Average Medicaid Office Visit Payments in West Covina, CA: $18.59
Avg. Paid
$18.59
Range
$0.00 – $1,154
Total Claims
1,073,885
Providers
266
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 West Covina, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Emil R Dominguez
409 E Merced Ave |
$0.18 | 52,371 | 49,766 |
|
Allen A. Hassen
3121 E Hillside Dr |
$1.75 | 43,909 | 31,855 |
|
Gloria Acuna Manuel
1300 S Sunset Ave |
$0.20 | 40,224 | 29,297 |
|
Ana Bertha Pantoja
1300 S Sunset Ave |
$0.53 | 35,620 | 24,591 |
|
Caroline Marie Licud Aventura
1300 S Sunset Ave |
$1.64 | 29,556 | 19,293 |
|
Andy Chin-Shing Hsu
2707 E Valley Blvd |
$41.58 | 29,076 | 28,073 |
|
Zaid Chaudhry
1135 S Sunset Ave Ste 408 |
$0.86 | 23,570 | 14,429 |
|
Wanchi Zeng
1135 S Sunset Ave Ste 408 |
$0.62 | 22,900 | 13,093 |
|
Smartclinic Inc
2707 E Valley Blvd |
$28.92 | 22,519 | 21,378 |
|
Brandon M Wallace
1300 S Sunset Ave |
$0.44 | 22,352 | 12,818 |
|
Mukhtair Singh Kundi
1740 W Cameron Ave |
$117.63 | 20,098 | 20,033 |
|
Lane K Dedrick
1300 S Sunset Ave |
$11.19 | 16,587 | 11,034 |
|
Eva Y Chan
2707 E Valley Blvd Ste 215 |
$1.76 | 15,885 | 14,684 |
|
Omar Waziri
420 S Glendora Ave |
$9.11 | 15,629 | 13,045 |
|
Caroline Matibag Caspe
1300 S Sunset Ave |
$0.03 | 15,214 | 14,881 |
|
Julie Alcid
420 S Glendora Ave |
$1.13 | 15,112 | 13,984 |
|
Poria Abdollah
1300 S Sunset Ave |
$0.05 | 15,029 | 10,235 |
|
Florence Lin Fong
1300 S Sunset Ave |
$0.23 | 14,993 | 9,131 |
|
Nithya Reddy Kona
1300 S Sunset Ave |
$0.20 | 14,703 | 8,458 |
|
Dhruv Kumar Sharma
1300 S Sunset Ave |
$0.86 | 13,957 | 9,977 |
|
Sung M Choe
421 E Merced Ave |
$60.06 | 13,416 | 12,064 |
|
Aarti Kulshrestha
1135 S Sunset Ave Ste 401 |
$8.29 | 13,100 | 12,275 |
|
Armen Yeghia Nercessian
2425 S Azusa Ave |
$4.73 | 12,878 | 11,604 |
|
Santosh Kumar Garg
1535 W Merced Ave |
$10.23 | 12,281 | 11,286 |
|
Sam Ahdab
1433 W Merced Ave Ste 103 |
$48.29 | 12,052 | 11,348 |
|
Miguel Isleta Domingo
512 S Glendora Ave |
$94.14 | 11,813 | 10,547 |
|
Gina M Liang
420 S Glendora Ave |
$0.39 | 11,798 | 10,725 |
|
Marc Allen Darpel
420 S Glendora Ave |
$0.36 | 11,696 | 10,363 |
|
Brian J Leberthon
1135 S Sunset Ave |
$38.09 | 11,665 | 10,471 |
|
Lina C. Dela Cruz
140 N Orange Ave Ste 100 |
$3.70 | 11,556 | 10,969 |
|
Maria Hellen Rodriguez
1135 S Sunset Ave Ste 402 |
$39.68 | 11,523 | 11,084 |
|
Benedicta Ofunne Omoko
1115 S Sunset Ave |
$3.40 | 11,517 | 9,917 |
|
Frank Choe
1115 S Sunset Ave |
$0.00 | 11,343 | 10,068 |
|
Lakshman D Makandura
910 S Sunset Ave |
$4.04 | 10,854 | 10,084 |
|
Manuel Zhu
1300 S Sunset Ave |
$0.23 | 10,145 | 7,803 |
|
Tuyen Trinh
724 E Merced Ave |
$41.46 | 9,627 | 9,493 |
|
Chaonan Ding
420 S Glendora Ave |
$0.37 | 9,411 | 8,691 |
|
John Young Lee
421 E Merced Ave |
$56.41 | 9,393 | 8,967 |
|
Christy Chingli Tan
420 S Glendora Ave |
$0.98 | 8,973 | 8,503 |
|
Li Chiung Wong
420 S Glendora Ave |
$0.18 | 8,312 | 7,198 |
|
Adelaide Willis
1500 W West Covina Pkwy |
$4.67 | 8,224 | 7,895 |
|
Gina V Hanna
1135 S Sunset Ave Ste 402 |
$32.98 | 8,077 | 7,804 |
|
Mark A Curran
1135 S Sunset Ave |
$32.83 | 7,830 | 7,236 |
|
Ower Ciprian Castro
1115 S Sunset Ave |
$3.23 | 7,677 | 7,551 |
|
Angie Thao Huynh
1300 S Sunset Ave |
$0.05 | 7,675 | 4,612 |
|
Tony Uong
1300 S Sunset Ave |
$23.69 | 7,637 | 6,780 |
|
Christopher Emmanuel Wissar
1300 S Sunset Ave |
$0.14 | 7,613 | 4,643 |
|
Erick Rodolfo Romero
1115 S Sunset Ave |
$60.76 | 7,274 | 6,309 |
|
Anna S Leung
1135 S Sunset Ave Ste 402 |
$34.20 | 7,120 | 6,672 |
|
Huy Tu Nguyen
1500 W. West Covina Parkway, Suite 101 |
$1.54 | 6,994 | 6,309 |
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 West Covina, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Covina, CA is $18.59 per claim, based on 1,073,885 claims from 266 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 West Covina, CA?
There are 266 Medicaid providers offering Office Visit related services in West Covina, CA according to public payment data.
What is the price range for Office Visit in West Covina, CA?
Medicaid reimbursement for Office Visit in West Covina, CA ranges from $0.00 to $1,154 per claim, with an average of $18.59. 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 West Covina, CA
Blood Work & Lab Tests
Avg $3.18
398,597 claims
Dental Cleaning & Exam
Avg $49.90
383,558 claims
Vaccines & Immunizations
Avg $2.95
312,564 claims
Physical Therapy
Avg $14.46
222,916 claims
Urinalysis & Urine Tests
Avg $1.39
183,574 claims
Emergency Room Visit
Avg $46.31
173,869 claims
Ultrasound
Avg $60.42
156,802 claims
Substance Abuse Treatment
Avg $24.82
156,348 claims