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 |
|---|---|---|---|
|
Enrique Esteinou
1000 Vale Terrace Dr |
$0.00 | 12 | 12 |
|
Gary L Kobayashi
145 Thunder Dr |
$21.06 | 12 | 12 |
|
Mark Steve Miller
1512 Green Oak Rd |
$0.00 | 14 | 14 |
|
Benjamin Hutton Stephens
2067 W Vista Way Ste 120 |
$37.73 | 15 | 14 |
|
Amy Mairson Bell
2067 W Vista Way |
$38.12 | 16 | 14 |
|
Kari Lynn Purcott
2095 W Vista Way Ste 106 |
$114.45 | 16 | 16 |
|
Hugh K Hodsman
145 Thunder Dr |
$40.14 | 17 | 16 |
|
Jaime Cortez
1000 Vale Terrace Dr |
$0.95 | 19 | 19 |
|
Bryan Hyler
550 W Vista Way Ste 103 |
$26.50 | 20 | 20 |
|
Iselda Gentry
161 Thunder Dr |
$0.00 | 21 | 21 |
|
Lindsey Wakefield Wilke
1512 Green Oak Rd |
$21.42 | 23 | 23 |
|
Leena Kurre
780 Shadowridge Dr |
$60.20 | 25 | 25 |
|
Sarah Elizabeth Fatland
1000 Vale Terrace Dr |
$0.00 | 25 | 20 |
|
Kelly Maxwell Phillips
1000 Vale Terrace Dr |
$112.71 | 26 | 26 |
|
Shantu B Patel
130 Cedar Rd |
$8.70 | 27 | 25 |
|
Tri-City Primary Care Medical Group, Inc
1926 Via Centre Drive |
$23.64 | 28 | 25 |
|
Alexandra Huey
1070 S Santa Fe Ave |
$94.19 | 28 | 24 |
|
David A. Austin
2067 W. Vista Way |
$0.00 | 29 | 29 |
|
Jennifer Michelle Black
1000 Vale Terrace Dr |
$0.67 | 36 | 30 |
|
Ji Hyung Yoo
780 Shadowridge Dr |
$20.54 | 37 | 37 |
|
Pamela Harris
1000 Vale Terrace Dr |
$0.00 | 38 | 31 |
|
Jack Harold Klausen
1000 Vale Terrace Dr |
$21.78 | 38 | 37 |
|
Paloma A Garza
1000 Vale Terrace Dr |
$0.00 | 39 | 39 |
|
Vicki N Browne-Remas
1000 Vale Terrace Dr |
$0.00 | 39 | 38 |
|
Marissa Johnson
2067 W Vista Way Ste 250 |
$34.24 | 44 | 43 |
|
Elise Jordan
910 Sycamore Ave Ste 270 |
$49.99 | 44 | 39 |
|
Patricia Adler Lynn Garretson
1000 Vale Terrace Dr |
$22.30 | 49 | 48 |
|
Kareem Moasis
906 Sycamore Ave Ste 201 |
$22.63 | 50 | 49 |
|
Larissa Lacorte
780 Shadowridge Dr |
$3.15 | 54 | 54 |
|
Sarah Nasreen Miller
1000 Vale Terrace Dr |
$0.00 | 58 | 55 |
|
Juan Pablo Zapatel
1000 Vale Terrace Dr |
$0.64 | 59 | 43 |
|
Stuart Lowell Bursten
204 S Santa Fe Ave |
$12.31 | 59 | 58 |
|
Jovana Stojanovska
2015 Troy Pl |
$14.81 | 67 | 63 |
|
George Clements
2067 W Vista Way Ste 225 |
$17.74 | 73 | 71 |
|
Hanh M. Bui, Md, Apmc
906 Sycamore Ave Ste 104 |
$33.48 | 75 | 74 |
|
Mirna Saavedra
1358 Palomar Pl |
$19.29 | 78 | 71 |
|
Jay Robert Grove
2385 S Melrose Dr |
$66.77 | 80 | 78 |
|
Deisha Malones Wilson
145 Thunder Dr |
$28.41 | 82 | 80 |
|
Mary C. Cueva
326 S Melrose Dr Ste 200 |
$2.88 | 83 | 79 |
|
Ardeth Copeland
1000 Vale Terrace Dr |
$0.11 | 90 | 87 |
|
Abbas Sedaghat
134 Grapevine Rd |
$3.90 | 91 | 87 |
|
Erinn Lewis Degracia
145 Thunder Dr |
$0.00 | 94 | 90 |
|
Kathryn Kuhn
130 Cedar Rd |
$75.45 | 98 | 96 |
|
George Simpson Knapp
1000 Vale Terrace Dr |
$0.00 | 102 | 100 |
|
Minu Sharma
1000 Vale Terrace Dr |
$1.67 | 110 | 110 |
|
Emily Tam
1000 Vale Terrace Dr |
$0.00 | 113 | 79 |
|
Jhaleh Kousari
1000 Vale Terrace Dr |
$12.29 | 115 | 99 |
|
Brenda Erickson
780 Shadowridge Dr |
$3.04 | 138 | 137 |
|
Jessica Hernandez
1000 Vale Terrace Dr |
$0.00 | 143 | 139 |
|
Kalmia Beets
1000 Vale Terrace Dr |
$0.00 | 146 | 107 |
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