Average Medicaid Office Visit Payments in Walnut, CA: $25.46
Avg. Paid
$25.46
Range
$3.32 – $109.14
Total Claims
28,692
Providers
9
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 Walnut, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Wonsick Choe
20627 Golden Springs Dr Ste 1B |
$5.84 | 20,138 | 12,778 |
|
Alan Ceralde
721 Lyonwood Ave |
$109.14 | 3,847 | 3,722 |
|
Ankush Sharma
20927 Gartel Dr |
$29.75 | 3,089 | 3,075 |
|
Kelley S. Bitter
340 Walnut Av |
$81.27 | 1,188 | 1,030 |
|
Mary Chen
18780 Amar Rd |
$3.32 | 293 | 271 |
|
Luke Pata
19245 Slate Creek Dr |
$49.56 | 57 | 57 |
|
Dilipkumar G Patel
20901 Glenbrook Dr |
$4.36 | 45 | 42 |
|
Isabel Elodia Wilhelm
19524 Avenida Del Campo |
$6.28 | 18 | 16 |
|
123 Medical Group Corp.
18800 Amar Rd Ste C12 |
$33.75 | 17 | 17 |
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 Walnut, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Walnut, CA is $25.46 per claim, based on 28,692 claims from 9 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 Walnut, CA?
There are 9 Medicaid providers offering Office Visit related services in Walnut, CA according to public payment data.
What is the price range for Office Visit in Walnut, CA?
Medicaid reimbursement for Office Visit in Walnut, CA ranges from $3.32 to $109.14 per claim, with an average of $25.46. 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 Walnut, CA
Dental Cleaning & Exam
Avg $49.15
51,861 claims
Dental Filling
Avg $65.12
17,312 claims
Behavioral & Mental Health Therapy
Avg $127.30
11,308 claims
Physical Therapy
Avg $17.08
9,172 claims
Nursing Facility Care
Avg $34.24
6,134 claims
Tooth Extraction
Avg $73.35
3,447 claims
Blood Work & Lab Tests
Avg $25.68
2,329 claims
Emergency Room Visit
Avg $100.15
2,218 claims