Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Santa Rosa, CA: $21.94

Avg. Paid

$21.94

Range

$0.00 – $1,030

Total Claims

1,410,868

Providers

645

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 Rosa, CA

Provider	Avg. Paid	Claims	Patients
Deborah Donlon 751 Lombardi Ct Ste B	$7.50	85,426	46,117
Carla Price Longchamp 1300 N Dutton Ave	$2.07	70,809	40,897
Sonoma County Indian Health Project, Inc 144 Stony Point Rd	$0.02	56,647	45,676
Irene Dalusung Baluyut 3569 Round Barn Cir	$2.85	52,955	38,605
St. Joseph Health Northern California, Llc 1165 Montgomery Dr	$68.38	35,361	32,115
Edward Mason West 1165 Montgomery Dr	$42.18	30,124	29,031
Douglas Jimenez 1300 N Dutton Ave	$77.70	21,175	18,552
Jason Edward Pope 220 Concourse Blvd	$31.15	20,147	16,614
Joel M. Lewis 983 Sonoma Ave	$1.06	19,943	12,244
Barbara Leigh Vall-Spinosa 1300 N Dutton Ave	$1.69	19,403	10,566
Jeffrey Louis Sugarman 2725 Mendocino Ave	$70.57	19,116	18,712
Hannah Louise Stein Watson 751 Lombardi Ct	$5.65	18,316	10,732
Parker Andrew Duncan Diaz 751 Lombardi Ct	$5.26	18,051	11,507
Adam Crawford Francis 3569 Round Barn Cir Ste 200	$0.86	17,511	8,683
Myles Julian Ketchum 2360 Mendocino Ave	$0.85	17,090	8,722
Stephen P Krumland 3569 Round Barn Cir	$1.92	15,615	8,470
Mary Moya 751 Lombardi Ct Ste B	$2.76	15,164	14,139
Patricia Whooley Kulawiak 1300 N Dutton Ave	$1.70	15,115	8,409
Deirdre Bernard Pearl 962 Sebastopol Rd	$8.62	14,252	10,248
Afsoon Foorohar 34 Mark West Springs Rd Fl 2	$5.57	13,315	7,110
Michael Ishu Yang 392 Tesconi Ct	$42.21	12,973	12,290
Julie Kiser 751 Lombardi Ct # B	$2.78	12,721	7,353
Walter Francis D'Costa 2281 Cleveland Ave	$24.25	12,617	10,742
Michael Frederick Kozart 3322 Chanate Rd	$7.75	12,446	7,541
Brandon Cortez 1300 N Dutton Ave	$1.49	12,440	6,740
Lisa M. Ward 1110 N Dutton Ave	$1.50	12,413	8,611
Dale Gardner Britt 4727 Sheehan Ln	$40.98	12,019	11,748
Larry Alan Smith 1041 4Th St	$0.82	11,776	7,093
Daniel Robert Toub 3569 Round Barn Cir	$4.61	11,268	6,670
Lingjin Meng 3562 Round Barn Cir Ste 330	$1.43	10,823	6,384
Ele Lozares-Lewis 1110 N Dutton Ave	$5.72	10,813	6,066
Sutter Bay Hospitals 30 Mark West Springs Road	$166.60	10,618	7,984
John Hau 392 Tesconi Ct	$39.93	10,514	9,973
David John Martin 4415 Sonoma Hwy	$65.17	9,331	8,768
Ellen Hier Green 1300 N Dutton Ave	$6.27	9,207	5,195
Kiana Guerrero 3883 Airway Dr Ste 202	$3.98	8,914	5,356
Ulysses Gomez 131 Stony Cir	$2.48	8,899	5,032
Arunima Kohli 751 Lombardi Ct	$5.60	8,367	4,792
Marie Mulligan 1110 N Dutton Ave	$0.97	8,303	4,520
Karla Panameno 3569 Round Barn Cir Ste 200	$14.98	7,794	5,168
Erin E Lund 3569 Round Barn Cir	$5.12	7,486	4,136
Molly Rebecca Kirkconnell 30 Mark West Springs Rd	$2.53	7,455	4,234
Allison Danielle Bacon 3569 Round Barn Cir	$3.28	7,348	4,603
James Marco Steele 3867 Montgomery Dr	$70.96	7,231	7,075
Robin Shank Sanderson 751 Lombardi	$1.96	7,191	6,146
Arielle Faith Marcus Cohen 3569 Round Barn Cir	$20.89	7,065	5,079
Jessica Rhodes 34 Mark West Springs Rd Fl 2	$4.28	6,731	3,749
Lester I. Debbold 401 Bicentennial Way	$40.76	6,564	5,041
Harjot Singh Bhandal 220 Concourse Blvd	$25.99	6,553	6,033
Allergy & Asthma Adult & Pediatric Medical Group Of The Redwoods Inc 130 Stony Point Rd	$90.45	6,384	6,238

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 Rosa, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Santa Rosa, CA is $21.94 per claim, based on 1,410,868 claims from 645 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 Rosa, CA?

There are 645 Medicaid providers offering Office Visit related services in Santa Rosa, CA according to public payment data.

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

Medicaid reimbursement for Office Visit in Santa Rosa, CA ranges from $0.00 to $1,030 per claim, with an average of $21.94. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Santa Rosa, CA: $21.94

Providers Offering Office Visit in Santa Rosa, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Emergency Room Visit

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X-Ray

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Non-Emergency Medical Transportation

Psychiatric Evaluation

Behavioral & Mental Health Therapy