Average Medicaid Office Visit Payments in Seal Beach, CA: $10.27
Avg. Paid
$10.27
Range
$0.00 – $73.48
Total Claims
44,492
Providers
20
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 Seal Beach, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James L Pearson
1600 Pacific Coast Hwy |
$0.25 | 14,951 | 13,651 |
|
Sophia Chun
1661 Golden Rain Rd |
$7.50 | 9,438 | 8,488 |
|
Claudine Uwimpaye Blaise
921 Pacific Coast Hwy |
$8.78 | 4,707 | 4,452 |
|
Ma Susana Echeverria Spitz
1661 Golden Rain Rd |
$0.08 | 3,650 | 2,840 |
|
Jonathan Nguyen
12280 Old Harbor Ct |
$37.26 | 2,934 | 2,921 |
|
Yoonie Hyunjung Jo
1661 Golden Rain Rd |
$0.01 | 2,019 | 1,970 |
|
Judy Yejin Yoo
13930 Seal Beach Blvd # 106 |
$14.74 | 1,521 | 1,226 |
|
Stephen E Teipe
1198 Pacific Coast Hwy |
$66.79 | 1,388 | 1,361 |
|
Kendell A Simm
1198 Pacific Coast Hwy |
$33.74 | 949 | 809 |
|
David Rae Park
1661 Golden Rain Rd |
$16.51 | 594 | 557 |
|
Darryl Jonathan Werner
951 Heron Circle |
$73.48 | 544 | 299 |
|
Stefan Cadag
13930 Seal Beach Blvd |
$37.16 | 407 | 405 |
|
Cindy Zia
1198 Pacific Coast Hwy |
$32.73 | 375 | 358 |
|
Patricia Lyn Gaitan
1637 Ocean Ave |
$5.94 | 286 | 267 |
|
Kesha Saucier
12340 Seal Beach Blvd # B-187 |
$6.93 | 273 | 252 |
|
Janice Lynn Vistro Tamayo
921 Pacific Coast Hwy |
$9.56 | 161 | 160 |
|
Terry Gay Raya Hoffman
921 Pacific Coast Hwy |
$8.64 | 142 | 139 |
|
Wen Cheng
921 Pacific Coast Hwy |
$8.70 | 101 | 101 |
|
Jill Terry Smittle
1661 Golden Rain Rd |
$3.53 | 28 | 28 |
|
Jenny Jeyoung Mo
1661 Golden Rain Rd |
$0.00 | 24 | 24 |
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 Seal Beach, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Seal Beach, CA is $10.27 per claim, based on 44,492 claims from 20 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 Seal Beach, CA?
There are 20 Medicaid providers offering Office Visit related services in Seal Beach, CA according to public payment data.
What is the price range for Office Visit in Seal Beach, CA?
Medicaid reimbursement for Office Visit in Seal Beach, CA ranges from $0.00 to $73.48 per claim, with an average of $10.27. 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 Seal Beach, CA
Pathology & Lab Services
Avg $30.77
11,292 claims
Behavioral & Mental Health Therapy
Avg $99.46
6,934 claims
Blood Work & Lab Tests
Avg $1.27
5,337 claims
Physical Therapy
Avg $16.54
4,902 claims
Emergency Room Visit
Avg $85.69
4,273 claims
Nursing Facility Care
Avg $15.79
3,078 claims
Urinalysis & Urine Tests
Avg $1.20
1,665 claims
Vaccines & Immunizations
Avg $4.99
1,152 claims