Average Medicaid Office Visit Payments in South Lake Tahoe, CA: $25.02
Avg. Paid
$25.02
Range
$0.15 – $1,075
Total Claims
69,717
Providers
43
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 South Lake Tahoe, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Barton Healthcare System
2201 South Ave |
$23.66 | 23,156 | 20,370 |
|
Matthew Paul Wonnacott
2201 South Ave |
$17.99 | 9,918 | 6,975 |
|
Paul William Rork
2201 South Ave |
$9.35 | 6,525 | 4,597 |
|
Jenifer Elyce Norris
1108 4Th St |
$9.85 | 4,815 | 3,515 |
|
Michael Phillip Doyle
2074 Lake Tahoe Blvd |
$22.74 | 2,901 | 2,451 |
|
Jennifer Ann Ehmann
2201 South Ave |
$21.27 | 2,443 | 1,808 |
|
Clare Elizabeth Rudolph
2175 South Ave |
$28.87 | 2,300 | 1,711 |
|
Jacob Marquette
2170 South Ave |
$18.62 | 1,823 | 1,211 |
|
David M K I Liu
2201 South Ave |
$0.15 | 1,550 | 1,418 |
|
Amanda Stevens Weavil
2175 South Ave |
$15.76 | 1,529 | 1,103 |
|
David Ronald Young
2170 South Ave |
$22.94 | 1,384 | 1,234 |
|
Brooks Martin
1090 3Rd St |
$12.10 | 1,327 | 908 |
|
Megan F Jewell
2175 South Ave |
$16.11 | 1,203 | 893 |
|
John Frederick Lewison
2170 South Ave |
$24.95 | 1,193 | 1,122 |
|
Jeffrey A Orr
2170B South Ave |
$41.46 | 1,143 | 1,089 |
|
H Robert Dykes
854 Emerald Bay Rd |
$31.32 | 894 | 886 |
|
Audrey Jean Dasilva
2201 South Ave |
$2.97 | 664 | 587 |
|
Brian L Steixner
2169 South Ave |
$38.90 | 662 | 629 |
|
Ronald Carl Roth
2169 South Ave |
$36.55 | 633 | 596 |
|
Amy Pape Anton
2170 South Ave |
$65.45 | 532 | 494 |
|
Aubrey Louise Demajh
1067 4Th Street |
$112.48 | 336 | 296 |
|
Drew N Herbert
2201 South Ave |
$0.91 | 301 | 203 |
|
Stefan Ernest Schunk
2170 South Ave |
$21.73 | 294 | 257 |
|
Tessa Dahlen Amos
2201 South Ave |
$290.70 | 293 | 278 |
|
Bradley Wayne Gray
2170 South Ave |
$11.21 | 282 | 182 |
|
Leah Walsh
2170B South Ave |
$44.96 | 282 | 270 |
|
Bradley W Anderson
2169 South Ave |
$24.27 | 241 | 235 |
|
El Dorado County Mental Health
1900 Lake Tahoe Blvd |
$1,075 | 214 | 202 |
|
Cherie Long
2175 South Ave |
$68.40 | 134 | 133 |
|
Zachary A Child
2170 South Ave |
$42.97 | 130 | 123 |
|
Elizabeth Marilyn Mcnamara
Barton Memorial Hospital |
$11.68 | 111 | 67 |
|
Elke Anne Houser
2201 South Ave |
$35.82 | 108 | 100 |
|
Jean Peters Makris
2170 South Ave |
$17.18 | 76 | 56 |
|
Todd William Degiovanni
2201 South Ave |
$9.55 | 72 | 71 |
|
Jason Crowley
2877 Lake Tahoe Blvd B |
$8.43 | 65 | 56 |
|
Kelly Vial
1090 3Rd St |
$4.09 | 47 | 44 |
|
Gregory Paul Burkard
2170 South Ave |
$48.00 | 38 | 37 |
|
William R Shepard
1139 3Rd St |
$72.91 | 27 | 26 |
|
Molly Dowd
2170 South Ave |
$4.39 | 18 | 14 |
|
Miriam Locke
2169 South Ave |
$24.18 | 16 | 15 |
|
Azadeh Brumand
2170 South Ave |
$53.13 | 13 | 13 |
|
Barton Healthcare System
2170 South Ave |
$9.84 | 12 | 12 |
|
Meagan Nordstrom
2170 South Ave |
$6.26 | 12 | 12 |
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 South Lake Tahoe, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Lake Tahoe, CA is $25.02 per claim, based on 69,717 claims from 43 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 South Lake Tahoe, CA?
There are 43 Medicaid providers offering Office Visit related services in South Lake Tahoe, CA according to public payment data.
What is the price range for Office Visit in South Lake Tahoe, CA?
Medicaid reimbursement for Office Visit in South Lake Tahoe, CA ranges from $0.15 to $1,075 per claim, with an average of $25.02. 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 South Lake Tahoe, CA
Blood Work & Lab Tests
Avg $12.87
100,594 claims
Emergency Room Visit
Avg $105.47
38,772 claims
Physical Therapy
Avg $28.45
35,692 claims
Vaccines & Immunizations
Avg $7.09
22,381 claims
X-Ray
Avg $15.76
22,017 claims
Urinalysis & Urine Tests
Avg $5.56
19,067 claims
CT Scan (Computed Tomography)
Avg $112.01
11,259 claims
Behavioral & Mental Health Therapy
Avg $259.44
10,953 claims