Average Medicaid Office Visit Payments in Enumclaw, WA: $58.79
Avg. Paid
$58.79
Range
$7.89 – $114.05
Total Claims
46,288
Providers
41
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 Enumclaw, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paweena Thoophom
3021 Griffin Ave |
$82.47 | 9,186 | 8,711 |
|
Eduardo Visitacion Duquez
3021 Griffin Ave |
$54.32 | 2,913 | 2,769 |
|
Laura Songras-Rosales
3021 Griffin Ave |
$7.89 | 2,847 | 2,621 |
|
Joy Yea Frey
3021 Griffin Ave |
$50.01 | 2,609 | 2,511 |
|
Dinh X Tran
3021 Griffin Ave |
$57.00 | 2,598 | 2,347 |
|
Daniel T Clerc
3021 Griffin Ave |
$51.89 | 2,532 | 2,464 |
|
Jennifer Sweet
3021 Griffin Ave |
$58.90 | 2,529 | 2,404 |
|
Kashish Goyal
3021 Griffin Ave |
$57.15 | 2,094 | 2,028 |
|
Kristopher S. Dunbrack
3021 Griffin Ave |
$64.99 | 1,857 | 1,754 |
|
Dane Bay
3021 Griffin Ave |
$65.71 | 1,614 | 1,486 |
|
Kevin E Mckeighen
3021 Griffin Ave |
$51.63 | 1,515 | 1,454 |
|
Christopher D Bock
1145 Cole St |
$31.11 | 1,257 | 992 |
|
Meagan Burrus
1455 Battersby Ave |
$62.92 | 1,206 | 1,176 |
|
Tanya Marie Wilke
1427 Jefferson Ave |
$57.60 | 1,184 | 1,075 |
|
Brian J Hiller
853 Watson St N Ste 201 |
$63.51 | 996 | 922 |
|
Cheryl Kay Carney
1818 Cole St |
$50.77 | 990 | 949 |
|
Shannon Pendleton
3021 Griffin Ave |
$72.62 | 920 | 895 |
|
Susan M Sanborn
3021 Griffin Ave |
$62.24 | 771 | 717 |
|
Vera Grant
1818 Cole St Fl 1 |
$64.17 | 763 | 735 |
|
Nancy Ann Becker
1427 Jefferson Ave |
$43.98 | 752 | 617 |
|
Patricia Ann Reyes Quaine
1818 Cole St |
$70.89 | 701 | 694 |
|
Dana Marie Lee
3021 Griffin Ave |
$74.82 | 681 | 658 |
|
David Anthony Thiede Cortese
2820 Griffin Ave Ste 210 |
$88.00 | 650 | 625 |
|
Patricia Solomos
1818 Cole St |
$20.56 | 536 | 456 |
|
Leslie Schear
1818 Cole St |
$55.41 | 498 | 475 |
|
Jane M Houtz
2820 Griffin Ave |
$42.44 | 401 | 373 |
|
Julie Ann Hoffman
3021 Griffin Ave |
$73.80 | 284 | 259 |
|
Richard Paul Martin
2820 Griffin Ave Ste 210 |
$35.59 | 242 | 214 |
|
Jude Gerard D Verzosa
3021 Griffin Ave |
$34.49 | 206 | 197 |
|
Terah R Lara
1751 Cole St |
$114.05 | 202 | 115 |
|
Jennifer Marie Erickson
3021 Griffin Ave |
$49.48 | 178 | 166 |
|
Emily C Cunningham-Carter
1427 Jefferson Ave Ste 102 |
$36.40 | 162 | 158 |
|
Catherine Mary O'Brien
853 Watson St N Ste 200 |
$27.94 | 140 | 134 |
|
Rhonda E Martinez
1427 Jefferson Ave |
$44.08 | 67 | 58 |
|
Gouhar Yusuof Khan
1818 Cole St |
$45.42 | 56 | 54 |
|
Gabrielle N Parker
1818 Cole St |
$60.02 | 39 | 36 |
|
Liana Maxa
1455 Battersby Ave |
$60.00 | 30 | 30 |
|
David H Bishop
2820 Griffin Ave Ste 210 |
$48.50 | 27 | 27 |
|
Michael Glen Miller
3021 Griffin Ave |
$56.11 | 27 | 27 |
|
Sara L Hall
1818 Cole St |
$59.57 | 14 | 14 |
|
Holly A Dickson
853 Watson St N Ste 200 |
$43.65 | 14 | 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 Enumclaw, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Enumclaw, WA is $58.79 per claim, based on 46,288 claims from 41 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 Enumclaw, WA?
There are 41 Medicaid providers offering Office Visit related services in Enumclaw, WA according to public payment data.
What is the price range for Office Visit in Enumclaw, WA?
Medicaid reimbursement for Office Visit in Enumclaw, WA ranges from $7.89 to $114.05 per claim, with an average of $58.79. 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 Enumclaw, WA
Emergency Room Visit
Avg $240.82
61,607 claims
Blood Work & Lab Tests
Avg $17.54
43,925 claims
Urinalysis & Urine Tests
Avg $10.77
12,789 claims
Prescription Medications
Avg $33.50
8,226 claims
Physical Therapy
Avg $42.30
7,327 claims
X-Ray
Avg $37.18
6,654 claims
EKG / ECG (Electrocardiogram)
Avg $42.55
6,496 claims
Speech Therapy
Avg $14.73
6,299 claims