Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Santa Paula, CA: $18.90

Avg. Paid

$18.90

Range

$0.00 – $446.21

Total Claims

262,714

Providers

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 Paula, CA

Provider	Avg. Paid	Claims	Patients
Community Memorial Health System 242 E Harvard Blvd	$24.35	39,240	35,434
County Of Ventura 254 W Harvard Blvd Ste B	$9.43	38,182	34,647
County Of Ventura 1334 E Main St	$8.39	30,371	28,165
Victor Gonzalez Dominguez 242 E Harvard Blvd	$3.02	27,041	17,148
Zachary Hatch 242 E Harvard Blvd Ste C	$31.56	25,043	15,429
Rosalie Navarro Patricio 242 E Harvard Blvd	$2.25	15,028	9,626
County Of Ventura 845 N 10Th St Ste 3	$18.82	11,480	10,378
Daniel Ezroj 258 E Harvard Blvd	$5.26	11,254	7,145
Mayce Al Kuraishi 500 E Main St	$1.21	9,801	6,811
Community Memorial Health System 258 E Harvard Blvd	$24.27	9,498	8,289
Bradley Brandsen Pace 500 E Main St	$14.62	7,453	4,835
Antonio Ruelas 258 E Harvard Blvd	$1.21	6,274	3,564
Jacqueline Carlton 400 E Santa Barbara St Ste A	$43.22	5,060	4,404
Hang Ngoc Tran 254 W Harvard Blvd Ste B	$0.53	5,038	4,700
Michael C Tushla 400 E Santa Barbara St	$20.39	4,282	3,964
County Of Ventura 725 E Main St	$446.21	2,676	2,467
Jeff Ordonez Magbitang 500 E Main St	$2.74	1,973	1,282
Nancy Tang Lu 1334 E Main St	$1.21	1,915	1,866
Gary D Wikholm 247 W Harvard Blvd	$22.97	1,683	1,591
Kay S Hara 255 March St	$32.89	1,661	1,642
Alan W. Lyne 245 N 10Th St	$5.64	1,417	1,329
Jennifer Ashley Garcia 1334 E Main St	$57.27	1,014	1,006
Robert Dekkers 243 March St	$40.82	868	790
Alexander Brian Meyer 243 N 10Th St	$20.00	636	561
Clinicas Del Camino Real Inc 500 E Main St	$0.33	600	540
Michael D Sparkuhl 242 E Harvard Blvd Ste C	$68.87	590	529
Dana Michelle Chavolla 845 N 10Th St Ste 3	$49.96	548	537
Saumil M Gandhi 253 March St	$43.99	540	528
Frederick Kelley 845 N 10Th St Ste 3	$6.86	372	337
Jian A Chen 243 March St	$52.97	321	301
Jerold Anthony Noah 825 N 10Th St	$0.00	292	281
Gary Wikholm M D A Professional Corporation 247 W Harvard Blvd	$56.42	215	167
Christina Monroy-Cardenas 247 March St	$51.48	128	111
Christina Marie Hofer 400 E Santa Barbara St	$14.02	112	111
Gary M Deutsch 243 March St	$52.42	53	49
Sara Thorp 825 N 10Th St	$24.91	16	15
Heritage Valley Eye Care Optometric Center 400 E Santa Barbara St	$8.44	14	14
Heidi Liliana Escurra 242 E Harvard Blvd	$0.00	13	13
Christian John Lami 570 W Main St	$100.08	12	12

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 Paula, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Santa Paula, CA is $18.90 per claim, based on 262,714 claims from 39 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 Paula, CA?

There are 39 Medicaid providers offering Office Visit related services in Santa Paula, CA according to public payment data.

What is the price range for Office Visit in Santa Paula, CA?

Medicaid reimbursement for Office Visit in Santa Paula, CA ranges from $0.00 to $446.21 per claim, with an average of $18.90. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Santa Paula, CA: $18.90

Providers Offering Office Visit in Santa Paula, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Santa Paula, CA

Physical Therapy

Substance Abuse Treatment

Psychiatric Evaluation

Vaccines & Immunizations

Dental Cleaning & Exam

Case Management Services

Hearing Test (Audiometry)

Emergency Room Visit