Average Medicaid Office Visit Payments in Kahuku, HI: $168.27
Avg. Paid
$168.27
Range
$26.03 – $784.25
Total Claims
27,157
Providers
15
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 Kahuku, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ko Olauloa Health Center
56-119 Pualalea St. |
$140.83 | 7,460 | 6,379 |
|
Douglas A Sutherland
56 119 Pualalea St |
$148.00 | 4,210 | 3,887 |
|
Natividad Camit Hopewell
56-565 Kamehameha Hwy |
$179.58 | 2,657 | 2,452 |
|
Vincent Giani
56-119 Pualalea St |
$154.22 | 2,275 | 1,943 |
|
Tara Reed
56-119 Pualalea St |
$267.77 | 2,055 | 1,798 |
|
Jason Hughes
56-117 Pualalea Street |
$26.03 | 1,707 | 1,530 |
|
Haunani Annie Louis
56-119 Pualalea St |
$195.04 | 1,366 | 1,206 |
|
Robin M. Waggoner
56-565 Kamehameha Hwy |
$173.91 | 1,141 | 1,073 |
|
Jeff D. Smith
56-565 Kamehameha Hwy |
$175.11 | 1,118 | 1,042 |
|
Donna Kristine Joy Vallejo
56-117 Pualalea St |
$53.73 | 956 | 766 |
|
James Lawrence Askew
56-117 Pualalea St |
$784.25 | 864 | 777 |
|
Irene Hwang
56-119 Pualalea St |
$27.93 | 748 | 687 |
|
Constance Bridgman
57-427 Honokawela Dr |
$29.41 | 283 | 222 |
|
Danielle Tuck Wai Lum
56-119 Pualalea St |
$188.38 | 259 | 238 |
|
Kahuku Medical Center
56-117 Pualalea St |
$100.92 | 58 | 42 |
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 Kahuku, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kahuku, HI is $168.27 per claim, based on 27,157 claims from 15 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 Kahuku, HI?
There are 15 Medicaid providers offering Office Visit related services in Kahuku, HI according to public payment data.
What is the price range for Office Visit in Kahuku, HI?
Medicaid reimbursement for Office Visit in Kahuku, HI ranges from $26.03 to $784.25 per claim, with an average of $168.27. 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 Kahuku, HI
Blood Work & Lab Tests
Avg $9.36
23,744 claims
Emergency Room Visit
Avg $373.34
15,627 claims
Substance Abuse Treatment
Avg $0.00
8,385 claims
Physical Therapy
Avg $44.42
5,167 claims
Urinalysis & Urine Tests
Avg $1.09
4,216 claims
Vaccines & Immunizations
Avg $7.65
4,170 claims
X-Ray
Avg $17.04
2,703 claims
EKG / ECG (Electrocardiogram)
Avg $0.32
2,197 claims