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
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 Sonora, CA
Blood Work & Lab Tests
Avg $11.92
157,634 claims
Urinalysis & Urine Tests
Avg $5.11
59,062 claims
Physical Therapy
Avg $27.33
49,358 claims
Psychiatric Evaluation
Avg $106.53
44,384 claims
Emergency Room Visit
Avg $67.28
39,814 claims
X-Ray
Avg $20.96
32,584 claims
Behavioral & Mental Health Therapy
Avg $364.60
27,904 claims
EKG / ECG (Electrocardiogram)
Avg $6.48
27,840 claims