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 |
|---|---|---|---|
|
Families Together Of Orange County
661 W 1St St |
$2.64 | 100,117 | 62,881 |
|
Lowell Andrew Gordon
661 W 1St St Ste G |
$22.55 | 70,112 | 42,651 |
|
Luisa Acosta
17291 Irvine Blvd |
$3.05 | 57,458 | 12,035 |
|
Donny Tran
661 W 1St St Ste G |
$4.17 | 31,969 | 25,940 |
|
Bright Star
17291 Irvine Blvd |
$13.07 | 31,212 | 6,566 |
|
Hurtt Family Health Clinic Inc.
1 Hope Drive |
$148.75 | 24,828 | 22,604 |
|
Grace Eun Kwon
1 Hope Dr |
$91.74 | 19,589 | 15,531 |
|
Robert J Borrowdale
661 W 1St St Ste G |
$91.03 | 18,344 | 16,395 |
|
Tustin Urgent Care, Apc
17612 E. 17Th St |
$68.21 | 16,811 | 14,755 |
|
Cheryl Ann Thomas
195 S C St |
$9.23 | 16,002 | 13,616 |
|
Christina Vu Vo
1 Hope Dr |
$16.39 | 13,828 | 10,970 |
|
Robert Frank Bader
1 Hope Dr |
$7.13 | 12,670 | 11,734 |
|
Soheil Samvatian
661 W 1St St Ste G |
$2.80 | 9,585 | 7,149 |
|
Lisa Beth Abdishoo
1 Hope Dr |
$8.99 | 8,585 | 6,148 |
|
Uzma Nasim
18102 Irvine Blvd |
$74.36 | 7,680 | 7,340 |
|
Anjala Kanda
14642 Newport Ave |
$34.89 | 7,248 | 6,585 |
|
Pin-Hung Hsieh
13522 Newport Ave Ste 102 |
$34.70 | 6,635 | 5,474 |
|
Warren Toshiro Yamashita
1 Hope Dr |
$16.40 | 6,426 | 4,703 |
|
Moothedath A Menon
661 W 1St St Ste G |
$33.32 | 6,043 | 5,963 |
|
Alvin Chang
1101 Bryan Ave |
$41.39 | 5,952 | 5,446 |
|
Azita Robati Hassas
661 W 1St St Ste G |
$72.78 | 5,658 | 4,632 |
|
Pediatric & Adult Medicine, Inc.
13132 Newport Ave Ste 100 |
$29.00 | 5,630 | 5,062 |
|
Phuong Quy Tran
1 Hope Dr |
$6.01 | 5,393 | 3,530 |
|
Veronica Elisa Aguilar
14642 Newport Ave Ste 200 |
$16.02 | 4,704 | 2,980 |
|
Charles Chol Bae Kim
14642 Newport Ave Ste 105 |
$0.75 | 4,624 | 4,344 |
|
Oc Foot And Ankle Associates, Inc
14642 Newport Ave Ste 450 |
$30.75 | 4,422 | 3,894 |
|
John A Sarkaria
14642 Newport Ave |
$42.65 | 4,419 | 4,187 |
|
California Foot And Ankle Group, Inc.
13420 Newport Ave Ste E |
$20.08 | 4,345 | 3,050 |
|
Cindy Lee
1 Hope Dr |
$13.79 | 3,975 | 3,541 |
|
Good Shepherd Medical Clinic, Inc
661 W 1St St Ste G |
$1,405 | 3,928 | 2,863 |
|
Thomas C Huang
2552 Walnut Ave |
$85.07 | 3,756 | 3,562 |
|
Crystal Martin
661 W 1St St Ste G |
$0.41 | 3,549 | 2,575 |
|
Healthcare Partners Affiliates Medical Group
14591 Newport Ave |
$120.16 | 3,473 | 3,192 |
|
Richard Lin Do Inc
14642 Newport Ave Ste 105 |
$1.76 | 3,162 | 3,092 |
|
Vivian Montes
661 W 1St St Ste G |
$1.26 | 3,074 | 2,258 |
|
Theresa Toquyen Nguyen
15405 Lansdowne Rd |
$45.24 | 2,739 | 2,640 |
|
Nylvia Martinez
661 W 1St St Ste G |
$0.69 | 2,728 | 2,337 |
|
Aesha Patel
661 W 1St St Ste G |
$2.62 | 2,538 | 2,150 |
|
Ronald Sungsoo Kim
1 Hope Dr |
$0.25 | 2,115 | 1,815 |
|
Mark Robert Wade
1 Hope Dr |
$72.64 | 2,085 | 1,990 |
|
Tlc Allergy And Asthma Associates Inc
1076 E 1St St Ste B |
$43.27 | 2,047 | 1,986 |
|
Sangeeta Hitesh Patel
13372 Newport Ave |
$7.24 | 1,847 | 1,637 |
|
Jocelyn Dang
17612 17Th St |
$0.00 | 1,738 | 1,690 |
|
Orange County Heart & Vascular Inc
1101 Bryan Ave Ste E |
$22.35 | 1,646 | 1,581 |
|
Alta Newport Hospital, Llc
14662 Newport Ave |
$0.00 | 1,399 | 1,355 |
|
Rossy Alicia Perez
661 W 1St St Ste G |
$0.08 | 1,265 | 1,026 |
|
Dinesh Kumar
1101 Bryan Ave Ste E |
$65.21 | 1,241 | 1,201 |
|
William Robert Crumpton
14642 Newport Ave |
$47.84 | 1,095 | 606 |
|
Cathrin Hee Lim
1 Hope Dr |
$94.02 | 1,039 | 988 |
|
Jaewon Lee
661 W 1St St Ste G |
$0.00 | 1,020 | 880 |
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