Average Medicaid Office Visit Payments in Sunnyvale, CA: $6.52
Avg. Paid
$6.52
Range
$0.00 – $221.59
Total Claims
189,596
Providers
73
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 Sunnyvale, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Catherine Starr Nelson
660 S Fair Oaks Ave |
$2.11 | 21,620 | 14,372 |
|
Renuka Perla
660 S Fair Oaks Ave |
$1.79 | 17,040 | 11,296 |
|
Van T Vu
301 Old San Francisco Rd |
$0.54 | 16,938 | 9,117 |
|
Charmin Gohel
350 Potrero Ave |
$1.40 | 15,981 | 14,751 |
|
Steven Sukho Kim
333 W El Camino Real Ste 230 |
$3.56 | 15,448 | 9,757 |
|
Peter Fay
660 S Fair Oaks Ave |
$2.14 | 14,955 | 10,067 |
|
Eugene C Santillano
1287 Hammerwood Ave |
$15.22 | 11,370 | 6,507 |
|
Farda R Qureshi
500 E Remington Dr |
$3.25 | 8,526 | 7,808 |
|
Jeff Svoboda
660 S Fair Oaks Ave |
$5.62 | 7,957 | 5,137 |
|
Rajeshwari Nagaraja
312 W El Camino Real |
$0.42 | 7,228 | 5,872 |
|
Karen Wang
660 S Fair Oaks Ave |
$2.16 | 5,734 | 3,827 |
|
Surekha Santoshkumar Vetsa
1351 Selo Dr |
$1.85 | 3,615 | 3,378 |
|
Sonia Kamath
401 Old San Francisco Rd |
$23.47 | 3,490 | 2,769 |
|
Joyce H Liu
576 E El Camino Real |
$11.51 | 3,181 | 2,798 |
|
Jiyoon Lee
301 Old San Francisco Rd |
$0.41 | 2,941 | 2,244 |
|
Yvonne Teresa Sands-Sako
350 Potrero Ave |
$24.78 | 2,419 | 1,902 |
|
Uyen Trinh Nguyen
301 Old San Francisco Rd |
$1.67 | 2,045 | 1,092 |
|
Colby Morton
500 E Remington Dr Ste 20 |
$1.73 | 2,018 | 1,942 |
|
Andrew Y Lin
500 E Remington Dr Ste 30 |
$7.62 | 1,939 | 1,728 |
|
Aparna Batlapenumarthy
301 Old San Francisco Rd |
$62.54 | 1,740 | 1,624 |
|
Renu M. Gandhe
520 Lawrence Expressway |
$28.19 | 1,711 | 906 |
|
David Zhi Hao Li
350 Potrero Ave |
$0.00 | 1,626 | 1,296 |
|
Kathryn Leigh Mosso
301 Old San Francisco Rd |
$0.19 | 1,591 | 908 |
|
Suhui Chi
1021 S. Wolfe Rd |
$1.84 | 1,353 | 1,128 |
|
County Of Santa Clara
660 S Fair Oaks Ave |
$0.15 | 1,288 | 1,207 |
|
Cam Linh Fernandez
301 Old San Francisco Rd |
$10.35 | 1,172 | 1,105 |
|
Nirmala Bhat
660 S Fair Oaks Ave |
$5.40 | 1,127 | 962 |
|
Farda Qureshi Md Inc
500 E Remington Dr |
$0.00 | 1,117 | 1,031 |
|
Samudyatha Shivalingappa
582 S Sunnyvale Ave |
$47.69 | 952 | 807 |
|
Helen G Lee
401 Old San Francisco Rd |
$110.41 | 940 | 913 |
|
Girija Ponnuraju
250 W El Camino Real Apt 2205 |
$3.83 | 834 | 781 |
|
Sonali Ladha Ghosh
500 E Remington Dr Ste 20 |
$46.47 | 769 | 756 |
|
Maryam Khan
500 E Remington Dr |
$14.32 | 767 | 660 |
|
Kathy Vo
1170 Bordeaux Dr Bldg 3 |
$3.46 | 670 | 605 |
|
Subaila Zia
1250 Borregas Ave |
$24.39 | 632 | 572 |
|
Ankita Ameet Vadhia
312 W El Camino Real |
$36.65 | 620 | 564 |
|
Shilpi Ratra
130 S Sunnyvale Ave |
$9.85 | 602 | 601 |
|
Tanya Hoang
312 W El Camino Real |
$61.99 | 547 | 510 |
|
Kayoko Jackie Nakamura
1002 W Fremont Ave |
$2.55 | 470 | 468 |
|
Courtney Phuong
1263 E Arques Ave |
$4.25 | 444 | 403 |
|
Andrew Prodromou
401 Old San Francisco Rd |
$20.71 | 407 | 370 |
|
Norine Del Carmen Rosado
350 Potrero Ave |
$12.84 | 402 | 309 |
|
Maryette Lauren Sabater
785 Morse Ave |
$13.28 | 340 | 319 |
|
Huy Phan
906 Coachella Ave |
$13.84 | 318 | 317 |
|
Marvin Alfonso Miranda
301 Old San Francisco Rd |
$74.61 | 292 | 281 |
|
Allison Kikue Enomoto
1283 Oakmead Pkwy Ste B |
$8.73 | 258 | 256 |
|
Quanjing Liu
401 Old San Francisco Rd |
$29.36 | 255 | 247 |
|
Tanya Gupta
301 Old San Francisco Rd |
$56.21 | 241 | 202 |
|
Sureshan Sivananthan
500 E Remington Dr |
$18.36 | 226 | 196 |
|
Amy A Khong
660 S Fair Oaks Ave |
$11.11 | 223 | 138 |
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 Sunnyvale, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sunnyvale, CA is $6.52 per claim, based on 189,596 claims from 73 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 Sunnyvale, CA?
There are 73 Medicaid providers offering Office Visit related services in Sunnyvale, CA according to public payment data.
What is the price range for Office Visit in Sunnyvale, CA?
Medicaid reimbursement for Office Visit in Sunnyvale, CA ranges from $0.00 to $221.59 per claim, with an average of $6.52. 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 Sunnyvale, CA
Blood Work & Lab Tests
Avg $3.70
484,965 claims
Dental Cleaning & Exam
Avg $43.49
69,399 claims
Vaccines & Immunizations
Avg $3.34
50,791 claims
Nursing Facility Care
Avg $8.96
29,848 claims
Dental Filling
Avg $64.59
26,421 claims
Eye Exam
Avg $9.15
25,175 claims
Physical Therapy
Avg $14.29
15,513 claims
Hearing Test (Audiometry)
Avg $9.39
9,198 claims