Average Medicaid Office Visit Payments in Toluca Lake, CA: $39.63
Avg. Paid
$39.63
Range
$1.42 – $70.77
Total Claims
10,746
Providers
15
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 Toluca Lake, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Don Alan Paxton
10061 Riverside Dr |
$69.30 | 3,923 | 3,882 |
|
Brian Keith Gamble
10701 Riverside Dr |
$5.45 | 1,371 | 1,266 |
|
Premiere Medical Center Of Burbank, Inc.
4418 Vineland Ave Ste 102 |
$32.26 | 1,269 | 1,073 |
|
Jeana G. Libed
10112 Riverside Dr |
$70.77 | 885 | 877 |
|
Prime Podiatric Group, Inc
10916 Riverside Dr |
$1.92 | 742 | 742 |
|
Abri Md Group Inc
10916 Riverside Dr Ste B |
$1.42 | 711 | 709 |
|
Jonathan Gelber
4418 Vineland Ave Ste 215 |
$42.08 | 676 | 604 |
|
Henmed Group Inc
10916 Riverside Dr |
$2.15 | 674 | 673 |
|
Minh Q Mach
4418 Vineland Ave Ste 102 |
$24.91 | 148 | 135 |
|
Angelica Menchaca
4418 Vineland Ave |
$28.03 | 108 | 105 |
|
Jose Luis Hernandez
4418 Vineland Ave Ste 102 |
$26.63 | 68 | 56 |
|
Kebe Md Group Inc
10916 Riverside Dr Ste A |
$14.30 | 62 | 62 |
|
Alice Lee A Benjamin
11325 Riverside Dr |
$10.20 | 59 | 54 |
|
Michael D. Marsh
4418 Vineland Ave Ste 102 |
$15.18 | 37 | 27 |
|
Endocrine Specialty Consultant Inc
4418 Vineland Ave Ste 102 |
$4.44 | 13 | 13 |
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 Toluca Lake, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Toluca Lake, CA is $39.63 per claim, based on 10,746 claims from 15 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 Toluca Lake, CA?
There are 15 Medicaid providers offering Office Visit related services in Toluca Lake, CA according to public payment data.
What is the price range for Office Visit in Toluca Lake, CA?
Medicaid reimbursement for Office Visit in Toluca Lake, CA ranges from $1.42 to $70.77 per claim, with an average of $39.63. 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 Toluca Lake, CA
Blood Work & Lab Tests
Avg $2.22
64,129 claims
Podiatry (Foot Care)
Avg $58.35
5,547 claims
Ultrasound
Avg $13.79
3,260 claims
X-Ray
Avg $3.81
2,148 claims
Pulmonary Function Test
Avg $8.07
1,751 claims
Urinalysis & Urine Tests
Avg $0.64
1,634 claims
EKG / ECG (Electrocardiogram)
Avg $3.51
1,569 claims
Skin Biopsy & Lesion Removal
Avg $0.18
1,083 claims