Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sonoma, CA: $15.67

Avg. Paid

$15.67

Range

$0.13 – $395.04

Total Claims

119,863

Providers

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 Sonoma, CA

Provider	Avg. Paid	Claims	Patients
Carol A Ahern 19270 Highway 12	$4.26	32,277	20,539
Anne Margaret French 15000 Arnold Drive	$1.53	11,039	6,394
Jennifer Hasa 19270 Sonoma Highway	$1.48	9,336	5,251
Jarrett Rikio Lew 446 W Napa St	$0.13	8,864	7,905
Charles Francis De Torres 181 Andrieux St	$4.54	6,916	6,327
Jerome Charles Smith 651 1St St W	$2.34	5,982	3,565
Michele Diane Reynolds 19270 Highway 12	$2.51	5,334	3,526
Janet Kay Byrd 19270 Highway 12	$2.41	4,596	3,273
Ajeet Sidhu 19270 Sonoma Hwy	$3.54	4,584	3,263
Jennifer K Darby 19270 Sonoma Highway	$63.64	3,535	3,332
Jay W. Goldberg 347 Andrieux Street	$2.72	3,306	1,937
Scott Vernon Perryman 651 1St St W	$108.46	2,888	2,859
Christina Sullivan 19270 Sonoma Hwy 12	$3.63	2,878	1,958
Alex Rainow 651 1St St W Ste L	$46.82	2,730	2,651
Sonoma Valley Health Care District 347 Andrieux St	$297.90	2,272	1,086
Gerald Joseph Camarata 15000 Arnold Drive	$0.96	1,589	887
Dominic Paul Amara 181 Andrieux St	$17.73	1,276	781
Erin C Akar 19270 Sonoma Hwy 12	$5.33	1,193	1,088
Katherine E Walker 15000 Arnold Drive	$2.20	1,097	571
Christopher A Walter 347 Andrieux St	$55.69	1,048	990
Michael Abe Brown 651 1St St W	$36.82	705	642
Sonoma Valley Community Health Center 19270 Sonoma Highway 12	$0.15	686	648
Rowena K Korobkin 15000 Arnold Drive	$24.05	600	476
Daisy Manuel-Arguelles 270 Perkins Street	$5.29	530	466
David P Todd 19270 Highway 12	$7.06	514	387
Mei Ou 19270 Sonoma Hwy	$1.48	510	469
Joyce Giammattei 430 W Napa St Ste F	$8.56	458	295
Sara Elizabeth Stratton 19270 Sonoma Highway 12	$11.14	455	406
Sonoma Valley Health Care District 270 Perkins St	$3.71	397	348
Stacie Anderson 19270 Sonoma Highway	$1.55	393	251
Ralph Steven Pulverman 19270 Sonoma Highway 12	$0.19	253	213
Philip Thomas Suger 17700 Arnold Dr	$42.31	207	201
Sonoma Family Practice Medical Associates P C 270 Perkins Street	$18.96	207	196
Charles Robert Pettit 181 Andrieux St Ste 106	$125.01	172	161
Robert Alan Harf 181 Andrieux St Ste 111	$45.84	148	142
Alexis Regina Alexandridis 246 Perkins St	$82.98	130	130
Subhash Mishra 270 Perkins Street	$8.96	113	106
Michael R. Bartos 19270 Sonoma Highway	$100.70	97	93
Daniel Ahn 181 Andrieux St	$72.17	90	88
Elena Fowler 255 W Napa St Ste M	$395.04	79	70
John Ray Schafer 270 Perkins Street	$5.87	69	68
Robert T Petty 866 Donner Ave	$11.16	63	63
Erick S. French 347 Andrieux St	$3.20	60	59
Prima Medical Foundation 651 1St St W	$78.86	59	59
Pieter Michiel Lagaay 686 3Rd St W	$3.48	58	48
Robert K Koida 181 Andrieux St	$7.57	41	39
Crystine M. Lee 1055 Broadway Ste A	$124.06	29	29

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 Sonoma, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sonoma, CA is $15.67 per claim, based on 119,863 claims from 47 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 Sonoma, CA?

There are 47 Medicaid providers offering Office Visit related services in Sonoma, CA according to public payment data.

What is the price range for Office Visit in Sonoma, CA?

Medicaid reimbursement for Office Visit in Sonoma, CA ranges from $0.13 to $395.04 per claim, with an average of $15.67. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Sonoma, CA: $15.67

Providers Offering Office Visit in Sonoma, CA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Sonoma, CA

Emergency Room Visit

Blood Work & Lab Tests

Vaccines & Immunizations

Eye Exam

Physical Therapy

Psychiatric Evaluation

Hearing Test (Audiometry)

Case Management Services