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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
Keith Forrest Korver

3510 Unocal Pl Ste 207

$25.28 12 12
Michael J. Haiman

401 Bicentennial Way

$0.00 12 12
Robert Louis Anderson

1017 2Nd St

$29.18 12 12
Zuo Fen Hauf

1580 Sebastopol Rd

$0.00 12 12
Edward W. Chang

401 Bicentennial Way

$120.96 12 12
Peter Bernard Albert Pappas

76 Brookwood Ave

$77.34 12 12
Heidi Wurzburg

401 Bicentennial Way

$13.69 12 12
Fan Zhang

401 Bicentennial Way

$0.00 13 12
Stephen Mckinne Crane

500 Doyle Park Dr

$17.31 13 13
Janette Michiko Hildebrand

208 E St

$0.00 13 13
Frank L Anderson

34 Mark West Springs Rd Fl 2

$37.36 13 13
Gregory Neill Sacher

500 Doyle Park Dr

$34.80 13 12
Santa Rosa Kidney Care Pc

435 Doyle Park Dr

$85.25 13 13
Erin Griffin

401 Bicentennial Way

$3.18 13 13
Joel S Erickson

500 Doyle Park Dr

$89.57 13 13
Luis E Garcia

208 Concourse Blvd

$40.89 13 12
Maria Cristina Guzman

3569 Round Barn Cir

$0.00 14 12
Rodney Gerrit Dekleuver

1405 Montgomery Dr

$13.26 14 14
Catherine A. Gutfreund

401 Bicentennial Way

$61.07 14 14
Maya Mitchell Land

401 Bicentennial Way

$0.00 14 14
Ruth Nyamoita Volkenant

2308 Roburta Ln

$14.38 14 14
Christine L. Bilbrey

3554 Round Barn Blvd

$1.71 14 13
Naomi A Mcauliffe

510 Doyle Park Dr

$13.21 14 13
Edward Ferrero

4865 Old Redwood Hwy Ste 102

$0.00 14 12
Anna Brunn

2323 Bethards Dr

$37.14 14 14
Lucia Dei Roncalli

1010 Sundown Trl

$653.00 14 14
Tara Marie Cavell

585 W College Ave

$60.80 15 15
Jill Elizabeth Rushton-Miller

3883 Airway Dr

$12.75 15 15
Daniel Edward Santiago

144 Stony Point Rd

$20.00 15 14
John C. Parker

401 Bicentennial Way

$1.60 15 15
Louise Huang

500 Doyle Park Dr

$22.27 15 14
Peter Timmerman

1506 4Th St

$71.69 17 14
Ryan Alexander Smith

3975 Old Redwood Hwy Ste 152

$113.24 17 17
Emily Shaw

3883 Airway Dr Ste 120

$11.25 17 17
Kenneth T. Lopez

401 Bicentennial Way

$51.76 17 16
Vadim Leyenson

95 Montgomery Dr Ste 104

$54.65 18 17
Katherine Whitley

1260 N Dutton Ave

$13.65 19 15
Elianna Esther Sternfeld

2777 Yulupa Ave # 133

$8.49 19 18
Viki J Chaudrue

392 Tesconi Ct

$38.40 19 19
Carlos Henrique Valente Moreira

3569 Round Barn Cir Ste 200

$0.00 21 15
Samantha Marie Hughes

1300 N Dutton Ave

$2.18 22 21
Lily Devries Morrison

3569 Round Barn Cir Ste 200

$0.00 23 15
Amanda Elizabeth Golinski

2725 Mendocino Ave

$72.69 23 23
Cassidy Dalton

34 Mark West Springs Rd

$0.78 25 25
Cassondra Yvette Hawkins

1165 Montgomery Dr

$26.09 25 21
Alexis Victoria Chaet-Lopez

751 Lombardi Ct

$0.00 25 14
Danna Maria Brock

439 College Ave

$36.08 25 25
Sarah Niehaus

3569 Round Barn Cir Ste 200

$0.96 25 20
Jan O Sonander

990 Sonoma Ave Ste 19

$0.00 25 25
William Aaron Markoff

3536 Mendocino Ave Ste 300

$1.44 26 26

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.

Office Visit in Other Cities

Other Procedures in Santa Rosa, CA