Average Medicaid Office Visit Payments in Simi Valley, CA: $25.22
Avg. Paid
$25.22
Range
$0.00 – $933.89
Total Claims
489,366
Providers
125
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 Simi Valley, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
County Of Ventura
1227 E Los Angeles Ave |
$18.51 | 224,592 | 194,203 |
|
Simi Valley Hospital And Health Care Services
2975 Sycamore Dr |
$48.01 | 31,322 | 27,451 |
|
Megan Ann Leeper
4370 Eve Rd |
$1.38 | 23,516 | 15,789 |
|
Antonio Viscarra
1227 E Los Angeles Ave |
$7.29 | 19,754 | 16,255 |
|
Suneeta Choudhary
1227 E Los Angeles Ave |
$1.12 | 13,407 | 12,576 |
|
Karim Nouri Mahdavie
2755 Alamo St |
$0.39 | 9,989 | 9,418 |
|
Keith Campeau
2655 1St St Ste 325 |
$1.84 | 9,770 | 6,339 |
|
Arin Abramian
2650 Jones Way Ste 9 |
$12.51 | 9,435 | 8,803 |
|
Morag Day-Scarinci
1227 E Los Angeles Ave |
$0.43 | 9,232 | 7,977 |
|
Smita Dinesh Mandal
1227 E Los Angeles Ave |
$0.40 | 8,958 | 7,772 |
|
Joseph Samuel Meshriky
127 E Los Angeles Ave |
$0.25 | 8,234 | 7,254 |
|
Kenneth T Thompson
2780 Tapo Canyon Rd |
$2.83 | 7,550 | 6,818 |
|
Harry Drummond
2755 Alamo St |
$0.40 | 7,019 | 3,928 |
|
Ingrid Woelfl Antall
2755 Alamo St |
$33.59 | 6,675 | 5,400 |
|
Lyudmyla Gareys
1227 E Los Angeles Ave |
$0.81 | 6,532 | 5,688 |
|
Arunima Agarwal
1424 Madera Rd |
$1.18 | 4,876 | 3,343 |
|
Moe Amadpour
1159 Roadrunner Way |
$44.31 | 4,759 | 4,683 |
|
Shahrzad Shareghi
2876 Sycamore Dr Ste 201 |
$48.24 | 4,079 | 3,615 |
|
Denise Lu-Gee Hom
3605 Alamo St |
$0.72 | 3,841 | 3,586 |
|
Tarika Singh Balyan
4370 Eve Rd |
$9.80 | 3,709 | 3,430 |
|
At2J Enterprises, Inc.
1717 Simi Town Center Way Ste 3 |
$25.89 | 3,659 | 3,488 |
|
Mayur Trivedi
1687 Erringer Rd |
$62.67 | 3,481 | 3,312 |
|
Amanda J Setto
4370 Eve Rd |
$6.58 | 3,144 | 1,945 |
|
Robert Babak Moghimi
1156 Swallow Ln |
$24.81 | 3,065 | 2,969 |
|
Chloie Bunye Howe
1716 Erringer Rd Ste 104 |
$0.46 | 2,831 | 2,580 |
|
Duc Nguyen
2650 Jones Way |
$65.16 | 2,800 | 2,497 |
|
Ashmeeta Praful Kapadia
1227 E Los Angeles Ave |
$1.15 | 2,700 | 2,346 |
|
County Of Ventura
1227 E Los Angeles Ave |
$624.53 | 2,695 | 2,543 |
|
Adventist Health Physicians Network
124 Macaw Ln |
$84.51 | 2,513 | 2,376 |
|
Samira Mehrizi
1687 Erringer Rd Ste 206 |
$24.96 | 2,463 | 2,356 |
|
Mahendra Natwerlal Patel
1156 Swallow Ln |
$36.36 | 2,161 | 2,097 |
|
Vijay Kumar
1174 Amazon Way |
$55.90 | 1,899 | 1,841 |
|
Mikey Thanteraphong
2845 Cochran St Ste B |
$15.91 | 1,862 | 1,839 |
|
Duc Nguyen Md Corp
1177 Roadrunner Way |
$78.93 | 1,741 | 1,522 |
|
John Daniel Malan
1717 Simi Town Center Way Ste 3 |
$35.41 | 1,704 | 1,652 |
|
West Coast Ear Nose And Throat
2876 N. Sycamore |
$89.26 | 1,504 | 1,447 |
|
Parvin D. Syal
2925 Sycamore Dr |
$1.84 | 1,423 | 1,269 |
|
County Of Ventura
1227 E Los Angeles Ave |
$933.89 | 1,251 | 1,217 |
|
Vijay Kumar Md A Medical Corporation
1174 Amazon Way |
$92.89 | 1,249 | 1,228 |
|
Tony Makhlouf
143 Parrot Ln |
$77.24 | 1,083 | 1,031 |
|
Farah Sultana Hasan
1350 E Los Angeles |
$69.73 | 1,067 | 865 |
|
North Valley G.I. Consultants
1156 Swallow Ln |
$38.92 | 1,010 | 955 |
|
Maria Daniela Burbano Pimentle
1424 Madera Rd |
$1.71 | 990 | 483 |
|
Clinicas Del Camino Real Inc
1424 Madera Rd |
$0.22 | 938 | 809 |
|
Klar Fulgentes Pasilaban
1822 Springgate Ln Apt G |
$15.83 | 911 | 891 |
|
Madeline Sanchez
4370 Eve Rd |
$23.85 | 878 | 838 |
|
Pulmonary Critical Care Associates Inc.
2925 N Sycamore Dr |
$41.38 | 864 | 816 |
|
Cecilia J Jarcia
1350 E Los Angeles Ave |
$27.18 | 862 | 858 |
|
Daniel K. Davis
2525 Erringer Rd |
$119.38 | 822 | 772 |
|
Cho May
2975 Sycamore Dr |
$3.74 | 786 | 417 |
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 Simi Valley, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Simi Valley, CA is $25.22 per claim, based on 489,366 claims from 125 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 Simi Valley, CA?
There are 125 Medicaid providers offering Office Visit related services in Simi Valley, CA according to public payment data.
What is the price range for Office Visit in Simi Valley, CA?
Medicaid reimbursement for Office Visit in Simi Valley, CA ranges from $0.00 to $933.89 per claim, with an average of $25.22. 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 Simi Valley, CA
Behavioral & Mental Health Therapy
Avg $115.94
144,101 claims
Substance Abuse Treatment
Avg $96.80
111,180 claims
Blood Work & Lab Tests
Avg $9.19
100,385 claims
Emergency Room Visit
Avg $95.07
95,749 claims
Physical Therapy
Avg $81.86
87,963 claims
Dental Cleaning & Exam
Avg $51.73
84,698 claims
Vaccines & Immunizations
Avg $11.91
77,689 claims
X-Ray
Avg $12.49
59,848 claims