Average Medicaid Office Visit Payments in Wilmington, CA: $15.56
Avg. Paid
$15.56
Range
$0.00 – $119.80
Total Claims
282,262
Providers
50
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 Wilmington, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Payam John Kahen
714 N Avalon Blvd |
$23.28 | 65,394 | 56,318 |
|
Thecla N. Mgbojirikwe
936 N Wilmington Blvd |
$12.57 | 23,636 | 21,350 |
|
Esperanza Ramirez
200 E Anaheim St |
$0.62 | 20,795 | 13,046 |
|
Homan Siman
1231 Avalon Blvd |
$10.02 | 14,314 | 12,835 |
|
Gayda Yody Garcia
123 E F St |
$1.26 | 13,234 | 12,374 |
|
Minh Nguyen
200 E Anaheim St |
$4.81 | 12,562 | 9,374 |
|
Yemi Kayode Akinwole
1110 W Anaheim St Ste 6 |
$63.81 | 11,743 | 11,186 |
|
Vanilla P. Brooks
1009 N Avalon Blvd |
$16.69 | 10,654 | 6,728 |
|
Anokhi Shah
200 E Anaheim St |
$2.07 | 9,749 | 6,272 |
|
Wilmington Urgent Care And Family Clinic Inc
714 N Avalon Blvd |
$30.31 | 9,051 | 8,368 |
|
Angela Renee Lee
1009 N Avalon Blvd |
$1.32 | 8,456 | 5,269 |
|
Asia Rochelle Delatorre
1325 Broad Ave |
$0.00 | 6,892 | 6,116 |
|
Clarence Canlapan Monteclaro
1325 Broad Ave |
$0.60 | 6,666 | 4,512 |
|
Northeast Community Clinic
200 E Anaheim St |
$0.60 | 5,949 | 5,575 |
|
Alejandra Duarte
445 E Anaheim St |
$2.94 | 5,403 | 4,467 |
|
Jennifer Kho Ting Casabar
1334 N Avalon Blvd |
$0.37 | 5,361 | 4,197 |
|
Crystal Maciel
1009 N Avalon Blvd |
$2.50 | 5,273 | 3,503 |
|
Luis A Gonzalez
803 Figueroa St |
$119.80 | 5,126 | 3,812 |
|
County Of Los Angeles
1325 Broad Ave |
$0.00 | 4,411 | 4,119 |
|
Houshmand Joseph Naim
301 N Avalon Blvd |
$3.36 | 4,302 | 4,158 |
|
Brianna Reyes Flores
200 E Anaheim St |
$0.68 | 3,912 | 2,513 |
|
Emma B. Trejo
200 E Anaheim St |
$0.60 | 3,882 | 2,692 |
|
Angel Guillen Perez
1721 N Wilmington Blvd |
$6.26 | 3,603 | 3,269 |
|
Behavioral Health Services Inc.
1334 N Avalon Blvd |
$0.05 | 3,381 | 2,637 |
|
Diana Linda Ortiz-Castro
1325 Broad Ave |
$0.00 | 2,449 | 2,149 |
|
Agnes Donghee Lee Choi
1110 W Anaheim St Ste 6 |
$4.12 | 2,268 | 1,892 |
|
Gilberto Granados
1325 Broad Ave |
$0.00 | 2,263 | 1,990 |
|
Sally Ammar
714 Avalon Blvd |
$16.33 | 2,014 | 1,971 |
|
Vanessa Santiago
200 E Anaheim St |
$99.23 | 1,925 | 1,832 |
|
Total Care Medical Clinic Inc
1110 W Anaheim St |
$33.12 | 1,838 | 1,645 |
|
Dahlma A Osborne
1107 W Don St |
$5.69 | 1,022 | 866 |
|
Sophia Tsu Tan-Truong
200 E Anaheim St |
$1.77 | 991 | 957 |
|
Elma Estrada
200 E. Anaheim Street |
$0.13 | 974 | 886 |
|
Linda Adams Rabbitt
200 E Anaheim St |
$68.07 | 509 | 498 |
|
Mauricio Flores
1325 Broad Ave |
$113.08 | 409 | 406 |
|
Alison Marian Marcus
1009 N Avalon Blvd |
$4.34 | 267 | 200 |
|
Wilmington Community Clinic
1009 N Avalon Blvd |
$0.46 | 267 | 247 |
|
County Of Los Angeles
1325 Broad Ave |
$15.23 | 232 | 228 |
|
Aimi Ton
1231 N Avalon Blvd |
$58.05 | 226 | 223 |
|
Avalon Family Medical Group Inc
1626 N Avalon Blvd |
$18.76 | 170 | 142 |
|
Comfort Family Clinic Inc.
936 N Wilmington Blvd |
$0.14 | 170 | 153 |
|
George Y Cheng
1239 N Avalon Blvd |
$0.00 | 126 | 118 |
|
Jesus Gutierrez
1325 Broad Ave |
$0.00 | 113 | 107 |
|
Sea Breeze Health Center Inc
123 E F St Unit F |
$0.00 | 101 | 97 |
|
Meher Naeem Ellahi
1009 N Avalon Blvd |
$95.40 | 68 | 37 |
|
Teresa Trang Nguyen
803 Figueroa St |
$2.70 | 39 | 38 |
|
Rosalind J Williams
445 E Anaheim St Ste H |
$21.56 | 29 | 28 |
|
Luisa Ramirez
200 E Anaheim St |
$0.00 | 18 | 17 |
|
Josephine Marlene Servin
200 E Anaheim St |
$0.00 | 13 | 13 |
|
Michelle D. Ababa
445 E. Anaheim Street #H |
$0.00 | 12 | 12 |
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 Wilmington, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wilmington, CA is $15.56 per claim, based on 282,262 claims from 50 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 Wilmington, CA?
There are 50 Medicaid providers offering Office Visit related services in Wilmington, CA according to public payment data.
What is the price range for Office Visit in Wilmington, CA?
Medicaid reimbursement for Office Visit in Wilmington, CA ranges from $0.00 to $119.80 per claim, with an average of $15.56. 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 Wilmington, CA
Substance Abuse Treatment
Avg $22.73
482,039 claims
Blood Work & Lab Tests
Avg $0.38
73,407 claims
Vaccines & Immunizations
Avg $1.99
45,228 claims
Eye Exam
Avg $10.54
28,711 claims
Urinalysis & Urine Tests
Avg $1.81
22,407 claims
Dental Cleaning & Exam
Avg $41.21
19,657 claims
Hearing Test (Audiometry)
Avg $2.69
19,411 claims
Behavioral & Mental Health Therapy
Avg $82.09
12,630 claims