Average Medicaid Office Visit Payments in South Pasadena, CA: $105.41
Avg. Paid
$105.41
Range
$0.00 – $1,149
Total Claims
38,890
Providers
26
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 Pasadena, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Molly Mack
1416 El Centro St |
$0.13 | 15,458 | 13,358 |
|
Alaina Nicole Fields
1244 Huntington Dr |
$1.73 | 7,825 | 5,437 |
|
Pacific Clinics
625 Fair Oaks Ave |
$568.69 | 4,631 | 3,787 |
|
Jennina Manzano
209 Fair Oaks Ave |
$1.76 | 1,451 | 1,362 |
|
George Lam
625 Fair Oaks Ave |
$102.52 | 1,296 | 1,139 |
|
Wei Feng
209 Fair Oaks Ave |
$28.96 | 989 | 979 |
|
Norianne Martinez Pimentel-Piatt
625 Fair Oaks Ave Ste 175 |
$26.74 | 885 | 869 |
|
Hillsides
149 Pasadena Ave Ste A |
$1,149 | 775 | 668 |
|
Erin M De Tura
1416 El Centro St Ste 100 |
$85.04 | 742 | 736 |
|
West Coast Neurology, Inc
625 Fair Oaks Ave Ste 175 |
$59.46 | 703 | 685 |
|
Louis Steven Pastis
1610 Mission St |
$1.80 | 567 | 363 |
|
Bente Kaiser
1416 El Centro St Ste 100 |
$27.35 | 414 | 381 |
|
Samuel Wai-Kee Chung
209 Fair Oaks Ave |
$40.98 | 362 | 278 |
|
Elaine L Chen
625 Fair Oaks Ave Ste 175 |
$25.05 | 347 | 344 |
|
Edward G. Barton
625 Fair Oaks Ave Ste 175 |
$47.95 | 310 | 305 |
|
Danny Lam
855 Monterey Rd |
$0.00 | 306 | 277 |
|
Maria Antoinette Ciliberti
1609 Fremont Ave Apt 307 |
$0.59 | 283 | 157 |
|
Jeannette Yvette Martello
701 Fremont Ave |
$19.50 | 264 | 263 |
|
David Albert Valentine
625 Fair Oaks Ave Ste 175 |
$51.70 | 261 | 258 |
|
Pooja Manroa
209 Fair Oaks Ave |
$31.18 | 239 | 238 |
|
Kelly Khai Li Yap
209 Fair Oaks Ave |
$35.74 | 229 | 205 |
|
Daniel Jae Kim
209 Fair Oaks Ave |
$46.96 | 224 | 204 |
|
Institute For The Redesign Of Learning
205 Pasadena Ave |
$918.36 | 181 | 180 |
|
Weber Chen Medical Corp
1936 Huntington Dr Ste C |
$10.23 | 93 | 73 |
|
Thomas Jefferson Gernon
209 Fair Oaks Ave |
$31.21 | 30 | 27 |
|
Sahar Sheikhbahaei
625 Fair Oaks Ave Ste 175 |
$115.44 | 25 | 25 |
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 Pasadena, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South Pasadena, CA is $105.41 per claim, based on 38,890 claims from 26 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 Pasadena, CA?
There are 26 Medicaid providers offering Office Visit related services in South Pasadena, CA according to public payment data.
What is the price range for Office Visit in South Pasadena, CA?
Medicaid reimbursement for Office Visit in South Pasadena, CA ranges from $0.00 to $1,149 per claim, with an average of $105.41. 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 South Pasadena, CA
Behavioral & Mental Health Therapy
Avg $186.50
82,218 claims
Case Management Services
Avg $157.64
53,763 claims
Psychiatric Evaluation
Avg $205.05
51,088 claims
Physical Therapy
Avg $23.05
28,802 claims
Dental Cleaning & Exam
Avg $46.12
13,368 claims
Eye Exam
Avg $44.64
6,372 claims
Urinalysis & Urine Tests
Avg $0.24
6,091 claims
Emergency Room Visit
Avg $42.51
4,547 claims