Average Medicaid Office Visit Payments in Scotts Valley, CA: $16.51
Avg. Paid
$16.51
Range
$1.79 – $87.61
Total Claims
25,302
Providers
14
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 Scotts Valley, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alicia Paris-Pombo
5615 Scotts Valley Dr |
$1.79 | 6,230 | 5,281 |
|
Marce Abare
3192 Glen Canyon Rd |
$4.01 | 4,973 | 3,137 |
|
John D Bergren
245 Mount Hermon Rd Ste L |
$5.46 | 4,857 | 4,411 |
|
Kim Yen Thi Nguyen
5615 Scotts Valley Dr |
$74.57 | 4,067 | 3,937 |
|
Tyler Blair Evans
250 Quail Ridge Rd |
$8.47 | 3,256 | 3,012 |
|
Christopher James Bernardi
4663 Scotts Valley Dr |
$9.66 | 1,194 | 1,130 |
|
Praseeda Moleyar Narayana
245 Mount Hermon Rd Ste L |
$2.83 | 378 | 346 |
|
Thanh N Vu
245 Mount Hermon Rd Ste L |
$37.97 | 135 | 127 |
|
Connor William Haysbert
5615 Scotts Valley Dr |
$18.25 | 63 | 63 |
|
Dean Zweng
4663 Scotts Valley Dr |
$87.61 | 58 | 58 |
|
Laura James-Beckham
4663 Scotts Valley Dr |
$83.47 | 51 | 50 |
|
Rebecca C Barker
4663 Scotts Valley Dr |
$10.09 | 14 | 12 |
|
James G Telfer
4663 Scotts Valley Dr |
$9.29 | 13 | 13 |
|
Jane Koopman
4663 Scotts Valley Dr |
$58.86 | 13 | 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 Scotts Valley, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Scotts Valley, CA is $16.51 per claim, based on 25,302 claims from 14 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 Scotts Valley, CA?
There are 14 Medicaid providers offering Office Visit related services in Scotts Valley, CA according to public payment data.
What is the price range for Office Visit in Scotts Valley, CA?
Medicaid reimbursement for Office Visit in Scotts Valley, CA ranges from $1.79 to $87.61 per claim, with an average of $16.51. 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
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Scotts Valley, CA
Psychiatric Evaluation
Avg $80.02
10,030 claims
Blood Work & Lab Tests
Avg $0.30
977 claims
Vaccines & Immunizations
Avg $18.22
760 claims
Podiatry (Foot Care)
Avg $2.28
179 claims
Dental Cleaning & Exam
Avg $31.57
155 claims
Hearing Test (Audiometry)
Avg $3.64
138 claims
Dental Filling
Avg $58.01
74 claims