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 |
|---|---|---|---|
|
Yichieh Shiuey
323-325 N Mathilda Ave |
$24.98 | 12 | 12 |
|
Vadim Kagramanov
1309 S Mary Ave |
$26.14 | 12 | 12 |
|
Wanda Deborah Hu
1085 W El Camino Real |
$11.86 | 12 | 12 |
|
Trennda Rittenbach
323 N Mathilda Ave |
$37.36 | 13 | 13 |
|
Priya Bhusri
401 Old San Francisco Rd |
$31.76 | 14 | 14 |
|
Leon Cheng
401 Old San Francisco Rd |
$20.79 | 15 | 15 |
|
Sunil Verma
500 E Remington Dr Ste 20 |
$0.00 | 15 | 14 |
|
Susan L Lewis
401 Old San Francisco Rd |
$31.05 | 15 | 14 |
|
Yachna Ahuja
206 Acalanes Dr |
$167.22 | 35 | 27 |
|
Bianca Gonzalez
576 E El Camino Real |
$10.47 | 36 | 36 |
|
Karen Shih
323 N Mathilda Ave |
$8.90 | 37 | 37 |
|
Mark David Levinem Md Sunnyvale Pc
256 Gibraltar Dr |
$221.59 | 37 | 27 |
|
Vivian Thi Nguyen
596 E El Camino Real Ste 2 |
$33.80 | 45 | 44 |
|
Van Tuyet Ong
301 Old San Francisco Rd |
$5.88 | 49 | 43 |
|
Sajid Mehmood
301 Old San Francisco Rd |
$18.62 | 50 | 38 |
|
Tanya Ghosh
323-325 North Mathilda Ave |
$29.32 | 53 | 53 |
|
Teresa Cheng
401 Old San Francisco Rd |
$32.67 | 64 | 63 |
|
Hannah Ahmed
333 West El Camino |
$74.17 | 86 | 82 |
|
Sayuri Uotani
1299 Oakmead Pkwy # A |
$2.23 | 102 | 67 |
|
Anitha Gundupalli
301 Old San Francisco Rd |
$41.84 | 102 | 95 |
|
Lauren Dodd
301 Old San Francisco Rd |
$5.43 | 104 | 104 |
|
Tina Lu
576 E El Camino Real |
$6.27 | 124 | 122 |
|
Geraldine Eunice Rios Albini
576 E El Camino Real |
$10.30 | 185 | 183 |
|
Amy A Khong
660 S Fair Oaks Ave |
$11.11 | 223 | 138 |
|
Sureshan Sivananthan
500 E Remington Dr |
$18.36 | 226 | 196 |
|
Tanya Gupta
301 Old San Francisco Rd |
$56.21 | 241 | 202 |
|
Quanjing Liu
401 Old San Francisco Rd |
$29.36 | 255 | 247 |
|
Allison Kikue Enomoto
1283 Oakmead Pkwy Ste B |
$8.73 | 258 | 256 |
|
Marvin Alfonso Miranda
301 Old San Francisco Rd |
$74.61 | 292 | 281 |
|
Huy Phan
906 Coachella Ave |
$13.84 | 318 | 317 |
|
Maryette Lauren Sabater
785 Morse Ave |
$13.28 | 340 | 319 |
|
Norine Del Carmen Rosado
350 Potrero Ave |
$12.84 | 402 | 309 |
|
Andrew Prodromou
401 Old San Francisco Rd |
$20.71 | 407 | 370 |
|
Courtney Phuong
1263 E Arques Ave |
$4.25 | 444 | 403 |
|
Kayoko Jackie Nakamura
1002 W Fremont Ave |
$2.55 | 470 | 468 |
|
Tanya Hoang
312 W El Camino Real |
$61.99 | 547 | 510 |
|
Shilpi Ratra
130 S Sunnyvale Ave |
$9.85 | 602 | 601 |
|
Ankita Ameet Vadhia
312 W El Camino Real |
$36.65 | 620 | 564 |
|
Subaila Zia
1250 Borregas Ave |
$24.39 | 632 | 572 |
|
Kathy Vo
1170 Bordeaux Dr Bldg 3 |
$3.46 | 670 | 605 |
|
Maryam Khan
500 E Remington Dr |
$14.32 | 767 | 660 |
|
Sonali Ladha Ghosh
500 E Remington Dr Ste 20 |
$46.47 | 769 | 756 |
|
Girija Ponnuraju
250 W El Camino Real Apt 2205 |
$3.83 | 834 | 781 |
|
Helen G Lee
401 Old San Francisco Rd |
$110.41 | 940 | 913 |
|
Samudyatha Shivalingappa
582 S Sunnyvale Ave |
$47.69 | 952 | 807 |
|
Farda Qureshi Md Inc
500 E Remington Dr |
$0.00 | 1,117 | 1,031 |
|
Nirmala Bhat
660 S Fair Oaks Ave |
$5.40 | 1,127 | 962 |
|
Cam Linh Fernandez
301 Old San Francisco Rd |
$10.35 | 1,172 | 1,105 |
|
County Of Santa Clara
660 S Fair Oaks Ave |
$0.15 | 1,288 | 1,207 |
|
Suhui Chi
1021 S. Wolfe Rd |
$1.84 | 1,353 | 1,128 |
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