Average Medicaid Office Visit Payments in Sebastopol, CA: $7.29
Avg. Paid
$7.29
Range
$0.00 – $75.30
Total Claims
52,976
Providers
31
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 Sebastopol, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eye Associates Of Sebastopol Medical Group Inc
6880 Palm Ave |
$0.00 | 13 | 13 |
|
West County Health Centers, Inc.
6800 Palm Ave |
$0.00 | 13 | 13 |
|
Eric J Kahle
6880 Palm Ave |
$0.00 | 15 | 12 |
|
Daciana I. Iancu
632 Petaluma Ave |
$69.00 | 18 | 18 |
|
Michael T. Bollinger, Md, A Professional Corporation
555 Petaluma Ave Ste B |
$0.00 | 27 | 25 |
|
Carroll Taylor Brown
652 Petaluma Ave Ste H |
$0.00 | 32 | 25 |
|
Suegee Tamar-Mattis
1020 Gravenstein Hwy S Ste 120 |
$0.00 | 51 | 51 |
|
Gregory Paul Rosa
6800 Palm Ave |
$5.19 | 76 | 72 |
|
Bruce Robert Bragonier
555 Petaluma Ave |
$63.60 | 85 | 79 |
|
German Federico Ascani
1020 Gravenstein Hwy S Ste 120 |
$15.89 | 141 | 75 |
|
Allan L. Bernstein
652 Petaluma Ave |
$18.94 | 141 | 78 |
|
Randall P Hrabko
6880 Palm Avenue |
$2.12 | 174 | 166 |
|
Lora Lee Grutkowski
5883 Vine Hill Road |
$8.63 | 176 | 97 |
|
Roger Pitzen
555 Petaluma Ave |
$4.13 | 340 | 291 |
|
Rhonda Berney
6800 Palm Ave |
$2.28 | 367 | 263 |
|
Harry S. Simms
652 Petaluma Ave Ste H |
$2.11 | 418 | 361 |
|
Michael Thomas Bollinger
555 Petaluma Ave |
$56.79 | 476 | 452 |
|
West County Health Centers, Inc.
652 Petaluma Ave |
$1.33 | 534 | 498 |
|
Anita Vasudevan
652 Petaluma Ave Ste H |
$5.07 | 612 | 556 |
|
Joseph Harnett Hatheway
568 Live Oak Ave Ste H |
$15.27 | 685 | 626 |
|
Lydia Hasbrouck Mertens
6800 Palm Avenue Suite C |
$3.18 | 738 | 689 |
|
Misty Michelle Zelk
652 Petaluma Ave |
$5.66 | 755 | 693 |
|
Kathleen Ellen Whisman
678 Petaluma Ave |
$3.06 | 1,036 | 855 |
|
Kyla Wolff Ehrenreich
West County Health Centers |
$2.03 | 1,864 | 1,615 |
|
Phoebe L Smith
652 Petaluma Ave Ste H |
$2.58 | 3,189 | 1,971 |
|
Larry Kyle Gambrell
6880 Palm Avenue |
$75.30 | 3,206 | 2,969 |
|
Brooke Vezino
6800 Palm Ave Ste C |
$2.34 | 4,097 | 2,855 |
|
Ann-Elizabeth Griego
652 Petaluma Ave Ste H |
$2.69 | 5,673 | 4,208 |
|
Waide Hicks Gonzales
4352 Daywalt Rd |
$2.83 | 6,075 | 3,392 |
|
Jason Cunningham
6800 Palm Ave |
$0.81 | 9,419 | 6,567 |
|
Gerald Eugene Eliaser
258 Washington Ct |
$1.20 | 12,530 | 6,923 |
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 Sebastopol, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sebastopol, CA is $7.29 per claim, based on 52,976 claims from 31 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 Sebastopol, CA?
There are 31 Medicaid providers offering Office Visit related services in Sebastopol, CA according to public payment data.
What is the price range for Office Visit in Sebastopol, CA?
Medicaid reimbursement for Office Visit in Sebastopol, CA ranges from $0.00 to $75.30 per claim, with an average of $7.29. 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 Sebastopol, CA
Psychiatric Evaluation
Avg $38.33
41,692 claims
Blood Work & Lab Tests
Avg $2.82
10,586 claims
X-Ray
Avg $7.36
8,096 claims
Emergency Room Visit
Avg $40.10
2,814 claims
CT Scan (Computed Tomography)
Avg $55.95
2,677 claims
Urinalysis & Urine Tests
Avg $1.33
2,086 claims
Pathology & Lab Services
Avg $28.93
993 claims
Physical Therapy
Avg $76.60
979 claims