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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sonora, CA: $42.41

Avg. Paid

$42.41

Range

$0.00 – $767.23

Total Claims

229,250

Providers

81

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 Sonora, CA

Provider Avg. Paid Claims Patients
Sukhnandan Sidhu

13975 Mono Way

$15.02 51,983 50,054
Michael Richard Portillo

680 Guzzi Ln Ste 106

$16.61 37,143 22,125
Tuolumne Me-Wuk Indian Health Center, Inc.

19969 Greenley Rd

$15.98 16,596 15,419
Christopher Mills

20044 Cedar Rd N

$81.87 15,762 14,321
Robert Lyons

1000 Greenley Rd.

$20.77 12,464 11,730
Tim Sullivan

12791 Cabezut Rd

$15.94 10,337 6,387
Donald Scott Klatt

1000 Greenley Rd

$40.24 9,556 9,226
Jennifer Lynn Neufeld-Trujillo

193 South Fairview Lane

$15.70 6,991 4,184
Martin Deilmann

690 Guzzi Ln Ste C

$6.91 6,905 6,302
Robert I. Reina

13975 Mono Way Ste G

$406.57 5,534 4,959
Brandon Winkles

13951 Mono Way Ste A

$87.65 4,725 4,651
Mayline Michelle Nambela-Barlow

900 Mono Way

$198.45 3,616 3,307
Ralph Edward Retherford

20405 Lyons Bald Mtn Rd

$129.35 3,159 2,343
Donald Westbie

680 Guzzi Ln

$13.47 3,149 1,946
Yousef Khelfa

1000 Greenley Rd

$44.16 2,897 2,656
Charles Lindsay Edwards

13975 Mono Way Ste H

$24.31 2,705 2,683
Matthew Tam Maynard

20044 Cedar Rd N Ste A

$20.10 2,662 1,566
Steve Christian Jensen

780 Delnero Dr

$16.33 2,620 1,838
James D. Mosson

900 Greenley Rd

$15.12 2,427 1,429
Sonora Community Hospital

1000 Greenley Rd

$33.25 2,381 2,280
Sonora Community Hospital

193 Fairview Ln

$7.90 2,236 1,987
David Bohannon

193 Fairview Ln Ste B

$18.10 2,108 1,526
Charles Henry Black

1000 Greenley Rd

$47.39 1,644 1,481
Stephen James Hopkins

680 Guzzi Lane

$19.05 1,320 900
Daniel Thomas Dubose

795 Morning Star Drive

$17.78 1,298 809
Gideon Pieter Naude

137 South Shepherd Street

$24.56 1,229 973
Donald P. Dudley

1000 Greenley Rd

$25.74 1,191 1,176
Jorge Ortega Rodriguez

13975 Mono Way

$1.95 1,013 986
Brett C. Lockman

19468 Village Dr Ste 100

$25.66 972 893
William Donovan Spangler

12971 Cabezut Rd

$9.75 938 886
County Of Tuolumne

105 Hospital Road

$767.23 930 898
Jack Leroy Stclair

14540 Mono Way

$26.25 901 897
Carlos Alvarez

680 Guzzi Ln Ste 101

$17.14 861 499
Airell Leighton Nygaard

680 Guzzi Ln

$33.25 697 610
Rodney Eddi

680 Guzzi Ln

$29.77 624 528
Quoc Minh Tran

12811 Covey Cir

$35.49 569 539
Zachary Scott Barlow

193 Fairview Ln

$6.58 564 449
Christopher Lee Jones

940 Sylva Ln Ste A

$23.58 516 304
Maureen M Regan

690 Guzzi Ln Ste C

$259.98 484 389
John Patrick Nelligan

680 Guzzi Ln Ste 102

$15.35 469 341
Deborah Lynn Goreham

690 Guzzi Ln Ste C

$8.09 442 400
Sunni Erika Gessel

13975 Mono Way Ste G

$200.09 411 397
Deborah L Kagay

15414 Ridgewood Dr

$155.48 375 319
M A C T Health Board Incorporated

905 Morning Star Dr

$62.62 291 261
Thomas James Mcdonald

680 Guzzi Lane

$38.76 285 282
Julia A Gustafson

12811 Covey Cir

$0.00 252 238
Tamara Ann Chambless

193 Fairview Ln Ste K

$4.78 243 193
Rebecca Vierra-Brick

900 Mono Way

$367.10 239 215
Cicely Chen

900 Greenley Rd, Suite 922 Adventist Health (Sierra Ob/

$11.72 222 131
Daniel B Phillips

690 Guzzi Ln

$19.16 203 190

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 Sonora, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sonora, CA is $42.41 per claim, based on 229,250 claims from 81 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 Sonora, CA?

There are 81 Medicaid providers offering Office Visit related services in Sonora, CA according to public payment data.

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

Medicaid reimbursement for Office Visit in Sonora, CA ranges from $0.00 to $767.23 per claim, with an average of $42.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Sonora, CA