Average Medicaid Office Visit Payments in Edmonds, WA: $43.17
Avg. Paid
$43.17
Range
$0.00 – $126.81
Total Claims
184,894
Providers
172
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 Edmonds, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amy E Bishop
7315 212Th St Sw Ste 101 |
$34.46 | 12,811 | 12,107 |
|
Douglas D Mcmillen
23320 Hwy 99 |
$30.09 | 11,056 | 10,473 |
|
Scott R. Mcafee
23320 Highway 99 |
$50.19 | 10,215 | 9,849 |
|
Andrew Knubel Perry
21710 76Th Ave W |
$32.81 | 7,962 | 7,524 |
|
Rachel Skalina
23320 Highway 99 |
$26.96 | 7,182 | 6,891 |
|
Michelle R Richards
23320 Highway 99 |
$32.41 | 6,849 | 6,511 |
|
Carmen S. Oprea
23320 Highway 99 |
$32.30 | 6,086 | 5,821 |
|
Dadong Zhou
7320 216Th St Sw |
$65.28 | 5,533 | 5,441 |
|
Brianne Marie Bowen
21600 Highway 99 Ste 230 |
$48.57 | 4,906 | 4,685 |
|
Todd John Baumeister
7500 212Th St Sw |
$53.67 | 4,600 | 4,166 |
|
Elena D Geamanu
21616 76Th Ave W Ste 212 |
$35.16 | 4,067 | 3,945 |
|
Matthew James Perez
23320 Highway 99 |
$45.73 | 4,007 | 3,863 |
|
Nicole Wilkins
23320 Highway 99 |
$37.88 | 3,676 | 3,585 |
|
James R Babington
21616 76Th Ave W Ste 212 |
$39.69 | 3,640 | 3,478 |
|
Joseph N. Martinez
23320 Highway 99 |
$35.45 | 3,552 | 3,387 |
|
Fumi Obuse
21600 Highway 99 Ste 240 |
$55.70 | 3,506 | 3,428 |
|
Kiran Bhandari
23320 Highway 99 |
$30.97 | 3,389 | 3,235 |
|
Janine Alane Gundel
7416 212Th St Sw |
$77.16 | 3,293 | 2,743 |
|
Eleanor Grace Bly
23320 Highway 99 |
$34.79 | 3,182 | 3,089 |
|
Misook Joo
22618 Highway 99 Ste 106 |
$53.13 | 2,894 | 2,726 |
|
Joshua Wyatt
21600 Highway 99 Ste 290 |
$65.16 | 2,711 | 2,551 |
|
Jay Patrick Lopez
21632 Highway 99 |
$34.45 | 2,595 | 2,199 |
|
Ame Phitwong
21727 76Th Ave W Ste H |
$61.72 | 2,495 | 2,340 |
|
Anita Chopra
7320 216Th St Sw Ste 200 |
$41.41 | 2,407 | 2,234 |
|
Peter Ro
21600 Highway 99 Ste 150 |
$16.02 | 2,319 | 1,651 |
|
Alaine Nijenhuis
21911 76Th Ave W |
$62.86 | 2,287 | 2,199 |
|
Community Health Center Of Snohomish County
21701 76Th Ave W |
$22.28 | 1,986 | 1,803 |
|
Joe M Skariah
21911 76Th Ave W |
$68.05 | 1,873 | 1,676 |
|
Gurumeenal Krishnan
7315 212Th St Sw Ste 205 |
$38.44 | 1,850 | 1,819 |
|
Jungeun Lee
7320 216Th St Sw Ste 200 |
$39.31 | 1,821 | 1,508 |
|
Marianna Baghdasaryan
21601 76Th Ave W |
$68.17 | 1,644 | 1,606 |
|
Joni E Powers
21616 76Th Ave W Ste 212 |
$28.51 | 1,601 | 1,387 |
|
Kathryn Conkling
21616 76Th Ave W Ste 205 |
$40.30 | 1,581 | 1,539 |
|
Bich-Khanh T. Nguyen
7320 216Th St Sw |
$24.55 | 1,575 | 1,494 |
|
Nhi Lam
23320 Highway 99 |
$44.77 | 1,487 | 1,457 |
|
Emily Nel Peterson
21911 76Th Ave W |
$66.87 | 1,450 | 1,378 |
|
James Kristofer Sherwood
23320 Highway 99 |
$37.92 | 1,401 | 1,330 |
|
Ella Yepraksia Bostanjian
617 5Th Ave S |
$61.90 | 1,371 | 1,240 |
|
Agnes Wong
21600 Hwy 99 |
$79.26 | 1,367 | 1,339 |
|
Steven Koh
21600 Highway 99 Ste 280 |
$27.67 | 1,363 | 1,225 |
|
Jinhee Binder
23320 Highway 99 |
$40.93 | 1,348 | 1,310 |
|
Rupin Raj Thakkar
21600 Highway 99 |
$79.35 | 1,274 | 1,230 |
|
Chetan Pungoti
7320 216Th St Sw Ste 210 |
$48.88 | 1,190 | 1,161 |
|
Anna Marie Haring
21616 76Th Ave W Ste 205 |
$52.21 | 1,172 | 968 |
|
Yilei Ding
21616 76Th Ave W Ste 212 |
$35.60 | 1,110 | 1,084 |
|
Anny Soon
7320 216Th St Sw |
$38.40 | 1,102 | 1,047 |
|
Tyler Graham Kimbrough
21616 76Th Ave W |
$36.23 | 1,071 | 957 |
|
Christopher Paul Pitre
7315 212Th St Sw Ste 101/207 |
$51.82 | 1,041 | 1,002 |
|
Shawn E Rogers
21616 76Th Ave W |
$54.44 | 1,033 | 970 |
|
Emmy Nakasu Davison
21911 76Th Ave W |
$57.56 | 999 | 958 |
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 Edmonds, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Edmonds, WA is $43.17 per claim, based on 184,894 claims from 172 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 Edmonds, WA?
There are 172 Medicaid providers offering Office Visit related services in Edmonds, WA according to public payment data.
What is the price range for Office Visit in Edmonds, WA?
Medicaid reimbursement for Office Visit in Edmonds, WA ranges from $0.00 to $126.81 per claim, with an average of $43.17. 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 Edmonds, WA
Blood Work & Lab Tests
Avg $4.61
303,954 claims
Emergency Room Visit
Avg $87.36
139,908 claims
EKG / ECG (Electrocardiogram)
Avg $4.97
78,897 claims
Dental Cleaning & Exam
Avg $31.03
73,722 claims
Urinalysis & Urine Tests
Avg $1.27
51,796 claims
Physical Therapy
Avg $23.01
49,003 claims
Vaccines & Immunizations
Avg $6.52
46,170 claims
X-Ray
Avg $4.28
37,991 claims