Average Medicaid Office Visit Payments in Upland, CA: $44.57
Avg. Paid
$44.57
Range
$0.00 – $1,201
Total Claims
715,468
Providers
213
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 Upland, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sean S. Szeja
1100 San Bernardino Road |
$20.20 | 12 | 12 |
|
Children'S Eye Institute, Inc.
1246 E Arrow Hwy |
$0.00 | 12 | 12 |
|
Irene Bielawiec Houari
901 San Bernardino Rd Suite 301 |
$76.45 | 12 | 12 |
|
Diana Karihe
123 E 9Th St Ste 102K |
$0.00 | 13 | 13 |
|
Yung Jen Kuo
299 W Foothill Blvd Ste 209 |
$0.00 | 13 | 13 |
|
Sarah Florin
1260 E Arrow Hwy |
$92.89 | 14 | 14 |
|
Julie Anne King
555 N 13Th Ave |
$60.12 | 14 | 14 |
|
Sandar Win
811 E 11Th St Ste 205 |
$0.00 | 15 | 13 |
|
Christopher K Tsai Md Inc
1175 E Arrow Hwy |
$0.98 | 17 | 14 |
|
Anthony Cabrera
999 San Bernardino Rd |
$9.44 | 18 | 18 |
|
Miguel Angel Cervantes-Lopez
1310 San Bernardino Rd Ste 103 |
$0.00 | 24 | 24 |
|
Wenzhong Tang
505 N Mountain Ave |
$0.00 | 26 | 26 |
|
Rommel Ocfemia
222 N Mountain Ave Ste 210 |
$3.79 | 27 | 27 |
|
Marcel L Mpiana
1260 E Arrow Hwy Bldg E |
$65.45 | 29 | 29 |
|
Anthony James Antenorcruz
585 N Mountain Ave |
$29.04 | 30 | 30 |
|
Inland Family Healthcare Centers, Inc.
300 N Euclid Ave |
$29.88 | 32 | 32 |
|
Jan David Tepper
984 W Foothill Blvd |
$0.54 | 33 | 26 |
|
Chris A Cruz
1183 E Foothill Blvd |
$84.14 | 43 | 41 |
|
Carla Canton Allen
1100 San Bernardino Road |
$10.28 | 45 | 42 |
|
Nancy Wang
300 N Euclid Ave Ste A |
$23.46 | 50 | 45 |
|
Sadia Fatima Moinuddin
901 San Bernardino Rd Ste 101 |
$100.56 | 51 | 50 |
|
Patricia Bowers
600 N Mountain Ave Ste B106 |
$0.46 | 52 | 51 |
|
Pamela Bekendam
555 N 13Th Ave |
$57.91 | 53 | 53 |
|
Chang Sup Lee
555 N 13Th Ave |
$65.96 | 53 | 51 |
|
Clara Man-Ching Olcott
1030 E Foothill Blvd Ste 101 |
$32.15 | 54 | 54 |
|
Pacific Eye Institute, A Medical Group, Inc.
555 N 13Th Ave |
$31.70 | 57 | 52 |
|
Veronica Dallal-Aryan
999 San Bernardino Rd |
$0.00 | 63 | 63 |
|
Bhavna Shalu Tandon
954 W Foothill Blvd Ste A |
$39.52 | 70 | 70 |
|
Martha Henao
555 N 13Th Ave |
$53.33 | 78 | 78 |
|
Freddie B Balguma
630 N 13Th Ave Ste C |
$54.05 | 80 | 80 |
|
Mary Jane Relampagos Mancuso
1113 Alta Ave |
$0.00 | 80 | 80 |
|
Christine Le Dang
999 San Bernardino Rd |
$0.00 | 88 | 68 |
|
Warren Regh C. Gabrillo Iii M.D. Inc.
631 N 13Th Ave |
$0.02 | 91 | 89 |
|
Stephanie D Jenniches
999 San Bernardino Rd |
$107.03 | 99 | 99 |
|
Anna Catalina Manalaysay Bravo-Custodio
1310 San Bernardino Rd Ste 102 |
$30.96 | 102 | 102 |
|
Wendy Dawn Rashidi
299 W Foothill Blvd Ste 209 |
$0.00 | 103 | 92 |
|
Ryan Gregory Smith
555 N 13Th Ave |
$76.89 | 116 | 116 |
|
Vasilena Zheleva
1100 San Bernardino Rd Ste 1100 |
$20.55 | 118 | 111 |
|
Natee Poopat
1030 East Foothill Blvd |
$20.63 | 124 | 121 |
|
Nina Chan
980 E Foothill Blvd Ste 104 |
$14.13 | 127 | 124 |
|
Marie C Carin-Parkes
999 San Bernardino Rd |
$0.00 | 130 | 125 |
|
Diba Izadyar
1100 San Bernardino Rd Ste 1100 |
$9.03 | 131 | 115 |
|
Elise Joelle Martinez
1060 E Foothill Blvd Ste 103 |
$6.55 | 136 | 125 |
|
Thomas W Lee Md Inc
930 E Foothill Blvd |
$38.15 | 137 | 120 |
|
Frantz Forbes Despas
400 N Mountain Ave |
$3.33 | 140 | 132 |
|
Trisna Gozali
1113 Alta Ave |
$0.59 | 158 | 154 |
|
Janilyn Sherman
1060 E Foothill Blvd Ste 103 |
$0.00 | 168 | 153 |
|
Monica A. Valenzuela-Gamm
1310 San Bernardino Rd |
$32.44 | 183 | 183 |
|
Allergy, Sinus & Asthma Consultants Inc.
1282 W Arrow Hwy Ste 100 |
$69.36 | 195 | 188 |
|
Jeffrey Thomas Straley
1100 San Bernardino Road |
$11.16 | 196 | 184 |
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 Upland, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Upland, CA is $44.57 per claim, based on 715,468 claims from 213 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 Upland, CA?
There are 213 Medicaid providers offering Office Visit related services in Upland, CA according to public payment data.
What is the price range for Office Visit in Upland, CA?
Medicaid reimbursement for Office Visit in Upland, CA ranges from $0.00 to $1,201 per claim, with an average of $44.57. 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 Upland, CA
Blood Work & Lab Tests
Avg $8.30
467,774 claims
Emergency Room Visit
Avg $69.32
227,225 claims
Eye Exam
Avg $30.79
208,846 claims
X-Ray
Avg $12.71
148,970 claims
EKG / ECG (Electrocardiogram)
Avg $18.65
134,300 claims
Psychiatric Evaluation
Avg $104.62
120,656 claims
Dental Cleaning & Exam
Avg $46.20
118,688 claims
Urinalysis & Urine Tests
Avg $3.02
116,599 claims