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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Tulare, CA: $8.83

Avg. Paid

$8.83

Range

$0.00 – $811.67

Total Claims

776,121

Providers

84

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 Tulare, CA

Provider Avg. Paid Claims Patients
Christian J Borberg Franceschi

1134 E Cartmill Ave

$21.13 54,614 34,184
Ricardo David Zegarra Loza

1186 Leland Ave

$0.44 49,419 34,950
Victor Isip Sunga

1101 N Cherry St

$0.70 46,333 33,792
Prem K. Kamboj

1062 N Cherry St

$0.12 40,720 25,519
Asit V. Shah

1062 N Cherry St

$0.19 39,615 28,553
Bakri Eskif Dabbagh

1186 Leland Ave

$0.37 34,273 24,097
Mary Beth Palomaki

1186 Leland Ave

$0.64 29,758 22,592
Jorge A Ruiz Rivera

1186 Leland Ave

$0.30 28,094 19,549
Frank Michael Alvarez

570 E Terrace

$26.68 25,598 19,631
Arnold Oliver Welden

1255 N Cherry St

$2.06 23,788 16,827
Jatinder Chopra

858 N Cherry St

$6.83 23,254 21,196
Andres Benincore Robledo

1186 Leland Ave

$0.41 21,662 17,396
Kin Man Pang

1134 E Cartmill Ave

$16.47 21,037 12,272
Robert L Orth

1062 N Cherry St

$0.23 20,399 14,773
Ronald Joseph Ostrom

869 N Cherry St

$40.48 19,793 10,926
Raquel V Ramos Garcia

1201 N Cherry St

$0.45 17,536 12,836
Ravi I Kumar

1101 N Cherry St

$7.63 16,914 10,107
Shruti Roy Joseph

Adventist Health Tulare - Family Medicine Residency

$1.37 16,436 10,663
Pawan Kumar

591 E Merritt Ave

$6.69 15,622 11,383
Rodrigo Javier De La Cruz Santamaria

1201 N Cherry St

$0.32 15,260 11,560
Samuel S Kuo

1088 N Cherry St

$10.32 13,444 7,995
Ivan Sarria

1134 E Cartmill Ave

$9.75 13,281 10,844
Sarajinder Kaur Bansal

1101 N Cherry St

$0.36 11,778 7,573
Vanesa Avila

1101 N Cherry St

$1.71 11,491 6,246
Shyam Kumbhani

201 N K St

$6.69 11,347 8,692
Kim David Flora

1086 N. Cherry Street

$5.81 10,369 6,383
Maninder Kaur

1062 S K St

$0.87 10,342 5,672
Lan Thuy Truong

1101 N Cherry St

$12.02 9,713 5,031
Abraham N Betre

1134 E Cartmill Ave

$19.07 8,661 6,265
Andrew Kim

901 N Blackstone St

$0.60 7,544 6,858
Lourdes Oliveros

1101 N Cherry St

$1.93 7,505 6,534
Fateh Entabi

1070 N Cherry St

$8.27 7,324 4,794
Adnaan Edun

2059 Hillman St

$7.62 7,109 4,464
Jose Gonzalo Puente Moreno

1101 N Cherry St

$6.75 7,053 3,994
Chi Nguyen

922 N Cherry St

$0.42 6,623 4,773
Lonnie Ray Smith

1066 N Cherry St

$5.61 5,713 4,234
Parul Gupta

858N Cherry St F

$5.87 5,666 5,239
Juan Contreras

922 N Cherry St

$18.51 5,492 4,085
Faustino Raul Resendiz Rios

1201 N Cherry St

$12.80 4,834 2,824
Altura Centers For Health

1101 N Cherry St

$12.66 4,548 4,036
Mariam Buckowski

1000 N Mooney Blvd

$25.80 4,299 3,335
Ezequiel Gonzalez

869 N Cherry St

$21.47 4,289 3,392
Susan S Haack

1062 N Cherry St

$0.04 4,096 3,850
Pradeep Kumar Kamboj

1070 N Cherry St

$0.12 3,951 2,956
Usha Ravi

1008 N Cherry St

$2.64 3,672 2,018
Sarmad Said

938 N Cherry St

$29.92 2,943 2,388
Cretia Guzman

869 N Cherry St

$31.92 2,317 2,164
Layla Makahleh

2059 Hillman St

$4.07 2,226 1,254
Kenneth Ramos

1000 N Mooney Blvd

$30.59 2,201 2,169
Altura Centers For Health

1500 W Tulare Dr

$6.06 2,016 1,714

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 Tulare, CA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tulare, CA is $8.83 per claim, based on 776,121 claims from 84 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 Tulare, CA?

There are 84 Medicaid providers offering Office Visit related services in Tulare, CA according to public payment data.

What is the price range for Office Visit in Tulare, CA?

Medicaid reimbursement for Office Visit in Tulare, CA ranges from $0.00 to $811.67 per claim, with an average of $8.83. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Tulare, CA