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Based on public Medicaid payment data.

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
Gerald Eugene Eliaser

258 Washington Ct

 $1.20 12,530 6,923
Jason Cunningham

6800 Palm Ave

 $0.81 9,419 6,567
Waide Hicks Gonzales

4352 Daywalt Rd

 $2.83 6,075 3,392
Ann-Elizabeth Griego

652 Petaluma Ave Ste H

 $2.69 5,673 4,208
Brooke Vezino

6800 Palm Ave Ste C

 $2.34 4,097 2,855
Larry Kyle Gambrell

6880 Palm Avenue

 $75.30 3,206 2,969
Phoebe L Smith

652 Petaluma Ave Ste H

 $2.58 3,189 1,971
Kyla Wolff Ehrenreich

West County Health Centers

 $2.03 1,864 1,615
Kathleen Ellen Whisman

678 Petaluma Ave

 $3.06 1,036 855
Misty Michelle Zelk

652 Petaluma Ave

 $5.66 755 693
Lydia Hasbrouck Mertens

6800 Palm Avenue Suite C

 $3.18 738 689
Joseph Harnett Hatheway

568 Live Oak Ave Ste H

 $15.27 685 626
Anita Vasudevan

652 Petaluma Ave Ste H

 $5.07 612 556
West County Health Centers, Inc.

652 Petaluma Ave

 $1.33 534 498
Michael Thomas Bollinger

555 Petaluma Ave

 $56.79 476 452
Harry S. Simms

652 Petaluma Ave Ste H

 $2.11 418 361
Rhonda Berney

6800 Palm Ave

 $2.28 367 263
Roger Pitzen

555 Petaluma Ave

 $4.13 340 291
Lora Lee Grutkowski

5883 Vine Hill Road

 $8.63 176 97
Randall P Hrabko

6880 Palm Avenue

 $2.12 174 166
Allan L. Bernstein

652 Petaluma Ave

 $18.94 141 78
German Federico Ascani

1020 Gravenstein Hwy S Ste 120

 $15.89 141 75
Bruce Robert Bragonier

555 Petaluma Ave

 $63.60 85 79
Gregory Paul Rosa

6800 Palm Ave

 $5.19 76 72
Suegee Tamar-Mattis

1020 Gravenstein Hwy S Ste 120

 $0.00 51 51
Carroll Taylor Brown

652 Petaluma Ave Ste H

 $0.00 32 25
Michael T. Bollinger, Md, A Professional Corporation

555 Petaluma Ave Ste B

 $0.00 27 25
Daciana I. Iancu

632 Petaluma Ave

 $69.00 18 18
Eric J Kahle

6880 Palm Ave

 $0.00 15 12
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

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