Average Medicaid Office Visit Payments in South San Francisco, CA: $12.92
Avg. Paid
$12.92
Range
$0.00 – $283.95
Total Claims
61,570
Providers
45
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 San Francisco, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jenna Kai Fen Liang
395 Oyster Point Blvd Ste 512 |
$0.04 | 18,415 | 17,459 |
|
Aimee Dumlao Camano
1488 El Camino Real Unit 225 |
$9.36 | 6,328 | 5,733 |
|
Nigar Seven
1200 El Camino Real |
$1.81 | 6,217 | 3,321 |
|
Luca Jelena Kelava
306 Spruce Ave |
$8.09 | 4,449 | 3,987 |
|
Chi K Co
161 S Spruce Ave |
$3.25 | 4,313 | 3,976 |
|
Romeo C. David
225 Spruce Ave |
$25.52 | 4,290 | 4,246 |
|
Shaoxian Qin
748 Stonegate Dr |
$22.54 | 3,619 | 3,425 |
|
Lizette Espana
1200 El Camino Real |
$5.96 | 3,008 | 2,338 |
|
Thomas M. Pong
1200 El Camino Real |
$1.43 | 2,276 | 1,887 |
|
Melissa Chavez
470 Noor Ave |
$0.86 | 1,306 | 985 |
|
Donald Richard Dossett
455 Grand Ave |
$70.12 | 1,086 | 1,001 |
|
Rouzbeh Fateh
1200 El Camino Real |
$39.28 | 875 | 789 |
|
William Garrett Holder
1200 El Camino Real |
$283.95 | 749 | 729 |
|
Paula Moreno
395 Oyster Point Blvd Ste 512 |
$1.76 | 670 | 561 |
|
Alastair Tabunda Mondala
395 Oyster Point Blvd Ste 512 |
$0.00 | 551 | 510 |
|
Alice M Turner
306 Spruce Ave |
$3.00 | 470 | 453 |
|
Sadhana N.S. Sonti
1200 El Camino Real |
$10.08 | 455 | 310 |
|
County Of San Mateo
306 Spruce Ave |
$0.00 | 372 | 349 |
|
Katherine Rausa
1200 El Camino Real |
$26.09 | 325 | 325 |
|
Rima K Patel
3 S Linden Ave |
$22.21 | 246 | 231 |
|
Timothy E. Liao
1200 El Camino Real |
$91.84 | 214 | 213 |
|
Jamie Okuzawa-Park
435 Grand Ave |
$136.45 | 186 | 184 |
|
Vera Sun
395 Oyster Point Blvd Ste 512 |
$80.57 | 152 | 87 |
|
Trisha Cabantac
435 Grand Ave |
$110.42 | 131 | 128 |
|
James Ha
1200 El Camino Real |
$99.58 | 95 | 86 |
|
Christabelle Co Md Inc
161 S Spruce Ave Ste 205 |
$39.63 | 89 | 86 |
|
Jae S. Park
1200 El Camino Real |
$89.04 | 84 | 82 |
|
Elijah Michael Edwards
1200 El Camino Real |
$50.42 | 80 | 75 |
|
Christabelle Co
161 S Spruce Ave Ste 205 |
$6.25 | 80 | 79 |
|
Joshua Ng
161 S Spruce Ave Ste B |
$10.80 | 67 | 67 |
|
Lynne M. Bartels
1200 El Camino Real |
$32.57 | 57 | 51 |
|
Adebimpe Blessing Ogunsefunmi
611 Gateway Blvd Ste 120 |
$72.19 | 48 | 47 |
|
Tom A. Vo
1200 El Camino Real |
$83.64 | 44 | 43 |
|
Lisa M. Cardenas
1200 El Camino Real |
$0.00 | 40 | 37 |
|
Christopher M. Fowler
1200 El Camino Real |
$24.34 | 38 | 36 |
|
Lesly Marie Dosono Barcena
395 Oyster Point Blvd Ste 512 |
$12.85 | 27 | 27 |
|
Bonnie A. Renderos
1200 El Camino Real |
$137.00 | 15 | 14 |
|
Katherine Ann Manalo
951 El Camino Real |
$108.89 | 15 | 15 |
|
Clementina Lariza Manio
483 Grand Ave |
$0.00 | 14 | 14 |
|
Priti Dahya
1200 El Camino Real |
$30.31 | 13 | 13 |
|
Romeo Ng Lim
1200 El Camino Real |
$227.49 | 13 | 13 |
|
John Thomas Sorrell
405 Grand Ave Ste 208B |
$38.79 | 12 | 12 |
|
Kenneth D. Lee
1200 El Camino Real |
$2.00 | 12 | 12 |
|
Faith Wells
395 Oyster Point Blvd Ste 512 |
$0.00 | 12 | 12 |
|
Ikuko Ogihara
1200 El Camino Real |
$105.83 | 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 San Francisco, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in South San Francisco, CA is $12.92 per claim, based on 61,570 claims from 45 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 San Francisco, CA?
There are 45 Medicaid providers offering Office Visit related services in South San Francisco, CA according to public payment data.
What is the price range for Office Visit in South San Francisco, CA?
Medicaid reimbursement for Office Visit in South San Francisco, CA ranges from $0.00 to $283.95 per claim, with an average of $12.92. 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 San Francisco, CA
Molecular & Genetic Testing
Avg $95.65
376,423 claims
Durable Medical Equipment (DME)
Avg $47.41
117,203 claims
Blood Work & Lab Tests
Avg $3.74
62,736 claims
Emergency Room Visit
Avg $151.09
52,085 claims
Pathology & Lab Services
Avg $45.60
50,362 claims
Speech Therapy
Avg $58.93
24,921 claims
Ambulance Transport
Avg $135.46
17,279 claims
Urinalysis & Urine Tests
Avg $1.97
15,237 claims