Average Medicaid Office Visit Payments in Ferndale, WA: $35.85
Avg. Paid
$35.85
Range
$5.05 – $83.89
Total Claims
51,674
Providers
22
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 Ferndale, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brianna Case
6060 Portal Way |
$83.51 | 7,172 | 4,720 |
|
Nils Gibson Schoultz
5580 Nordic Way |
$30.82 | 7,115 | 6,796 |
|
Jessica T Wynne
6060 Portal Way |
$36.15 | 6,617 | 6,202 |
|
Sharon E Junge
6060 Portal Way |
$36.96 | 4,895 | 4,658 |
|
Susan E Kranzpiller
6060 Portal Way |
$52.07 | 3,699 | 3,456 |
|
Erin Michelle Maloney
5580 Nordic Pl |
$9.21 | 3,320 | 3,192 |
|
Unity Care Northwest
6060 Portal Way |
$25.43 | 2,838 | 2,628 |
|
Walter Kalani Snyder
5580 Nordic Pl |
$9.54 | 2,739 | 2,579 |
|
Stephen A. Lewis
5580 Nordic Way |
$8.85 | 2,724 | 2,625 |
|
Family Care Network Pllc
5580 Nordic Way |
$14.88 | 2,387 | 2,027 |
|
Micahlyn Marie Powers
5580 Nordic Way |
$30.27 | 1,883 | 1,784 |
|
Rebecca Brejcha
5580 Nordic Pl |
$6.86 | 1,162 | 1,108 |
|
John S. Hruby
5580 Nordic Way |
$5.05 | 1,152 | 956 |
|
Lori H. Sharrow
6060 Portal Way |
$53.23 | 1,040 | 967 |
|
Jennifer A Bates
5580 Nordic Way |
$12.03 | 957 | 923 |
|
Khon Truong
5580 Nordic Way |
$42.90 | 617 | 569 |
|
Leigh Gongaware
1815 Main St |
$57.82 | 547 | 512 |
|
David Zamachek
2376 Main St Ste 3 |
$75.39 | 403 | 335 |
|
Amelia Rose Brush
5580 Nordic Way |
$11.28 | 304 | 293 |
|
Brook Edward Walker
1815 Main St |
$42.32 | 48 | 41 |
|
Bertha H Safford
5580 Nordic Way |
$5.63 | 42 | 41 |
|
Kimberley A Bauer
2376 Main St |
$83.89 | 13 | 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 Ferndale, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ferndale, WA is $35.85 per claim, based on 51,674 claims from 22 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 Ferndale, WA?
There are 22 Medicaid providers offering Office Visit related services in Ferndale, WA according to public payment data.
What is the price range for Office Visit in Ferndale, WA?
Medicaid reimbursement for Office Visit in Ferndale, WA ranges from $5.05 to $83.89 per claim, with an average of $35.85. 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 Ferndale, WA
Dental Cleaning & Exam
Avg $28.68
77,931 claims
Physical Therapy
Avg $19.89
24,799 claims
Ambulance Transport
Avg $65.56
22,904 claims
Eye Exam
Avg $33.03
21,837 claims
Dental Filling
Avg $58.85
14,971 claims
Psychiatric Evaluation
Avg $94.66
5,463 claims
Vaccines & Immunizations
Avg $7.99
2,899 claims
Blood Work & Lab Tests
Avg $4.15
2,785 claims