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 |
|---|---|---|---|
|
Henry Htwelay Khin
732 N Mountain Ave Ste A |
$80.19 | 66,408 | 60,893 |
|
Michael Christian Solano
954 W Foothill Blvd Ste A |
$81.74 | 28,586 | 27,067 |
|
Advanced Medical And Urgent Care Center
974 W Foothill Blvd |
$42.21 | 27,916 | 26,066 |
|
Louis Maximilian Dibernardo
974 W Foothill Blvd |
$45.16 | 21,509 | 20,769 |
|
Susan Christine Biegel
1004 W Foothill Blvd Ste 200 |
$3.58 | 20,566 | 18,939 |
|
William David Glasser
954 W Foothill Blvd |
$64.94 | 15,567 | 12,529 |
|
Lance Mitchell Siegel
1246 E Arrow Hwy |
$117.13 | 15,168 | 14,950 |
|
Franklin Martin Johnson
1310 San Bernardino Rd |
$47.06 | 14,617 | 14,250 |
|
Basim Zuhdi Abdelkarim
1310 San Bernardino Rd |
$71.82 | 14,116 | 13,718 |
|
May K Dagher
631 N 13Th Avenue |
$1.48 | 12,710 | 11,658 |
|
Dauod Ghafari
1533 W 7Th St |
$0.82 | 12,634 | 11,767 |
|
Romeo Samouh
811 E 11Th St |
$9.90 | 12,030 | 11,036 |
|
Faisal M Qazi
901 San Bernadino Rd Ste 102 |
$96.03 | 11,410 | 11,308 |
|
Tan Khac Nguyen
1310 San Bernardino Rd |
$25.05 | 11,351 | 9,006 |
|
Michael Anthony Benavidez
984 W Foothill Blvd |
$2.26 | 10,944 | 10,449 |
|
Steve Randal Ejercito Firme
980 E Foothill Blvd Ste 102 |
$4.35 | 10,525 | 9,484 |
|
Mouhanad Mark Alwan
1310 San Bernardino Rd |
$49.97 | 10,369 | 9,937 |
|
Sarah Mary Carter
954 W Foothill Blvd |
$59.80 | 10,217 | 7,607 |
|
Tashana Lewis
954 W Foothill Blvd |
$59.17 | 10,117 | 6,166 |
|
James Cheng-Shin Ho
1330 San Bernardino Rd Ste G |
$4.22 | 10,093 | 9,257 |
|
Max Vinco Soliguen
1183 E Foothill Blvd |
$1.42 | 9,992 | 9,229 |
|
Maher Danhash
1183 E Foothill Blvd Ste 135 |
$37.12 | 9,893 | 6,908 |
|
Bryan Pui Wang Chan
980 E Foothill Blvd |
$2.97 | 9,874 | 9,225 |
|
Lisa Doan Breshears
299 W Foothill Blvd Ste 124 |
$29.17 | 9,330 | 8,611 |
|
Jennifer Young-Hee Kim
360 E 7Th St Ste M |
$0.03 | 9,195 | 8,628 |
|
Glenn Mendoza Perez
630 N.13Th Ave. |
$7.63 | 9,158 | 8,184 |
|
Mohamed Bassam Sebai
1238 E Arrow Hwy |
$100.52 | 8,765 | 8,559 |
|
Antony Chunting Hou
1238 E Arrow Hwy |
$123.31 | 8,665 | 8,470 |
|
Francisco A Jimenez
360 E 7Th St Ste D |
$10.50 | 8,561 | 7,991 |
|
Swapnil P. Rajurkar
1100 San Bernardino Road |
$38.20 | 8,374 | 7,675 |
|
Daksha Ashok Jain
1175 E Arrow Hwy |
$2.80 | 7,979 | 7,042 |
|
Sarina Kular
299 W Foothill Blvd Ste 209 |
$0.35 | 7,776 | 7,446 |
|
Jason Niles Kukas
954 W Foothill Blvd Ste A |
$37.84 | 7,292 | 3,608 |
|
Tien-Sheng Hsu
980 E Foothill Blvd |
$0.52 | 7,158 | 6,574 |
|
Marc Howard Shomer
820 N Mountain Ave Ste 102 |
$30.23 | 7,030 | 6,612 |
|
Ghassan Hadi
1060 E Foothill Blvd |
$34.61 | 6,536 | 5,871 |
|
Bhupatrai H Desai
630 N 13Th Ave |
$94.22 | 6,071 | 6,016 |
|
Tamuyen Nguyen
1310 San Bernardino Rd |
$30.23 | 5,890 | 5,545 |
|
Nahel Al Bouz
811 E 11Th St Ste 203 |
$88.31 | 5,857 | 5,460 |
|
Eric C Lee
1238 E Arrow Hwy |
$78.51 | 5,753 | 5,564 |
|
Antoune K Saad
630 N 13Th Ave |
$10.55 | 5,694 | 5,361 |
|
Rick M Hirsch
300 N Euclid Ave |
$2.41 | 5,690 | 5,271 |
|
Monica Palma
600 N Mountain Ave Ste A104 |
$84.76 | 5,486 | 5,252 |
|
Thang Trung Le
548 N 13Th Ave |
$72.24 | 5,467 | 5,306 |
|
Byung Don Ahn
1382 E Foothill Blvd |
$23.49 | 5,334 | 4,635 |
|
Surjit Kaur Kahlon
630 N 13Th Ave |
$114.02 | 5,318 | 5,275 |
|
Syed Muhammad Hammad Rizvi
901 San Bernardino Rd Ste 104 |
$2.20 | 5,281 | 5,000 |
|
Josephine Baisa Montana
820 N Mountain Ave Ste 103 |
$0.04 | 4,991 | 4,488 |
|
Deepak V Sheth
360 E 7Th St |
$63.87 | 4,828 | 4,454 |
|
Amit I Patel
1282 W Arrow Hwy Ste 100 |
$57.96 | 4,713 | 4,640 |
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