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 |
|---|---|---|---|
|
Linda Dianna Basquez
1227 E Los Angeles Ave |
$0.00 | 12 | 12 |
|
Mahfam Mohseni
3900 Alamo St |
$0.00 | 13 | 13 |
|
Varol Togay Md Inc
1687 Erringer Rd |
$106.09 | 13 | 12 |
|
Caroline Aguirre Go
2655 1St St Ste 380 |
$0.00 | 16 | 14 |
|
Adventist Health Physicians Network
2950 Sycamore Dr Ste 200 |
$0.00 | 16 | 16 |
|
Daniel Ghiyam
2840 E Los Angeles Ave |
$0.00 | 16 | 13 |
|
Abdul W Nawabi Md, Inc
2876 Sycamore Dr Ste 101 |
$14.50 | 16 | 13 |
|
County Of Ventura
3150 E Los Angeles Ave |
$165.97 | 16 | 12 |
|
Stephen Philip Vampola
2655 1St St Ste 360 |
$98.48 | 24 | 24 |
|
Sukhmani K Layal
3900 Alamo St |
$0.00 | 29 | 28 |
|
Zachary Tuvya Sharfman
2655 1St St Ste 300 |
$150.20 | 37 | 33 |
|
Shashi Kant Reddy
2925 Sycamore Dr |
$105.03 | 38 | 37 |
|
Darren Russell
542 Arbor Ct |
$17.15 | 39 | 25 |
|
Pravina Somani
2750 Sycamore Dr |
$22.42 | 41 | 40 |
|
Kevin Richard Colwell
3900 Alamo St |
$0.00 | 43 | 43 |
|
Sara Capatanos
1687 Erringer Rd |
$146.26 | 53 | 52 |
|
Varol Serdar Togay
1687 Erringer Rd |
$88.06 | 54 | 52 |
|
Catherine Mcclain Phillips
3605 Alamo St |
$0.00 | 58 | 57 |
|
Alberto Jose Odio
2925 Sycamore Dr |
$46.57 | 68 | 64 |
|
Henry Tang, D.O. Inc.
2650 Jones Way Ste 30 |
$124.70 | 76 | 75 |
|
Kelly Schlatter
158 Macaw Ln |
$84.17 | 78 | 78 |
|
Gregory Scott Glover
2655 1St St Ste 360 |
$24.29 | 85 | 85 |
|
Muni Nanjunda Reddy
2925 Sycamore Dr |
$31.89 | 91 | 90 |
|
Jonathan K Kurohara
2876 Sycamore Dr |
$32.91 | 95 | 89 |
|
Mohan N Lakhani
2975 Sycamore Dr |
$50.94 | 96 | 92 |
|
William H Kwan
125 Parrot Ln |
$45.14 | 104 | 97 |
|
Lakshmanan Sivasundaram
2525 Erringer Rd |
$157.91 | 104 | 102 |
|
Joanne Helen Wang
2525 Erringer Rd |
$141.94 | 106 | 103 |
|
Smita Darshan Mehta
2925 Sycamore Dr |
$31.22 | 115 | 115 |
|
Maurice Feldman
1420 E Los Angeles Ave |
$148.17 | 116 | 116 |
|
Joanne Pamela Parungao
2845 Cochran St |
$72.71 | 118 | 118 |
|
Nikkee Amin
1227 E Los Angeles Ave |
$0.00 | 124 | 118 |
|
Harris Wasser
2950 N Sycamore Dr #200 |
$19.27 | 127 | 121 |
|
Gastroenterology & Hepatology Specialists Inc
1687 Erringer Rd |
$106.22 | 134 | 118 |
|
Vijay K Garg Inc
142 Macaw Ln |
$104.10 | 135 | 135 |
|
Brenda Margaret Younany
1227 E Los Angeles Ave |
$1.84 | 162 | 105 |
|
Aubrey Taow
2876 Sycamore Dr Ste 101 |
$4.00 | 164 | 149 |
|
Mojgan Sadeghi
1164 Swallow Ln |
$91.84 | 168 | 147 |
|
Abdul W Nawabi
2876 Sycamore Dr |
$39.42 | 172 | 147 |
|
Deepti Gupta
1227 E Los Angeles Ave |
$0.00 | 181 | 167 |
|
Soheil Daniel Niku
2925 Sycamore Dr |
$11.95 | 209 | 204 |
|
Nika Bagheri
1687 Erringer Rd Ste 102 |
$46.46 | 214 | 193 |
|
Moe Amadpour Md Inc
1159 Roadrunner Way |
$64.64 | 218 | 214 |
|
A. M. Memar-Zia Md Inc.
1687 Erringer Rd |
$61.11 | 219 | 207 |
|
Gabriela Rodriguez Melgoza
2655 1St St Ste 360 |
$0.00 | 221 | 144 |
|
Robyn Gerry Glezer
3900 Alamo St |
$31.43 | 223 | 213 |
|
Abigail Nimz
1227 E Los Angeles Ave |
$8.35 | 243 | 233 |
|
Malini Soogoor
1687 Erringer Rd Ste 215 |
$3.01 | 252 | 251 |
|
Vijay K Garg
142 Macaw Ln |
$54.91 | 253 | 252 |
|
Adventist Health Physicians Network
2876 Sycamore Dr Ste 101 |
$94.21 | 258 | 241 |
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