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 |
|---|---|---|---|
|
Carol Erin Cheng
2001 Santa Monica Blvd Ste 1070 |
$60.59 | 12 | 12 |
|
Zachery Chad Baxter
1260 15Th St Ste 1200 |
$43.36 | 12 | 12 |
|
Sassan Rafizadeh
1205 1/2 Montana Ave |
$0.00 | 12 | 12 |
|
Robert Khorramian
2222 Santa Monica Blvd Ste 305 |
$5.27 | 12 | 12 |
|
Clare Matrix
844 Pico Blvd |
$0.00 | 12 | 12 |
|
Sagar Hitendra Rambhia
1908 Santa Monica Blvd Ste 3 |
$0.00 | 12 | 12 |
|
Grace Chang
2021 Santa Monica Blvd Ste 560W |
$89.58 | 12 | 12 |
|
Holly Dieu
1250 16Th St Ste 125 |
$71.37 | 12 | 12 |
|
Valeri Yarema
1301 20Th St Ste 360 |
$0.00 | 12 | 12 |
|
Peter H Pak
2001 Santa Monica Blvd Ste 280W |
$0.00 | 12 | 12 |
|
Jill T Caratan
1328 22Nd Street |
$205.00 | 12 | 12 |
|
Shirin Poustchi
2020 Santa Monica Blvd Ste 210 |
$18.93 | 13 | 13 |
|
Anushka Rani Mahal Bhalla
2121 Wilshire Blvd # 300 |
$108.14 | 13 | 12 |
|
Aditya Bardia
2336 Santa Monica Blvd Ste 304 |
$52.58 | 13 | 12 |
|
Matthew Alan Lublin
2001 Santa Monica Blvd Ste 860W |
$26.14 | 13 | 13 |
|
Gretchen Debbie Genato
3032 Wilshire Blvd Ste A |
$84.45 | 13 | 12 |
|
Jason Ngo
1920 Colorado Ave |
$7.62 | 13 | 13 |
|
Andrea Banuelos Mota
1920 Colorado Ave |
$147.69 | 13 | 12 |
|
Dana Oren Ben-Artzi
2210 Santa Monica Blvd |
$27.31 | 13 | 12 |
|
Raffi Tachdjian
1301 20Th St Ste 380 |
$14.20 | 13 | 12 |
|
Dina Farshidi Bierman
1811 Wilshire Blvd Ste 110 |
$0.00 | 13 | 13 |
|
Walter Mauricio Solorzano
1245 16Th St Ste 125 |
$0.00 | 14 | 12 |
|
Anh Le
2424 Wilshire Blvd |
$26.18 | 14 | 14 |
|
Bijan Cohenmehr
3116 Wilshire Blvd |
$60.44 | 14 | 14 |
|
Karina Lipkin
1301 20Th St Ste 465 |
$15.71 | 14 | 13 |
|
Alexandra Raye Hospodar
1920 Colorado Ave |
$199.64 | 14 | 13 |
|
Robert Joseph Mckenna
2121 Santa Monica Blvd |
$6.79 | 14 | 14 |
|
Khoa Ba Nguyen
2020 Santa Monica Blvd Ste 510 |
$80.83 | 14 | 13 |
|
Sneha Sanjeev Shaha
1250 16Th St # C2304 |
$34.88 | 14 | 13 |
|
Gene L Oppenheim
1920 Colorado Ave |
$0.00 | 14 | 14 |
|
Melissa D. Alexander
1260 15Th St # P2 |
$106.35 | 14 | 12 |
|
Zev Aryeh Wainberg
2020 Santa Monica Blvd Ste 600 |
$49.95 | 14 | 12 |
|
Susan Xiang Tong Yu
1448 15Th St Ste 207 |
$129.00 | 15 | 15 |
|
Gina Kim In
1450 10Th St Ste 404 |
$0.00 | 15 | 13 |
|
Sarah Sangnim Rhee Kim
2020 Santa Monica Blvd Ste 550 |
$42.59 | 15 | 14 |
|
Max Kahn
1131 Wilshire Blvd Ste 100 |
$52.23 | 15 | 15 |
|
Daisy S. Lankarani
1301 20Th St Ste 280 |
$5.22 | 15 | 14 |
|
Francis Peter Cyran
1250 16Th St |
$144.18 | 15 | 15 |
|
Lloyd David Wagner
223 24Th St |
$28.29 | 15 | 15 |
|
James Patrick Murray
1920 Colorado Ave |
$9.32 | 15 | 14 |
|
Regents Of The University Of California
1260 15Th St |
$94.03 | 15 | 15 |
|
Katie Hu
2336 Santa Monica Blvd |
$41.87 | 15 | 12 |
|
Jamie Maria Wiggin
1260 15Th St Ste 1024 |
$0.00 | 16 | 16 |
|
Providence Saint John'S Health Center
2121 Santa Monica Blvd |
$5.07 | 16 | 15 |
|
Marilyn Vivica Evans
1250 16Th St |
$22.62 | 17 | 17 |
|
Michael Gong-Ruey Ho
1801 Wilshire Blvd Ste 100 |
$126.77 | 17 | 14 |
|
Dermatology And Hair Restoration Specialists,Inc.
2825 Santa Monica Blvd |
$66.51 | 18 | 12 |
|
Benjamin M. Shapiro
2001 Santa Monica Blvd Ste 860W |
$18.80 | 21 | 13 |
|
Joseph Zikry
1811 Wilshire Blvd Ste 110 |
$32.29 | 24 | 24 |
|
Diane Belinsky
153 W Channel Rd Apt 4 |
$0.00 | 24 | 13 |
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