquel Ave |
$3.75 | 15 | 15 |
|
Amir Tabatabai
1779 Dominican Way Ste B |
$26.70 | 16 | 13 |
|
Eileen Marie Donnelly
1510 Capitola Rd |
$4.47 | 16 | 12 |
|
Ngoc Han Thi Tran
1510 Capitola Rd |
$0.00 | 16 | 16 |
|
Jessica Rose Smith
1301 Mission St |
$7.03 | 16 | 15 |
|
Timothy Blakeslee
2900 Chanticleer Ave |
$49.70 | 16 | 12 |
|
Tamara Belkin
2907 Chanticleer Ave |
$27.86 | 17 | 17 |
|
Matthew Leslie Tripp
1555 Soquel Dr |
$38.52 | 18 | 18 |
|
Jillian Margaret Chelson
2018 Mission St |
$7.88 | 18 | 16 |
|
Margarita Cabaral
1595 Soquel Dr Ste 400 |
$4.32 | 19 | 18 |
|
James D. Spiegel
2907 Chanticleer Ave |
$41.18 | 20 | 20 |
|
Sarah Furlano, Ibclc
225 Forest Ave |
$13.09 | 21 | 14 |
|
Joseline Rebeca Vergara
1510 Capitola Rd |
$0.00 | 23 | 15 |
|
Nadia Allami
1510 Capitola Rd |
$14.02 | 23 | 16 |
|
Meghan M Thomas
2980 El Rancho Dr |
$4.08 | 25 | 24 |
|
Donald E Schepps
2911 Chanticleer Ave |
$39.17 | 25 | 24 |
|
Hsuan-Chih Chen
1505 Soquel Dr Ste 1 |
$0.00 | 26 | 26 |
|
Kristina Muten
250 Locust St |
$0.00 | 27 | 25 |
|
Michael Christie
1400 Emeline Ave |
$0.00 | 27 | 24 |
|
Sunita Singh
1595 Soquel Dr Ste 411 |
$44.93 | 27 | 25 |
|
Charnjeet Singh Sandhu
1595 Soquel Dr Ste 220 |
$156.26 | 27 | 27 |
|
Kelli Rae Beingesser
2907 Chanticleer Ave |
$43.14 | 28 | 28 |
|
Ida G Leong
320 River St |
$0.86 | 28 | 28 |
|
Joseph Fabry
2911 Chanticleer Ave |
$109.41 | 31 | 13 |
|
Gustavo A. Diaz
615 Ocean St # E1 |
$69.00 | 33 | 31 |
|
Asja Serdarevic
2250 Soquel Ave |
$0.71 | 35 | 24 |
|
Matthew S Markert
1661 Soquel Dr Ste D |
$86.14 | 36 | 36 |
|
Corrine Lee Douglas
1510 Capitola Rd |
$0.00 | 37 | 33 |
|
James Anthony Louisell
1595 Soquel Dr Ste 230 |
$44.54 | 37 | 32 |
|
Charlotte Y Kim
1575 Soquel Dr |
$48.30 | 38 | 38 |
|
Sharon Jamieson
2025 Soquel Ave |
$9.67 | 41 | 41 |
|
Frank Jan
1529 Seabright Ave |
$40.82 | 43 | 39 |
|
Lily Zeng
1595 Soquel Dr Ste 230 |
$85.49 | 44 | 41 |
|
David Anjelly
1595 Soquel Dr Ste 350 |
$198.26 | 46 | 40 |
|
Lilie Mytrang Pham
115A Coral St |
$1.57 | 46 | 41 |
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