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
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 Rosa, CA
Emergency Room Visit
Avg $93.87
505,118 claims
Blood Work & Lab Tests
Avg $10.43
454,321 claims
Substance Abuse Treatment
Avg $71.21
265,758 claims
X-Ray
Avg $16.73
255,609 claims
Dental Cleaning & Exam
Avg $50.06
255,325 claims
Non-Emergency Medical Transportation
Avg $40.57
251,882 claims
Psychiatric Evaluation
Avg $37.81
234,328 claims
Behavioral & Mental Health Therapy
Avg $177.36
210,087 claims