Average Medicaid Office Visit Payments in Santa Monica, CA: $22.57
Avg. Paid
$22.57
Range
$0.00 – $652.21
Total Claims
373,557
Providers
291
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 Monica, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Luciano Del Toro Vargas
1920 Colorado Ave |
$1.26 | 40,145 | 35,199 |
|
Benjamin Behroozan
2221 Lincoln Blvd # 200 |
$5.50 | 13,559 | 12,719 |
|
Abdullah Mohammad Firoze Ahmed
1250 16Th St Ste 309 |
$57.53 | 12,163 | 11,300 |
|
Zeina Hijazi
1745 11Th St |
$3.01 | 11,716 | 9,527 |
|
John A Roohan
2509 Pico Blvd |
$0.14 | 11,540 | 9,071 |
|
Rebecca Lynn Rodriguez
1711 Ocean Park Blvd |
$7.36 | 11,110 | 9,875 |
|
Stacey Ann Nadler
1711 Ocean Park Blvd |
$0.23 | 10,849 | 6,267 |
|
Providence Saint Johns Medical Foundation
2121 Santa Monica Blvd |
$26.81 | 10,087 | 9,260 |
|
Diana Hoffman
2509 Pico Blvd |
$0.36 | 9,611 | 7,808 |
|
Cesar L Barba
2509 Pico Blvd |
$0.26 | 9,535 | 7,720 |
|
Canty Wang
1301 20Th St Ste 270 |
$10.81 | 8,356 | 6,501 |
|
Hobart Leung
2336 Santa Monica Blvd Ste 301 |
$0.27 | 7,966 | 7,102 |
|
Sophie H Chang
2509 Pico Blvd |
$1.36 | 7,448 | 6,079 |
|
Lee Chaidez Mancilla
1711 Ocean Park Blvd |
$0.21 | 6,773 | 5,753 |
|
Lovelee Brown
2509 Pico Blvd |
$0.26 | 6,738 | 6,584 |
|
Susan Cho
1711 Ocean Park Blvd |
$0.14 | 6,462 | 6,012 |
|
Courtney Tamiko Mizuhara-Cheng
2901 Ocean Park Blvd Ste 207 |
$3.79 | 6,345 | 6,106 |
|
Brian Yoshio Laing
1920 Colorado Ave |
$0.00 | 6,249 | 4,020 |
|
Oceanside Medical Group, A Medical Corporation
701 Santa Monica Blvd |
$339.66 | 5,452 | 2,079 |
|
Paula Staci Josephson Shulman
1301 20Th St Ste 270 |
$24.65 | 5,243 | 5,187 |
|
Carol Rose Schwartz
2509 Pico Blvd |
$0.31 | 4,827 | 4,720 |
|
Angela Tambunting Echiverri
2509 Pico Blvd |
$0.00 | 4,663 | 3,133 |
|
Elias Cohenzadeh
1034 Princeton St |
$0.16 | 4,399 | 4,144 |
|
Uc Regents
1920 Colorado Ave |
$22.52 | 3,909 | 3,637 |
|
Jamie Kate Mercader Adoc
2505 Santa Monica Blvd |
$7.23 | 3,811 | 3,554 |
|
Nigar Dargah-Zada
1801 Wilshire Blvd Ste 100 |
$73.97 | 3,796 | 3,715 |
|
Phillip Charles Brown
1920 Colorado Ave |
$0.93 | 3,570 | 3,482 |
|
Sant P Chawla
2811 Wilshire Blvd |
$51.11 | 3,362 | 2,080 |
|
Kavita Sanjay Vinekar
2001 Santa Monica Blvd Ste 380 |
$24.19 | 3,165 | 3,134 |
|
Calvin Joseph Duffaut
1920 Colorado Ave |
$19.86 | 3,058 | 2,938 |
|
Verretta Moore
2001 Wilshire Blvd Ste 320 |
$109.54 | 3,042 | 2,722 |
|
James P Zalez
2001 Santa Monica Blvd |
$33.75 | 3,028 | 3,005 |
|
Isa Barth-Rogers
1920 Colorado Ave |
$3.31 | 3,004 | 2,084 |
|
Efrain Talamantes
1225 15Th St |
$0.44 | 2,971 | 2,074 |
|
Olivia A. Seibenick
100 Wilshire Blvd Ste 700 |
$14.77 | 2,823 | 2,386 |
|
Anita Wong
1920 Colorado Ave |
$0.00 | 2,718 | 2,521 |
|
Rita Gordon
1245 16Th St Ste 312 |
$102.63 | 2,670 | 1,796 |
|
Raul Reyes Hernandez
1920 Colorado Ave |
$48.75 | 2,624 | 2,545 |
|
Arturo Martinez
2509 Pico Blvd |
$0.14 | 2,603 | 2,538 |
|
Daniel T Lee
1920 Colorado Ave |
$4.03 | 2,377 | 2,297 |
|
Mayano Ochi
2001 Santa Monica Blvd Ste 380 |
$14.15 | 2,106 | 2,064 |
|
Yulsi Lili Fernandez Montero
1920 Colorado Ave |
$32.26 | 2,030 | 1,934 |
|
Evan E Feinstein
525 Broadway Ste 1101 |
$0.16 | 2,012 | 1,911 |
|
Ricky A Chang
2336 Santa Monica Blvd Ste 301 |
$0.00 | 1,967 | 1,081 |
|
Melkon Hacobian
2020 Santa Monica Blvd Ste 220 |
$45.07 | 1,936 | 1,824 |
|
Michelle Christina Tsai
2001 Santa Monica Blvd Ste 380 |
$20.65 | 1,911 | 1,889 |
|
Daniel Nathan Ginn
2001 Santa Monica Blvd Ste 380 |
$42.06 | 1,888 | 1,504 |
|
Sara Ptasnik
2336 Santa Monica Blvd Ste 301 |
$0.16 | 1,812 | 983 |
|
Arjan Gower
2020 Santa Monica Blvd Ste 230 |
$0.07 | 1,798 | 1,344 |
|
Melissa L. Gee
1920 Colorado Ave |
$0.00 | 1,791 | 1,611 |
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 Monica, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Santa Monica, CA is $22.57 per claim, based on 373,557 claims from 291 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 Monica, CA?
There are 291 Medicaid providers offering Office Visit related services in Santa Monica, CA according to public payment data.
What is the price range for Office Visit in Santa Monica, CA?
Medicaid reimbursement for Office Visit in Santa Monica, CA ranges from $0.00 to $652.21 per claim, with an average of $22.57. 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 Monica, CA
Blood Work & Lab Tests
Avg $4.49
329,206 claims
X-Ray
Avg $8.96
258,632 claims
Emergency Room Visit
Avg $63.11
219,456 claims
Dental Cleaning & Exam
Avg $54.55
178,189 claims
Ultrasound
Avg $30.17
163,467 claims
Nursing Facility Care
Avg $51.77
135,686 claims
CT Scan (Computed Tomography)
Avg $61.05
127,182 claims
Urinalysis & Urine Tests
Avg $3.24
89,293 claims