Average Medicaid Office Visit Payments in Vista, CA: $12.75
Avg. Paid
$12.75
Range
$0.00 – $303.23
Total Claims
864,801
Providers
215
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 Vista, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Josue Leon
1000 Vale Terrace Dr |
$11.44 | 66,384 | 47,351 |
|
Donald Lim Ong
1000 Vale Terrace Dr |
$1.22 | 58,199 | 46,856 |
|
Christopher Pudol
1000 Vale Terrace Dr |
$1.02 | 51,453 | 38,887 |
|
Dao Minh Tran
134 Grapevine Rd |
$1.92 | 36,510 | 33,962 |
|
Planned Parenthood Of The Pacific Southwest
1964 Via Centre Drive |
$50.51 | 31,735 | 30,354 |
|
Vista Community Clinic
1000 Vale Terrace Dr |
$56.28 | 25,465 | 23,030 |
|
Christos Andreas Karanikkis
1000 Vale Terrace Dr |
$8.42 | 23,205 | 16,053 |
|
Sopheap Ly
134 Grapevine Rd |
$0.51 | 21,148 | 17,632 |
|
Andrea Daugirdas
1000 Vale Terrace Dr |
$1.56 | 20,183 | 18,738 |
|
Robert E Fredricks
1000 Vale Terrace Dr |
$0.33 | 18,104 | 12,252 |
|
Michael Lawrence Macmurray
1000 Vale Terrace Dr |
$0.48 | 18,097 | 17,180 |
|
Nassrin Rahimi
1000 Vale Terrace Dr |
$0.52 | 17,597 | 11,853 |
|
Brian Shawn Luschwitz
134 Grapevine Rd |
$0.40 | 17,562 | 16,038 |
|
William Russell Murray Bennett
1000 Vale Terrace Dr |
$1.42 | 16,255 | 14,557 |
|
Nicole P Hartford
1000 Vale Terrace Dr |
$0.29 | 15,887 | 12,753 |
|
Kelsey Carrio
134 Grapevine Rd |
$2.06 | 15,791 | 14,931 |
|
John Clancy
2375 S Melrose Dr |
$1.37 | 15,707 | 13,715 |
|
Alexander Delgadillo
134 Grapevine Rd |
$1.11 | 14,632 | 13,962 |
|
Carlos Oliva
1070 S Santa Fe Ave Ste 9 |
$13.01 | 13,894 | 12,762 |
|
Deborah Tanus
1000 Vale Terrace Dr |
$1.20 | 13,808 | 12,265 |
|
Nathaniel Ju
1000 Vale Terrace Dr |
$1.34 | 13,342 | 10,768 |
|
Veronica L Naudin
2067 W Vista Way |
$5.67 | 13,291 | 12,558 |
|
Ramin Amani
950 Civic Center Dr # A |
$3.62 | 13,081 | 11,056 |
|
Cheryl Emily Thompson
134 Grapevine Rd |
$1.04 | 12,598 | 10,295 |
|
Lisa Anne Leonard
1000 Vale Terrace Dr |
$5.41 | 12,216 | 6,939 |
|
Kevin John Ronan
1000 Vale Terrace Dr |
$0.54 | 11,853 | 8,091 |
|
Michael Alan Larocque
1000 Vale Terrace Dr |
$2.25 | 10,938 | 8,095 |
|
Alice E. Besong
1000 Vale Terrace Dr |
$20.02 | 8,627 | 6,830 |
|
Aftab Ahmed Qazi
910 Sycamore Ave Ste 270 |
$61.91 | 8,501 | 7,305 |
|
Enrique M. Boquin
1000 Vale Terrace Dr |
$0.51 | 7,385 | 5,557 |
|
Ryan M. Hikes
1000 Vale Terrace Dr |
$0.26 | 7,226 | 5,174 |
|
Stanley G. Ambo
2067 W. Vista Way |
$4.78 | 7,174 | 6,889 |
|
Sue Ann Park
1000 Vale Terrace Dr |
$0.31 | 6,187 | 4,663 |
|
Hanh M Bui
906 Sycamore Ave Ste 104 |
$28.44 | 6,173 | 5,908 |
|
Melissa Hawkins
1000 Vale Terrace Dr |
$7.39 | 6,115 | 4,164 |
|
Jorge L. Castro
2067 W Vista Way |
$3.84 | 6,045 | 5,809 |
|
Elsie Bernardo-Gregory
1000 Vale Terrace Dr |
$2.84 | 5,704 | 5,066 |
|
Farzaneh Hassani
134 Grapevine Rd |
$1.77 | 5,527 | 5,067 |
|
Steven Fish
161 Thunder Dr Ste 208 |
$33.69 | 5,417 | 5,312 |
|
Hilary Mara Bowers
1000 Vale Terrace Dr |
$16.24 | 5,256 | 5,131 |
|
Sameer Gupta
2023 W Vista Way |
$109.58 | 5,196 | 5,077 |
|
Rashad Ansari
2023 W Vista Way |
$92.26 | 5,037 | 4,517 |
|
Iris Arrieta
1000 Vale Terrace Dr |
$10.29 | 4,658 | 3,098 |
|
Natalie D. Muth
2067 W. Vista Way |
$6.03 | 4,489 | 4,252 |
|
Emad Abu-Khieran
1840 West Dr |
$17.83 | 4,461 | 3,277 |
|
Yi Ting Halgedahl
1000 Vale Terrace Dr |
$0.79 | 4,291 | 3,784 |
|
Robert William Ziering
2067 W Vista Way |
$38.09 | 4,250 | 4,124 |
|
William A Searcy
1000 Vale Terrace Dr |
$58.48 | 4,212 | 3,466 |
|
Nevin Arora
450 S Melrose Dr |
$45.60 | 3,996 | 3,933 |
|
David A Ham
130 Cedar Rd |
$74.75 | 3,909 | 3,757 |
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 Vista, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Vista, CA is $12.75 per claim, based on 864,801 claims from 215 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 Vista, CA?
There are 215 Medicaid providers offering Office Visit related services in Vista, CA according to public payment data.
What is the price range for Office Visit in Vista, CA?
Medicaid reimbursement for Office Visit in Vista, CA ranges from $0.00 to $303.23 per claim, with an average of $12.75. 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 Vista, CA
Substance Abuse Treatment
Avg $143.60
202,808 claims
Vaccines & Immunizations
Avg $1.56
183,453 claims
Eye Exam
Avg $7.84
172,375 claims
Dental Cleaning & Exam
Avg $50.93
139,038 claims
Urinalysis & Urine Tests
Avg $1.39
93,440 claims
Psychiatric Evaluation
Avg $21.54
91,322 claims
Chiropractic Care
Avg $5.53
89,182 claims
Blood Work & Lab Tests
Avg $2.19
81,343 claims