Average Medicaid Office Visit Payments in Santa Maria, CA: $37.09
Avg. Paid
$37.09
Range
$0.00 – $563.35
Total Claims
1,228,678
Providers
261
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 Maria, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shane D Rostermundt
1430 E Main St |
$34.09 | 104,569 | 94,720 |
|
Steve Russell Clarke
2801 Santa Maria Way |
$0.19 | 80,769 | 74,473 |
|
Lags Spine And Sportscare Medical Centers Inc
801 E Chapel St |
$5.90 | 60,610 | 53,686 |
|
Victor Manuel Guerrero
430 S Blosser Rd |
$0.06 | 46,598 | 38,979 |
|
Jeffrey Kaplan
821 E Chapel St Ste 203 |
$30.51 | 45,997 | 42,234 |
|
Igor Galan
801 E Chapel St |
$39.30 | 44,455 | 42,619 |
|
Joseph A Nunez
1430 E Main St |
$31.18 | 42,116 | 39,325 |
|
Francis P Lagattuta
135 Carmen Ln |
$35.84 | 40,124 | 37,820 |
|
Robert S Barry
1420 S Miller St |
$36.41 | 37,833 | 33,969 |
|
Michele M. Kielty
1430 E Main St |
$31.44 | 26,696 | 24,838 |
|
Pierre Georges Labrecque
120 N Miller St Ste C |
$103.31 | 26,258 | 25,041 |
|
Himat Tank
1505 Shepard Dr Ste 102 |
$24.34 | 20,076 | 17,454 |
|
John C Petitt
5075 S Bradley Rd |
$0.93 | 17,949 | 16,185 |
|
David J Ikola
1430 E Main St |
$31.21 | 17,821 | 16,920 |
|
Albert W Hawkins
1300 E Cypress St |
$36.36 | 15,337 | 13,335 |
|
Verschoyle Hume Clarke Cronyn
430 S Blosser Rd |
$0.17 | 14,342 | 13,432 |
|
Richard P Wikholm
116 S Palisade Dr |
$119.54 | 14,298 | 13,849 |
|
Alaa Shaban
430 S Blosser Rd |
$0.07 | 12,642 | 11,480 |
|
Michael Kazak
1040 W Main St |
$13.56 | 11,029 | 9,444 |
|
Laura Jill Herzberg
2801 Santa Maria Way |
$0.06 | 10,751 | 8,743 |
|
Zachary Peter Vandegriend
116 S Palisade Dr Ste 206 |
$121.94 | 10,667 | 10,242 |
|
Perla M Park
2801 Santa Maria Way |
$22.83 | 10,570 | 9,384 |
|
Kendra Brown-Walker
135 Carmen Ln |
$63.65 | 10,291 | 9,859 |
|
Tushar Chandrakant Yadav
2115 Centerpointe Pkwy |
$0.00 | 9,577 | 9,141 |
|
Jason C Williford
201 N College Dr |
$23.79 | 9,512 | 8,943 |
|
Jon Walter Maclean
1420 S Miller St |
$32.19 | 9,310 | 8,828 |
|
Mark F Miller
2801 Santa Maria Way |
$0.37 | 9,180 | 8,232 |
|
Rocio Lissette Rodriguez Valencia
2801 Santa Maria Way |
$0.06 | 9,171 | 7,769 |
|
Kevin Michael Henry
235 S Palisade Dr |
$5.09 | 8,986 | 5,179 |
|
Melinda Christelle Theira Belgrave
301 S Miller St Ste 204 |
$2.61 | 8,679 | 7,955 |
|
Matthew Edwards Potter
2801 Santa Maria Way |
$0.14 | 8,622 | 7,959 |
|
Gregory L Jerkins
1418 E Main St Ste 210 |
$37.75 | 8,524 | 7,601 |
|
Robert Steven Firestone
235 S Palisade Dr |
$34.14 | 8,027 | 7,797 |
|
Francis Dante Antigua
201 N College Dr Ste 101 |
$33.30 | 7,963 | 7,696 |
|
George T Robertson
1430 E Main St |
$24.35 | 7,956 | 7,383 |
|
Carsten Zieger
2271 S Depot St |
$68.17 | 7,463 | 7,048 |
|
Charla Rouchleau Morgan
1418 E Main St Ste 210 |
$32.34 | 7,124 | 6,642 |
|
Nathan Singer
821 E Chapel St Ste 204 |
$29.52 | 7,081 | 6,518 |
|
Michael William Moats
525 E Plaza Dr |
$123.87 | 7,079 | 6,966 |
|
Susan Bartolini
1835 N Broadway |
$0.16 | 7,056 | 6,565 |
|
Jaime Acosta Berrios
1745 N Broadway Ste 101 |
$31.38 | 6,870 | 6,540 |
|
Paramjit Singh Benipal
361 Town Center West Suite 101 |
$114.59 | 6,851 | 6,713 |
|
Francisco Reyna Mendoza
124 W Fesler St |
$15.90 | 6,842 | 5,999 |
|
Jason C Choi
206 S Stratford Ave |
$113.66 | 6,830 | 6,708 |
|
Atul B Vachhani
361 Town Center West Suite 101 |
$117.17 | 6,718 | 6,531 |
|
Richard Ripple
1835 N Broadway |
$2.16 | 6,713 | 6,136 |
|
Thomas A Csanadi
2801 Santa Maria Way |
$4.29 | 6,611 | 6,000 |
|
Jesse Arellano
2271 S Depot St |
$34.23 | 6,588 | 6,270 |
|
Galen M Reimer
1102 East Clark Avenue |
$62.03 | 6,364 | 6,154 |
|
Sudha A Russell
1835 N Broadway |
$11.59 | 6,277 | 5,662 |
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 Maria, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Santa Maria, CA is $37.09 per claim, based on 1,228,678 claims from 261 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 Maria, CA?
There are 261 Medicaid providers offering Office Visit related services in Santa Maria, CA according to public payment data.
What is the price range for Office Visit in Santa Maria, CA?
Medicaid reimbursement for Office Visit in Santa Maria, CA ranges from $0.00 to $563.35 per claim, with an average of $37.09. 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 Maria, CA
Substance Abuse Treatment
Avg $33.75
838,009 claims
Vaccines & Immunizations
Avg $8.33
429,641 claims
Dental Cleaning & Exam
Avg $49.04
294,594 claims
Behavioral & Mental Health Therapy
Avg $207.91
257,630 claims
Eye Exam
Avg $20.86
238,954 claims
Emergency Room Visit
Avg $58.29
188,411 claims
Psychiatric Evaluation
Avg $74.82
184,750 claims
Physical Therapy
Avg $20.58
170,111 claims