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
Micah Thomas Gamble 45 Mohouli St Ste 200	$32.85	12	12
Fujiko Rose Matsui 1292 Waianuenue Ave	$112.61	12	12
Joshua Pierce 134 Puuhonu Way Apt B	$72.90	13	13
Daniel Robert Hudak 134 Puuhonu Way Apt B	$32.87	13	12
West Hawaii Community Health Center, Inc. 450 Kilauea Ave Ste 103	$235.70	14	12
Rhodelynn Pasion Ramos 2405 Kalanianaole Ave Ph 3	$0.00	15	15
Susan Margaret Cauley 82 Puuhonu Pl	$75.32	18	16
Nancy Stricklen-Juneau 1190 Waianuenue Ave	$0.00	21	18
Patrick Jewell 1285 Waianuenue Ave Fl 1	$22.01	26	25
Honolii Health Llc 891 Ululani St	$44.77	28	21
Rodney Tadashi Ono 1248 Kinoole St	$35.00	28	26
Hilo Benioff Medical Center 1190 Waianuenue Ave	$7.98	29	28
Barry Jason Worchel 37 Kekaulike St	$36.99	32	30
Cedric Mitsui 899-A Ululani Street	$0.00	41	40
Kerry A. Lau 670 Ponahawai St Ste 214	$41.82	42	41
Gerald E. Lau 82 Puuhonu Pl	$23.47	43	40
Aaron Morita 670 Ponahawai St	$25.93	50	48
Hannah Rose Kealohi Moore 1285 Waianuenue Ave	$149.32	51	43
Melissa Deborra Robey 1190 Waianuenue Ave	$98.75	61	55
Henry K Lee Loy 670 Ponahawai St Ste 218	$87.17	61	51
Mary Ann Santos Pefanco 1178B Kinoole St	$11.14	67	63
Ku Aloha Ola Mau 900 Leilani St	$0.00	68	35
Katrina Chong Tercero 1285 Waianuenue Ave	$171.12	71	62
Rachel Slater 47 Lanihuli St	$54.04	72	66
Edward William Gutteling 670 Kekuanaoa St	$95.50	75	65
Douglas Hiroshi Yamashita 1276 Kinoole St	$8.32	77	66
Dianna L. Guenther 1292 Waianuenue Ave	$39.62	81	78
Cathy Moonshine 305 Wailuku Dr Ste 3	$9.23	82	36
Lyric L. Santiago 75 Puuhonu Pl	$41.82	85	76
Mark Sakai 1190 Waianuenue Ave	$162.88	86	81
Haylee S Chung 1190 Waianuenue Ave	$185.63	87	78
Edwin M Montell 134 Puuhonu Way	$46.92	105	103
Chrissy Allyn Capati 1333 Waianuenue Ave	$199.49	111	110
Jay H. Charles 1292 Waianuenue Ave	$222.76	115	112
Douglas Craig Olsen 670 Ponahawai St	$17.68	150	129
Christopher Deuel 1190 Waianuenue Ave	$0.65	151	100
Pradeep Atla 1190 Waianuenue Ave	$59.58	151	148
Anna M. Rowe 1292 Waianuenue Ave	$11.73	174	165
Hoon Park 868 Ululani St Ste 110	$50.87	176	172
Wilfred C. Alik 1178 Kinoole St	$232.23	180	166
Raymond Wm Lee 82 Puuhonu Place	$36.22	188	187
Benjamin M Ono 1248 Kinoole St	$24.37	192	170
Paris Stowers 82 Puuhonu Pl Ste 205	$39.19	198	183
Gaku Yamaguchi 1438 Kilauea Ave	$60.78	216	202
Anna Marie Maisu 1190 Waianuenue Ave	$61.29	227	207
Laurie W. Hopman 1205 Kihonua Pl	$17.83	240	216
Allen Novak 122 Haili St	$41.58	247	135
Paige Sumida 1190 Waianuenue Ave	$112.34	252	221
Tracy Elizabeth Thornett 101 Aupuni St Ste 108	$31.39	255	217
Matthew Philip Johnston 1178 Kinoole St	$73.20	287	274

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