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 |
|---|---|---|---|
|
Phyllis H Klein
1250 S Sunset Ave Ste 303 |
$47.77 | 12 | 12 |
|
Emanate Health Medical Center
1115 S Sunset Ave |
$918.36 | 12 | 12 |
|
Dennis Cheng
2707 E Valley Blvd |
$0.00 | 12 | 12 |
|
Emmily Vargas
1300 S Sunset Ave |
$0.00 | 12 | 12 |
|
Nicole Fuerst
1135 S Sunset Ave Ste 312 |
$22.50 | 12 | 12 |
|
Nathan George Abdelsayed
1115 S Sunset Ave Ste 200 |
$40.03 | 13 | 13 |
|
Katy Tsung
2707 E Valley Blvd Ste 116 |
$33.38 | 13 | 13 |
|
Mark Justin Jaraba Rueda
1007 Harrington Way |
$23.08 | 13 | 13 |
|
Bob Alavy Dpm Inc
741 S Orange Ave |
$36.42 | 14 | 13 |
|
Jae M Kim
1433 W Merced Ave. |
$10.29 | 14 | 14 |
|
Mitchell Ducett
1249 S Sunset Ave |
$74.64 | 14 | 13 |
|
Andrew Burton Wong
1026 W West Covina Pkwy Ste B |
$20.74 | 15 | 14 |
|
Sheila De Jesus-Maranan
1115 S Sunset Ave Ste 200 |
$14.67 | 15 | 15 |
|
Amalia Esmeralda Galvez Tristan
420 S Glendora Ave |
$0.00 | 16 | 16 |
|
Thuc N Ly
3433 Fionna Pl |
$19.54 | 19 | 19 |
|
Azhar Ul Haq
910 S Sunset Ave Ste 2 |
$1.83 | 24 | 24 |
|
Datar Singh Sodhi
741 S Orange Ave Fl 1 |
$20.90 | 24 | 20 |
|
Internal Medicine & Pulmonary Medical Associates
910 S Sunset Ave Ste 2 |
$18.21 | 25 | 24 |
|
James S. Yeh, M.D., Inc.
1250 S Sunset Ave Ste 203 |
$14.73 | 27 | 25 |
|
Patrick R. Duke
1050 Lakes Dr |
$0.00 | 27 | 24 |
|
Edward Jung
1115 S Sunset Ave Ste 100 |
$26.07 | 27 | 25 |
|
Afrielle Fondevilla
1900 W Garvey Ave S Ste 166 |
$0.00 | 27 | 27 |
|
Datar S. Sodhi, M.D.,Inc.
741 S Orange Ave |
$6.52 | 28 | 26 |
|
Raymond Pierre Limansky
1433 W Merced Ave Ste 220 |
$0.00 | 31 | 30 |
|
Maria Susan Buhay-Maglunog Md Inc
1250 S Sunset Ave |
$11.47 | 38 | 38 |
|
Ileana Reit
1433 W Merced Ave |
$0.00 | 39 | 38 |
|
James P Cheung
4141 S Nogales St |
$25.31 | 40 | 39 |
|
Mariana Munatones
1135 S Sunset Ave Ste 401 |
$3.80 | 40 | 40 |
|
Hsu-Ti Huang
933 S Sunset Ave Ste 202 |
$2.30 | 41 | 40 |
|
Dumrong Tangchitnob
1135 S Sunset Ave |
$14.52 | 41 | 38 |
|
Libra Pain Care
1433 W Merced Ave Ste 103 |
$11.99 | 41 | 39 |
|
Alicia Xiaoxi Liu
2707 E Valley Blvd |
$0.00 | 42 | 42 |
|
Charlene Schultz
420 S Glendora Ave |
$11.88 | 43 | 43 |
|
Virgilio J. Soriano
1559 E Amar Rd |
$3.39 | 44 | 38 |
|
Tong Minh Luong
2707 E Valley Blvd Ste 116 |
$56.11 | 45 | 44 |
|
Hung Che
910 S Sunset Ave Ste 2 |
$11.07 | 45 | 45 |
|
Cynthia M Peralta
1300 S Sunset Ave |
$0.00 | 46 | 45 |
|
Seung Sue Cua
1433 W Merced Ave |
$3.27 | 48 | 43 |
|
Diana M Fernandez
420 S Glendora Ave |
$1.36 | 49 | 41 |
|
Jair Wong
906 S Sunset Ave Ste 102 |
$2.99 | 50 | 50 |
|
Mark Wei Weng
1249 S Sunset Ave |
$42.50 | 50 | 50 |
|
Michelle R Jordan
1135 S Sunset Ave |
$29.11 | 51 | 36 |
|
Alexander Alaras Maglunog
1250 S Sunset Ave |
$0.00 | 53 | 53 |
|
Amanda O'Loughlin
1115 S Sunset Ave |
$20.09 | 53 | 34 |
|
Michelle El-Hajjaoui
1115 S Sunset Ave Ste 200 |
$30.35 | 57 | 53 |
|
Cheuk Man Chan
1433 W Merced Ave., #309 |
$34.59 | 57 | 50 |
|
Johnny Qi Zhong Jiang
140 N Orange Ave Ste 104 |
$0.41 | 59 | 54 |
|
Samimi Orthopedic Group, Inc.
741 S Orange Ave |
$6.98 | 60 | 57 |
|
Jenna Jade Cruz
1621 S Siesta Ave |
$0.00 | 62 | 59 |
|
Melinda Rodriguez-Mendoza
1444 E Mcwood St |
$0.00 | 64 | 53 |
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