Average Medicaid Office Visit Payments in Seaside, CA: $16.29
Avg. Paid
$16.29
Range
$0.00 – $368.26
Total Claims
310,331
Providers
15
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 Seaside, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Monterey
1156 Fremont Blvd |
$8.67 | 183,310 | 162,130 |
|
Caroline Isik Kennedy
1150 Fremont Blvd |
$2.74 | 39,765 | 36,617 |
|
Christine Boulanger
625 Hilby Ave |
$80.72 | 35,290 | 33,961 |
|
Renee Sosa
1150 Fremont Blvd |
$2.48 | 19,213 | 17,402 |
|
Harry K Jang
1150 Fremont Blvd |
$0.08 | 14,598 | 12,730 |
|
Ruth Prange Trotter
1150 Fremont Blvd |
$0.01 | 7,683 | 7,122 |
|
Eric S Parsons
1513 Fremont Blvd # E1 |
$53.47 | 7,350 | 7,135 |
|
Nicholas Jason Sasson
3401 Engineer Lane |
$9.67 | 1,685 | 1,594 |
|
Joann Elizabeth Moschella
1150 Fremont Blvd |
$0.95 | 782 | 467 |
|
Mary K Sweet
1513 Fremont Blvd # E1 |
$32.28 | 217 | 213 |
|
Elif Irem Sarihan
1156 Fremont Blvd # 100 |
$0.00 | 165 | 154 |
|
Veronica L. Alvarez
625 Hilby Ave |
$83.95 | 99 | 96 |
|
Robert Harold Hernandez
1150 Fremont Blvd |
$368.26 | 77 | 69 |
|
Mary Jane Reilly-Jaramillo
1150 Fremont Blvd |
$0.00 | 53 | 44 |
|
Alice L. Butzlaff
625 Hilby Ave |
$152.43 | 44 | 41 |
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 Seaside, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Seaside, CA is $16.29 per claim, based on 310,331 claims from 15 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 Seaside, CA?
There are 15 Medicaid providers offering Office Visit related services in Seaside, CA according to public payment data.
What is the price range for Office Visit in Seaside, CA?
Medicaid reimbursement for Office Visit in Seaside, CA ranges from $0.00 to $368.26 per claim, with an average of $16.29. 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 Seaside, CA
Vaccines & Immunizations
Avg $21.18
63,262 claims
Eye Exam
Avg $21.33
27,111 claims
Urinalysis & Urine Tests
Avg $2.56
23,022 claims
Hearing Test (Audiometry)
Avg $21.41
21,081 claims
Dental Cleaning & Exam
Avg $64.24
15,350 claims
Dental Filling
Avg $69.61
8,820 claims
Non-Emergency Medical Transportation
Avg $202.15
8,793 claims
Pregnancy & Prenatal Care
Avg $85.34
8,416 claims