Average Medicaid Office Visit Payments in Honolulu, HI: $72.77
Avg. Paid
$72.77
Range
$0.00 – $611.42
Total Claims
1,673,860
Providers
1,218
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 Honolulu, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kalihi Palama Health Center
915 N King St |
$156.96 | 62,390 | 52,730 |
|
The Queens Medical Center
1301 Punchbowl St |
$37.98 | 39,517 | 30,300 |
|
Waikiki Health
277 Ohua Avenue |
$175.70 | 37,744 | 30,971 |
|
Kokua Kalihi Valley Comprehensive Family Services
2239 N School St |
$146.08 | 27,497 | 22,442 |
|
Raymond Lau Lokahi Davidson
2228 Liliha St |
$56.70 | 24,074 | 20,554 |
|
Jesus Lucas
915 N King St |
$8.17 | 18,380 | 12,370 |
|
Jack J Zhou
100 N Beretania St |
$6.23 | 17,022 | 13,894 |
|
Robert Aki
1314 S King St |
$125.25 | 15,856 | 11,239 |
|
Donna Sliwowski
1188 Bishop St Ste 803 |
$56.85 | 14,381 | 10,887 |
|
Eddie A Lim
1021 Smith St |
$44.41 | 14,357 | 13,031 |
|
Sharon S Lawler
1029 Kapahulu Ave |
$16.89 | 13,971 | 8,106 |
|
Joshua C.H. Tan
550 S Beretania St Ste 608 |
$12.36 | 13,135 | 10,629 |
|
Piyush Tiwari
1188 Bishop St |
$69.58 | 12,650 | 10,234 |
|
Spencer Alan Lau
549 Halemaumau Street |
$46.15 | 12,587 | 10,416 |
|
Sharon Hiu Ong
1710 E West Rd |
$13.38 | 12,343 | 11,337 |
|
Keith K Woo
1520 Liliha St |
$39.35 | 12,197 | 10,222 |
|
Timothy Tsai
915 N King St |
$4.73 | 12,000 | 11,041 |
|
Patrick Chandler Murray
1319 Punahou St |
$194.49 | 11,234 | 9,252 |
|
Vicente Separa Ramo
634 Kalihi St |
$53.19 | 10,928 | 9,269 |
|
Chang D Lai
1380 Lusitana St |
$17.73 | 10,380 | 9,041 |
|
Carlos Buck Cheng Lam
1481 S King St |
$58.21 | 10,184 | 8,048 |
|
Michelle Wong
932 Ward Ave Ste 600 |
$0.07 | 10,011 | 5,443 |
|
Thomas Ka Shun Tan
2228 Liliha St |
$20.35 | 9,678 | 7,972 |
|
Sung Yup Jung
1520 Liliha St |
$39.05 | 9,626 | 7,297 |
|
Elizabeth Lim Abinsay
634 Kalihi St |
$17.34 | 9,442 | 8,356 |
|
Denis Mee-Lee
928 Nuuanu Ave Ste Ll2 |
$37.42 | 9,184 | 7,081 |
|
Maria Blanchard
1003 Bishop Street |
$25.60 | 8,785 | 7,670 |
|
Anthony Cadiente Hernandez
1824 Dillingham Blvd |
$19.33 | 8,534 | 6,805 |
|
Gregory K. Yim
1319 Punahou St |
$68.49 | 8,485 | 7,076 |
|
Russell G Tacata
1619 Liliha Street |
$18.52 | 8,219 | 6,206 |
|
Choon Kia Yeo
1650 Liliha St |
$39.43 | 8,194 | 5,600 |
|
Jose C Deleon
1520 Liliha St |
$48.39 | 7,904 | 6,681 |
|
Blandina C Mamaclay
915 N King St |
$225.00 | 7,478 | 6,402 |
|
Lulumafuie Fiatoa
2219 N School St |
$25.70 | 7,473 | 6,306 |
|
Waikiki Health
935 Makahiki Way |
$117.63 | 7,460 | 6,219 |
|
Daniel Lawrence Buehler
1319 Punahou St |
$56.33 | 7,207 | 6,693 |
|
David Jon Tamura
500 Ala Moana Suite 6-230 |
$48.09 | 7,191 | 5,457 |
|
Jeffrey J K Lee
1380 Lusitana St., Suite 407 |
$30.43 | 6,866 | 6,315 |
|
Michael Joseph Palazzo
197 Sand Island Access Rd Ste 200 |
$34.04 | 6,745 | 5,607 |
|
Estrella Caddali
806 Iwilei Rd |
$65.96 | 6,715 | 5,640 |
|
Gregory E. M. Yuen
1188 Bishop St |
$36.46 | 6,577 | 5,342 |
|
Amanda F Haley
1301 Punchbowl St |
$52.33 | 6,564 | 6,037 |
|
Marina Ostroukhova
1329 Lusitana St Ste 603 |
$64.01 | 6,538 | 5,267 |
|
Paul Hanjoon Kim
615 Piikoi St |
$31.25 | 6,485 | 5,601 |
|
Edward A Alquero
1441 Kapiolani Blvd Ste 713 |
$15.18 | 6,283 | 3,793 |
|
Benjamin R. Anderson
1319 Punahou St |
$291.10 | 6,204 | 5,868 |
|
Kenneth Ping Kin Ng
50 S Beretania St |
$0.22 | 6,161 | 4,015 |
|
Boyuan Cao
1507 S King St |
$45.54 | 6,129 | 4,808 |
|
Joseph Gary Dela Cruz
1748 Dillingham Blvd |
$11.58 | 6,119 | 5,112 |
|
Emily Diep
321 N Kuakini St Ste 715 |
$10.73 | 6,118 | 5,705 |
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 Honolulu, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Honolulu, HI is $72.77 per claim, based on 1,673,860 claims from 1218 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 Honolulu, HI?
There are 1218 Medicaid providers offering Office Visit related services in Honolulu, HI according to public payment data.
What is the price range for Office Visit in Honolulu, HI?
Medicaid reimbursement for Office Visit in Honolulu, HI ranges from $0.00 to $611.42 per claim, with an average of $72.77. 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 Honolulu, HI
Blood Work & Lab Tests
Avg $11.61
1,421,473 claims
Emergency Room Visit
Avg $340.33
850,913 claims
X-Ray
Avg $10.02
558,504 claims
Psychiatric Evaluation
Avg $71.94
420,919 claims
Dental Cleaning & Exam
Avg $40.32
370,381 claims
Ambulance Transport
Avg $139.93
332,029 claims
Substance Abuse Treatment
Avg $20.02
322,535 claims
Eye Exam
Avg $32.03
315,705 claims