Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Hilo, HI: $62.82

Avg. Paid

$62.82

Range

$0.00 – $251.66

Total Claims

362,488

Providers

171

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 Hilo, HI

Provider	Avg. Paid	Claims	Patients
Frederick Alan Nitta 670 Ponahawai St	$57.10	21,263	14,878
Quyen-Anh Dai Tran 82 Puuhonu Pl Ste 211	$58.12	16,402	14,318
Syuck Ki Saito 868 Ululani St Ste 110	$9.37	14,656	12,867
Stephen A Warsh 45 Mohouli St	$85.18	13,134	12,329
Shallon Tore Craddock 199 Ululani St	$14.26	12,604	10,476
Kau Hospital 1190 Waianuenue Ave	$80.83	12,307	10,825
West Hawaii Community Health Center, Inc. 1178 Kinoole St	$148.55	8,811	8,149
Kau Hospital 1285 Waianuenue Ave	$84.84	8,321	7,197
Brenda Lee Orcutt 32 Ululani St	$49.73	8,169	7,786
John Adam Heaster 122 Haili St	$180.83	8,026	7,253
Daniel Delanoche Gallares 70 Olona St	$7.03	7,450	7,013
Charlotte L Grimm 1178B Kinoole St	$54.62	6,661	6,225
Melissa K Kuwahara 75 Puuhonu Place 202	$48.22	6,562	5,537
Peter Arnold Matsuura 670 Ponahawai St	$62.70	6,547	5,744
Wanda G Meurs 120 Pauahi Street	$4.91	6,215	5,542
Gina Marie Salcedo 1178 Kinoole St	$44.45	5,884	5,118
Lynn Puana 32 Ululani St	$55.42	5,607	5,423
Brian T. Sugai 670 Ponahawai St Ste 206	$54.66	5,536	4,645
Heather Jill Hirata 868 Ululani St	$68.34	5,379	5,156
Duane Arthur Rowe 325 E Makaala St	$77.61	5,201	5,067
Darrett Wai Yeung Choy 275 Ponahawai St	$7.75	5,116	4,657
Michael Treece 1178 Kinoole St	$213.12	5,016	4,648
Brenda M K Camacho 183 Mohouli Street	$2.55	4,846	4,570
Ty Jordan Tsuji De Silva 183 Mohouli St	$2.86	4,517	4,208
Vanessa Hulali Eaglin 73 Puuhonu Pl	$65.09	4,304	4,001
Joseph A D'Angelo 460 Kilauea Ave Ste 103	$105.43	4,224	3,874
Beth Ananda-Stout 891 Ululani St Ste 205	$40.09	4,185	3,036
Angela Jimeno Lind 1178 Kinoole St	$224.69	3,855	3,596
Hilo Benioff Medical Center 1190 Waianuenue Ave	$7.58	3,759	2,665
Kareem Hamed Khozaim 73 Puuhonu Pl	$218.80	3,755	3,052
Melissa Leilani Garnett 891 Ululani St	$86.79	3,636	3,085
Allan Lim Recto 1190 Waianuenue Ave	$35.72	3,202	2,851
Shelley Ham 169 Puueo St	$19.91	3,157	1,971
Sheareen Gedayloo 1248 Kinoole St Ste 103	$32.06	3,077	2,561
Allyson Wong 45 Mohouli St	$35.51	3,007	2,481
Lily J. Gillespie 1292 Waianuenue Ave	$56.13	2,853	2,701
Charles D Sonido 70 Olona St	$17.80	2,774	2,395
Richard Lee-Ching 780 Laukapu St	$27.74	2,770	2,427
West Hawaii Community Health Center, Inc. 73 Puuhonu Pl	$181.26	2,767	2,266
Leilani Kerr Aldrich 45 Mohouli St	$72.31	2,755	2,653
Kelly Leialoha Luscomb 80 Pauahi St Ste 101	$189.61	2,697	2,546
Charles Glenn Dundas 346 Waianuenue Ave	$59.03	2,683	2,468
David Y Nakamura 670 Ponahawai St	$24.22	2,548	2,195
Erin Alice Kaailau Kalua 615 Ponahawai St Ste 101	$15.39	2,496	2,265
Lovina H Sabnani 670 Ponahawai Street	$73.78	2,396	2,136
Katelyn P. Steele 670 Ponahawai St Ste 206	$97.26	2,381	2,238
Melanie R Arakaki 670 Ponahawai St	$13.73	2,343	2,119
Don Toshio Matsuura 1248 Kinoole St	$34.19	2,306	2,115
Heajung Ruesing 868 Ululani St	$2.49	2,302	2,101
Kevin Kiyoshi Kurohara 75 Puuhonu Place	$25.78	2,194	1,990

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 Hilo, HI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hilo, HI is $62.82 per claim, based on 362,488 claims from 171 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 Hilo, HI?

There are 171 Medicaid providers offering Office Visit related services in Hilo, HI according to public payment data.

What is the price range for Office Visit in Hilo, HI?

Medicaid reimbursement for Office Visit in Hilo, HI ranges from $0.00 to $251.66 per claim, with an average of $62.82. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Hilo, HI: $62.82

Providers Offering Office Visit in Hilo, HI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Hilo, HI

Personal Care Services

Blood Work & Lab Tests

Psychiatric Evaluation

Emergency Room Visit

Eye Exam

X-Ray

Dental Cleaning & Exam

Urinalysis & Urine Tests