Average Medicaid Office Visit Payments in Tustin, CA: $37.27
Avg. Paid
$37.27
Range
$0.00 – $1,405
Total Claims
584,488
Providers
132
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 Tustin, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maxwell Jen
17400 Irvine Blvd Ste N |
$0.00 | 12 | 12 |
|
Brian Dewey
217 El Camino Real |
$5.34 | 12 | 12 |
|
Justine Rae Cruz
17612 17Th St Ste 101 |
$38.20 | 12 | 12 |
|
Yuriko Fushimi
14151 Newport Ave Ste 102 |
$7.69 | 13 | 12 |
|
Osman Nabih Dandan
661 W 1St St Ste G |
$49.95 | 13 | 13 |
|
Yancey Brintle Beamer
14591 Newport Ave. |
$29.82 | 13 | 13 |
|
Dispatchhealth-Ca, Pc
140 Centennial Way |
$355.00 | 13 | 12 |
|
Thomas Azeizat
1451 Irvine Blvd |
$0.00 | 14 | 14 |
|
True Life Clinic, Pc
14662 Newport Ave |
$0.00 | 14 | 13 |
|
Charles Chulho Baik
17400 Irvine Blvd |
$1.21 | 15 | 14 |
|
Farzin Sean Farshidi
17452 Irvine Blvd Ste 100 |
$181.24 | 16 | 14 |
|
Lily Vu Tran
1302 Garland Ave |
$65.00 | 16 | 14 |
|
Brittani Nichole Laski
2492 Walnut Ave Ste 100 |
$0.00 | 16 | 14 |
|
Loan Thi Ha
1 Hope Dr |
$29.12 | 17 | 15 |
|
Won K Yu Md Mph Inc
17400 Irvine Blvd Ste F |
$15.14 | 24 | 24 |
|
Dzung Anh Pham
2940 Nau Ave |
$16.53 | 25 | 25 |
|
Kelvin Kim
14642 Newport Ave Ste 105 |
$0.00 | 26 | 26 |
|
Michael Sean Kelly
17601 17Th St Ste 120 |
$30.09 | 27 | 19 |
|
Chin-Wei Huang
1101 Bryan Ave Ste E |
$22.10 | 27 | 27 |
|
Tariq A Khan
14642 Newport Ave |
$37.01 | 28 | 26 |
|
Jennifer N/A Luong
1422 Edinger Ave Ste 130 |
$35.33 | 34 | 34 |
|
Tahany Maurice Habashy
222 West Main St |
$7.97 | 40 | 39 |
|
Uzma Nasim Md Inc
18102 Irvine Blvd |
$37.50 | 42 | 42 |
|
Paul J. Kim
2895 Edinger Ave |
$44.85 | 45 | 44 |
|
Anthony F Naples
13095 Jamboree Rd |
$82.46 | 47 | 42 |
|
Steven J. Altman
13372 Newport Ave |
$70.84 | 50 | 50 |
|
Tram-Anh Le
17612 17Th St |
$30.36 | 70 | 67 |
|
Emily Ruth Schoen
1 Hope Dr |
$6.78 | 73 | 70 |
|
Yoana Silva Jimenez
661 W 1St St Ste G |
$28.52 | 75 | 73 |
|
Cosmos Health Solutions, Llc
13552 Newport Ave |
$8.98 | 86 | 45 |
|
Allergy, Asthma & Respiratory Care
13554 Newport Ave |
$12.94 | 86 | 18 |
|
Jonathan Ramonty Chhean
1 Hope Dr |
$7.86 | 98 | 96 |
|
Susana Ortega Rios
1 Hope Dr |
$4.95 | 100 | 97 |
|
Hoag Urgent Care Tustin Inc
2560 Bryan Ave |
$79.54 | 103 | 96 |
|
Sneha Chintamaneni
15000 Kensington Park Dr Ste 200 |
$9.06 | 115 | 114 |
|
Anthony F Naples Phd Md Inc
13095 Jamboree Rd |
$35.82 | 139 | 128 |
|
Drumil Bhatt
1095 Irvine Blvd |
$56.83 | 141 | 137 |
|
Mohammad Adnan Elbatta
17400 Irvine Blvd Ste F |
$57.09 | 144 | 144 |
|
Pedro Carrillo
661 W 1St St Ste G |
$12.75 | 144 | 142 |
|
Oc Pulmonary & Sleep, Inc
1101 Bryan Ave Ste E |
$36.74 | 149 | 147 |
|
Stacey Cabrera Sanchez
661 W 1St St Ste G |
$5.85 | 159 | 146 |
|
Marlie Jeevani Abrahams
661 W 1St St Ste G |
$0.00 | 161 | 145 |
|
Won Kye Yu
17400 Irvine Blvd Ste F |
$16.95 | 165 | 163 |
|
Afshin Zandpour
14662 Newport Ave |
$35.72 | 166 | 152 |
|
Ernest Daniel Mackey
13132 Newport Ave |
$2.88 | 181 | 175 |
|
Beena Kazi
14971 Holt Ave |
$22.08 | 219 | 211 |
|
Yuki Kashiwabara
14642 Newport Ave Ste 320 |
$0.00 | 230 | 225 |
|
Jacqueline Qi
17612 17Th St Ste 101 |
$46.10 | 246 | 218 |
|
Khaldoun A Debian
17400 Irvine Blvd Ste F |
$59.52 | 246 | 243 |
|
Heather Kristina Bonnville
661 W 1St St Ste G |
$57.12 | 252 | 215 |
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 Tustin, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tustin, CA is $37.27 per claim, based on 584,488 claims from 132 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 Tustin, CA?
There are 132 Medicaid providers offering Office Visit related services in Tustin, CA according to public payment data.
What is the price range for Office Visit in Tustin, CA?
Medicaid reimbursement for Office Visit in Tustin, CA ranges from $0.00 to $1,405 per claim, with an average of $37.27. 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 Tustin, CA
Speech Therapy
Avg $33.64
267,526 claims
Durable Medical Equipment (DME)
Avg $41.59
203,867 claims
Dental Cleaning & Exam
Avg $49.90
166,984 claims
Behavioral & Mental Health Therapy
Avg $133.30
123,811 claims
Psychiatric Evaluation
Avg $60.21
91,920 claims
Blood Work & Lab Tests
Avg $13.17
78,461 claims
Eye Exam
Avg $14.10
60,609 claims
Physical Therapy
Avg $15.11
43,940 claims