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 |
|---|---|---|---|
|
Joanna Lynn Katz
21701 76Th Ave W |
$0.00 | 12 | 12 |
|
Bennett M Johnson
21616 76Th Ave W Ste 201A |
$74.92 | 12 | 12 |
|
Donald Tesch
7315 212Th St Sw |
$60.65 | 12 | 12 |
|
Kyle Beel
21601 76Th Avenue West |
$56.89 | 12 | 12 |
|
Matthew Bartindale
21911 76Th Ave W Ste 211 |
$47.45 | 12 | 12 |
|
Ellen M Modell
7320 216Th St Sw |
$47.28 | 12 | 12 |
|
Andrew James Chrisman
7320 216Th St Sw Ste 320 |
$33.90 | 12 | 12 |
|
Darcy Silver Foral
7320 216Th St Sw |
$40.22 | 13 | 12 |
|
Joslyn Alayna Parsons
21911 76Th Ave W Ste 211 |
$69.73 | 13 | 13 |
|
Casey Marie Dyer Babcock
21911 76Th Ave W Ste 110 |
$59.39 | 13 | 12 |
|
Juliana Wynne
7315 212Th St Sw Ste 101 |
$77.39 | 13 | 13 |
|
Stephanie K Tarry Yoo
21600 Highway 99 Ste 150 |
$12.22 | 13 | 13 |
|
Rachel Marie Penney
7315 212Th St Sw Ste 101&207 |
$61.98 | 13 | 13 |
|
Megan S. G. Griffithcull
21401 72Nd Ave W |
$55.75 | 13 | 12 |
|
Bailey Elizabeth Eley
7315 212Th St Sw Ste 101 |
$53.03 | 14 | 13 |
|
Matthew J Watson
21822 76Th Ave W |
$76.91 | 14 | 14 |
|
Michelle S Goodman
21600 Highway 99 Ste 260 |
$41.03 | 14 | 13 |
|
Steven H Swedberg
21827 76Th Ave W |
$0.23 | 15 | 12 |
|
Margaret S Fischer
21601 76Th Ave W |
$50.02 | 15 | 12 |
|
Brittany N Gallaher
7315 212Th St Sw |
$42.76 | 15 | 14 |
|
David F Peck
21616 76Th Ave W |
$32.98 | 15 | 12 |
|
Sean M Amann
7320 216Th St Sw Ste 320 |
$43.45 | 16 | 13 |
|
Mark A Kuzel
21229 84Th Ave W |
$33.63 | 16 | 15 |
|
Michael Lai
7315 212Th St Sw |
$41.41 | 18 | 14 |
|
Ross Carey
7315 212Th St Sw |
$43.72 | 19 | 19 |
|
Hyun Joong Hong
21616 76Th Ave W |
$0.00 | 21 | 20 |
|
Susan Bess Thomason
7315 212Th St Sw |
$68.72 | 25 | 24 |
|
Rodrigo Landeros
7315 212Th St Sw |
$26.97 | 25 | 25 |
|
Arpenik Avakian
21616 76Th Ave W |
$70.96 | 26 | 26 |
|
Daniel Junho Lee
21911 76Th Ave W Ste 211 |
$58.76 | 26 | 24 |
|
Brendan T Parker
21401 72Nd Ave W |
$52.25 | 26 | 25 |
|
Natalia Smith
21632 Highway 99 |
$114.62 | 28 | 27 |
|
Hye Yeon Jhun
21600 Highway 99 Ste 230 |
$85.51 | 29 | 29 |
|
Reena K Vasavada-Parikh
21616 76Th Ave W Ste 205 |
$35.18 | 29 | 27 |
|
Louis M. Blake-Inada
7320 216Th St Sw |
$19.57 | 30 | 30 |
|
Elaine Yilin Shao
21600 Highway 99 Ste 230 |
$75.01 | 30 | 30 |
|
Soraya Chanyasubkit
7315 212Th St Sw Ste 101 |
$67.13 | 31 | 29 |
|
Carolyn Kay
21616 76Th Ave W Ste 205 |
$37.68 | 31 | 27 |
|
Barton Eugene Smith
7315 212Th St Sw Ste 10 |
$45.93 | 32 | 30 |
|
Judith Babcock
21911 76Th Ave W |
$52.39 | 39 | 38 |
|
Mandy Merrick
7315 212Th St Sw |
$63.14 | 41 | 40 |
|
Carol L Venable
7320 216Th St Sw Ste 200 |
$51.57 | 42 | 39 |
|
Elizabeth Denali Kerr
21616 76Th Ave W Ste 205 |
$35.84 | 43 | 39 |
|
Shauna Anne Dentler
21616 76Th Ave W Ste 205 |
$41.12 | 43 | 41 |
|
Andrew James Pastor
21401 72Nd Ave W |
$54.06 | 44 | 43 |
|
Linda M Kampp
7315 212Th St Sw Ste 101 |
$42.66 | 44 | 39 |
|
Alicia Marie Placko
21911 76Th Ave W Ste 110 |
$50.78 | 44 | 42 |
|
Christopher Louis Scodeller
21601 76Th Ave W |
$51.52 | 49 | 49 |
|
Sarah A Mcguffin
21616 76Th Ave W Ste 113 |
$53.67 | 53 | 36 |
|
Benjamin Chia
21401 72Nd Ave W |
$72.82 | 53 | 49 |
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