Average Medicaid Office Visit Payments in Elma, WA: $48.43
Avg. Paid
$48.43
Range
$0.00 – $228.12
Total Claims
90,440
Providers
35
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 Elma, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Grays Harbor County Public Hospital District No. 1
610 E Main Street |
$20.93 | 13,802 | 12,534 |
|
Justin K. Taylor
600 E Main St |
$55.44 | 8,841 | 7,916 |
|
Joseph Hans Kohn
600 E Main St |
$55.34 | 4,872 | 4,555 |
|
Stephen L Drasnin
515 W Main St |
$34.01 | 4,727 | 4,500 |
|
Jessica Renae Jurasin
600 E Main St |
$69.21 | 4,487 | 4,181 |
|
Grays Harbor County Public Hospital District No. 1
600 E. Main Street |
$28.88 | 4,333 | 3,658 |
|
Sean Garland Cherry
600 E Main St |
$51.44 | 4,321 | 4,103 |
|
Bonnie J. Mcreynolds
600 E. Main Street |
$51.59 | 4,008 | 3,805 |
|
Patrick O'Reilly
600 E Main St |
$57.59 | 3,956 | 3,684 |
|
Amir Atabeygi
600 E Main St |
$52.07 | 3,767 | 3,668 |
|
Kari M Lima
575 E. Main Street |
$52.20 | 3,764 | 3,592 |
|
Nicole Antonucci Taylor
600 E Main St |
$60.40 | 3,176 | 2,959 |
|
Kaylyn Wayman
600 E Main St |
$53.80 | 3,057 | 2,868 |
|
Mary Ellen Biggerstaff
600 E. Main Street |
$47.42 | 2,696 | 2,489 |
|
Shawn M. Andrews
575 E. Main Street |
$54.30 | 2,385 | 2,089 |
|
Grays Harbor County Public Hospital District No 1
600 E. Main Street |
$18.84 | 2,378 | 911 |
|
Belinda Viann Lear
600 E Main St |
$40.43 | 2,231 | 2,112 |
|
Joseph Lewis Mcfadden
600 E Main St |
$58.87 | 2,197 | 2,096 |
|
Sea Mar Community Health Centers
515 W Main St |
$24.04 | 1,990 | 1,849 |
|
Sonya K. Goodin
515 W Main St |
$113.03 | 1,807 | 1,514 |
|
Marcus William Heisler
610 E. Main Street |
$63.87 | 1,592 | 1,513 |
|
Ashley M Taylor
11 Schouweiler Rd |
$43.70 | 1,503 | 1,349 |
|
Laura Elaine Armstrong
610 E Main St |
$53.93 | 857 | 833 |
|
Sarah Anna Bradford
600 E Main St |
$68.57 | 757 | 736 |
|
Laura Brownsmith
600 E Main St |
$63.81 | 628 | 597 |
|
Edward Joseph Gonzalez
610 E Main St |
$228.12 | 606 | 522 |
|
Joel Ronald Joseph Stewart
610 E Main St |
$69.00 | 514 | 494 |
|
Meridith Erin Johnson-Koontz
600 E Main St |
$76.99 | 265 | 235 |
|
Grays Harbor County Public Hospital District No 1
579 E Main St |
$0.00 | 244 | 196 |
|
Marc Hartung
600 E Main St |
$83.17 | 235 | 227 |
|
Clyde Arthur Hanson
600 E Main St |
$74.44 | 199 | 176 |
|
Thomas Andrew Griffith
600 E Main St |
$71.56 | 131 | 127 |
|
Brandee Lee Haskin
600 E Main St |
$120.50 | 66 | 55 |
|
Gregory Hannabas
600 E Main St |
$84.91 | 28 | 28 |
|
Chris Paul Totten
600 E Main St |
$75.82 | 20 | 20 |
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 Elma, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elma, WA is $48.43 per claim, based on 90,440 claims from 35 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 Elma, WA?
There are 35 Medicaid providers offering Office Visit related services in Elma, WA according to public payment data.
What is the price range for Office Visit in Elma, WA?
Medicaid reimbursement for Office Visit in Elma, WA ranges from $0.00 to $228.12 per claim, with an average of $48.43. 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 Elma, WA
Blood Work & Lab Tests
Avg $24.63
188,421 claims
Emergency Room Visit
Avg $222.03
94,715 claims
Urinalysis & Urine Tests
Avg $12.16
44,216 claims
Physical Therapy
Avg $34.71
35,241 claims
X-Ray
Avg $122.82
30,103 claims
EKG / ECG (Electrocardiogram)
Avg $21.62
13,847 claims
CT Scan (Computed Tomography)
Avg $1,049
9,440 claims
Vaccines & Immunizations
Avg $9.28
8,711 claims