Average Medicaid Office Visit Payments in Jbphh, HI: $26.28
Avg. Paid
$26.28
Range
$0.67 – $284.55
Total Claims
10,994
Providers
9
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 Jbphh, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Shirley A. Tamoria
480 Central Ave Bldg 1750 |
$31.64 | 6,140 | 3,744 |
|
Stefany Irasema O'Connell
480 Central Ave Bldg 1750 |
$0.67 | 2,552 | 1,568 |
|
Stacy K Kanayama-Trivedi
480 Central Ave |
$25.68 | 1,595 | 1,478 |
|
Isabel Dorotea Hung Wan
755 Scott Cir |
$48.74 | 394 | 383 |
|
Cynthia Ann Davis
480 Central Ave Bldg 1750 |
$2.97 | 94 | 93 |
|
Fallan L Pryor Anderson
755 Scott Cir |
$18.18 | 72 | 62 |
|
Wesley Palmer
480 Central Ave Bldg 1750 |
$222.41 | 64 | 56 |
|
Thomas Joseph Murphy
1430 Morton St |
$284.55 | 52 | 50 |
|
Todd Mitsuo Uchima
755 Scott Cir |
$70.94 | 31 | 31 |
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 Jbphh, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jbphh, HI is $26.28 per claim, based on 10,994 claims from 9 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 Jbphh, HI?
There are 9 Medicaid providers offering Office Visit related services in Jbphh, HI according to public payment data.
What is the price range for Office Visit in Jbphh, HI?
Medicaid reimbursement for Office Visit in Jbphh, HI ranges from $0.67 to $284.55 per claim, with an average of $26.28. 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
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Jbphh, HI
Emergency Room Visit
Avg $89.94
1,654 claims
Blood Work & Lab Tests
Avg $4.40
1,519 claims
Vaccines & Immunizations
Avg $7.87
511 claims
EKG / ECG (Electrocardiogram)
Avg $16.42
334 claims
X-Ray
Avg $23.23
49 claims
Urinalysis & Urine Tests
Avg $0.97
43 claims
Substance Abuse Treatment
Avg $0.00
23 claims