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 |
|---|---|---|---|
|
Turning Point Of Central California, Inc.
145 N N St Ste A |
$535.30 | 14 | 13 |
|
Family Healthcare Network
263 S. West Street |
$1.60 | 15 | 15 |
|
Jon Y Miyakawa
901 N Blackstone Ave |
$2.96 | 17 | 17 |
|
Murad Ali Sunalp
880 E Merritt Ave |
$14.00 | 19 | 19 |
|
Daniel P Flores
869 N Cherry St |
$106.93 | 24 | 24 |
|
Adventist Health Tulare
869 N Cherry St |
$10.61 | 25 | 17 |
|
Mikhail Wenutu Fraser-Gray
869 N Cherry St |
$138.70 | 27 | 27 |
|
Doxie Telib Palma
Kingsview South Tulare County Mobile Services |
$0.00 | 29 | 28 |
|
Saqib Rashid
943 N Gem St |
$5.59 | 48 | 46 |
|
Rebecca Rachel King Kawagoe
2059 Hillman St |
$2.69 | 65 | 53 |
|
Altura Centers For Health
1203 N Cherry St |
$2.78 | 71 | 62 |
|
Jamie Aaron Garrett Redondo
705 Bender Ct |
$0.00 | 74 | 70 |
|
Sandra Zuniga
514 E Gail Ave |
$14.61 | 78 | 75 |
|
Altura Centers For Health
3035 E Bardsley Ave |
$14.85 | 102 | 98 |
|
Bindia Shetty
1201 N Cherry St |
$0.82 | 130 | 66 |
|
Tammie Phillips
1201 N Cherry St |
$57.49 | 134 | 125 |
|
Dalila Kim
869 N Cherry St |
$8.73 | 140 | 136 |
|
Melody Ava Nameni
2059 Hillman St |
$1.65 | 142 | 138 |
|
Pinky Rose Lim Calica
1678 Firestone Dr |
$1.21 | 179 | 139 |
|
Britton Lee Whalen
144 S L St |
$26.38 | 195 | 191 |
|
Theodore R Bosch
1064 N Cherry St |
$18.44 | 298 | 170 |
|
Tina Mary Paul
979 N Gem St |
$3.83 | 358 | 346 |
|
Jose Eduardo Valencia Torres
2059 Hillman St |
$3.15 | 400 | 240 |
|
Family Healthcare Network
1008 N Cherry St |
$2.72 | 437 | 397 |
|
Kings View
201 North K St. |
$448.67 | 550 | 522 |
|
Shahrzad Shahriary
1259 E Prosperity Ave |
$13.34 | 658 | 626 |
|
Tu-Hi Hong
919 E Merritt Ave |
$6.31 | 798 | 744 |
|
Christopher Norayr Terzian
2059 Hillman St |
$5.42 | 827 | 488 |
|
Reedley Community Hospital
2059 Hillman St |
$32.82 | 1,203 | 1,140 |
|
Transamerica Medical Group Inc.
1581 Hillman St |
$39.70 | 1,220 | 1,127 |
|
Tracy Lynn Carvalho
1776 Arrowhead Ct |
$0.00 | 1,308 | 1,164 |
|
Hope Horizon Mental Health
327 S K St |
$811.67 | 1,418 | 1,312 |
|
Jacobo Labastida Torres
1201 N Cherry St |
$9.74 | 1,544 | 794 |
|
Kaweah Delta Health Care District
1000 N Mooney Blvd |
$35.52 | 1,602 | 1,468 |
|
Altura Centers For Health
1500 W Tulare Dr |
$6.06 | 2,016 | 1,714 |
|
Kenneth Ramos
1000 N Mooney Blvd |
$30.59 | 2,201 | 2,169 |
|
Layla Makahleh
2059 Hillman St |
$4.07 | 2,226 | 1,254 |
|
Cretia Guzman
869 N Cherry St |
$31.92 | 2,317 | 2,164 |
|
Sarmad Said
938 N Cherry St |
$29.92 | 2,943 | 2,388 |
|
Usha Ravi
1008 N Cherry St |
$2.64 | 3,672 | 2,018 |
|
Pradeep Kumar Kamboj
1070 N Cherry St |
$0.12 | 3,951 | 2,956 |
|
Susan S Haack
1062 N Cherry St |
$0.04 | 4,096 | 3,850 |
|
Ezequiel Gonzalez
869 N Cherry St |
$21.47 | 4,289 | 3,392 |
|
Mariam Buckowski
1000 N Mooney Blvd |
$25.80 | 4,299 | 3,335 |
|
Altura Centers For Health
1101 N Cherry St |
$12.66 | 4,548 | 4,036 |
|
Faustino Raul Resendiz Rios
1201 N Cherry St |
$12.80 | 4,834 | 2,824 |
|
Juan Contreras
922 N Cherry St |
$18.51 | 5,492 | 4,085 |
|
Parul Gupta
858N Cherry St F |
$5.87 | 5,666 | 5,239 |
|
Lonnie Ray Smith
1066 N Cherry St |
$5.61 | 5,713 | 4,234 |
|
Chi Nguyen
922 N Cherry St |
$0.42 | 6,623 | 4,773 |
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
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 Tulare, CA
Substance Abuse Treatment
Avg $17.92
311,374 claims
Urinalysis & Urine Tests
Avg $2.02
171,597 claims
Blood Work & Lab Tests
Avg $5.11
139,987 claims
Dental Cleaning & Exam
Avg $45.94
131,010 claims
Vaccines & Immunizations
Avg $0.85
114,179 claims
X-Ray
Avg $12.44
89,934 claims
Behavioral & Mental Health Therapy
Avg $170.70
67,680 claims
Emergency Room Visit
Avg $48.87
62,466 claims