Average Medicaid Office Visit Payments in Kailua, HI: $49.94
Avg. Paid
$49.94
Range
$0.00 – $634.55
Total Claims
150,243
Providers
98
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 Kailua, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Glenn Todd Bessinger
970 N Kalaheo Ave Ste C108 |
$65.05 | 12,588 | 11,620 |
|
Philip H Kuo
414 Uluniu St |
$45.06 | 12,372 | 10,382 |
|
Stuart David Lerner
970 N Kalaheo Ave Ste C316 |
$63.46 | 11,021 | 8,654 |
|
Shane J Millard
130 Kailua Rd |
$52.03 | 8,793 | 7,146 |
|
Philip David Hellreich
40 Aulike St |
$36.12 | 7,816 | 6,544 |
|
Landis W L Lum
201 Hamakua Dr |
$29.39 | 7,119 | 4,808 |
|
John Nagamine
642 Ulukahiki St |
$15.31 | 6,081 | 5,600 |
|
Philip Iee-Lian Kuo
414 Uluniu St |
$46.32 | 5,778 | 5,154 |
|
Eesha R Bhattacharyya
642 Ulukahiki St |
$59.03 | 4,850 | 4,159 |
|
Emily A Brewer
970 N Kalaheo Ave Ste C316 |
$60.53 | 3,873 | 3,509 |
|
Jonathan David Carlson
40 Aulike St Ste 411 |
$51.64 | 3,814 | 3,343 |
|
Sonny J.H. Wong
25 Maluniu Ave Ste 201 |
$62.80 | 3,715 | 3,243 |
|
Jennifer M Lee
151 Hekili St Ste 120 |
$67.31 | 3,330 | 2,837 |
|
Joseph Robert Giannasio
264 Kahako St |
$16.09 | 2,930 | 2,321 |
|
Brijit Bertsche Reis
30 Aulike St |
$14.35 | 2,661 | 2,444 |
|
Gail Kyoko Nakaichi
407 Uluniu St |
$3.55 | 2,353 | 2,184 |
|
Marilee Kuulei Owens
970 N Kalaheo Ave Ste C306 |
$0.49 | 2,345 | 2,171 |
|
Jeanette Champeau Leitner
30 Aulike St Ste 500 |
$14.48 | 2,336 | 2,107 |
|
Dale Eugene Adams
314 Uluniu Street |
$71.92 | 2,244 | 1,907 |
|
Frank Allen Williams
157 Kihapai St Unit A |
$153.89 | 1,832 | 1,662 |
|
Jeremy D Roberts
40 Aulike St Ste 312 |
$66.76 | 1,826 | 1,540 |
|
Sandra P Au
407 Uluniu St |
$33.04 | 1,753 | 1,572 |
|
Michael S. Jaffe
40 Aulike St Ste 317 |
$35.43 | 1,718 | 1,379 |
|
Robin Huffer Lynch
30 Aulike St Ste 500 |
$13.57 | 1,501 | 1,373 |
|
Susan M Vicenti
40 Aulike St |
$42.04 | 1,387 | 1,239 |
|
Robert Michael Hamilton
201 Hamakua Dr |
$154.79 | 1,260 | 1,214 |
|
Katherine E Filbeck
407 Uluniu Street |
$79.57 | 1,205 | 1,043 |
|
Anthony Frank Magliulo
642 Ulukahiki St |
$15.98 | 1,171 | 1,062 |
|
Kimberly Kay Lund
970 N Kalaheo Ave |
$3.83 | 1,170 | 1,020 |
|
Le Kim Lee
970 N Kalaheo Ave Ste C306 |
$14.71 | 1,160 | 825 |
|
David A. Kaminskas
642 Ulukahiki Street |
$53.27 | 1,139 | 1,100 |
|
Shelean L Roylance
660 Kailua Rd |
$5.41 | 1,133 | 1,035 |
|
Jena Y. Nakata
602 Kailua Rd Ste 200 |
$19.86 | 1,086 | 961 |
|
Steven Mc Lum
30 Aulike Street |
$16.17 | 1,042 | 852 |
|
Judith Fitzgerald
407 Uluniu St |
$230.47 | 1,004 | 943 |
|
Nathan Cox
970 N Kalaheo Ave Ste C108 |
$81.43 | 1,001 | 919 |
|
Darin Gould
970 N Kalaheo Ave |
$0.00 | 937 | 731 |
|
Heather R. Awaya
642 Ulukahiki |
$63.86 | 865 | 654 |
|
Susan Chapman
642 Ulukahiki St |
$42.49 | 847 | 767 |
|
Dwight H Matsumura
333 Uluniu St |
$9.72 | 833 | 713 |
|
Kenneth J Filbeck
354 Uluniu St Ste 404 |
$7.10 | 810 | 691 |
|
Katsuya Andrew Iizuka
602 Kailua Rd |
$20.85 | 795 | 721 |
|
Susan S Hiraoka
642 Ulukahiki St Ste 207 |
$21.41 | 790 | 701 |
|
Michael Yick Tim Yee
642 Ulukahiki St |
$38.75 | 769 | 690 |
|
Thomas C Keller
30 Aulike St |
$224.73 | 735 | 694 |
|
Marti Y. Taba
602 Kailua Rd |
$16.47 | 683 | 628 |
|
Devin Selva Ganesh
30 Aulike St Ste 201 |
$46.83 | 648 | 563 |
|
Robert Vit Jao
407 Uluniu St Ste 113 |
$63.95 | 635 | 603 |
|
Michele Yamada Pangilinan
1757 Kanapuu Drive |
$234.17 | 626 | 486 |
|
Castle Medical Center
640 Ulukahiki St |
$9.31 | 614 | 540 |
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 Kailua, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kailua, HI is $49.94 per claim, based on 150,243 claims from 98 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 Kailua, HI?
There are 98 Medicaid providers offering Office Visit related services in Kailua, HI according to public payment data.
What is the price range for Office Visit in Kailua, HI?
Medicaid reimbursement for Office Visit in Kailua, HI ranges from $0.00 to $634.55 per claim, with an average of $49.94. 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 Kailua, HI
Emergency Room Visit
Avg $184.58
224,516 claims
Blood Work & Lab Tests
Avg $5.16
182,902 claims
Dental Cleaning & Exam
Avg $39.32
51,636 claims
EKG / ECG (Electrocardiogram)
Avg $5.85
45,461 claims
X-Ray
Avg $8.80
36,089 claims
Urinalysis & Urine Tests
Avg $1.93
30,750 claims
Non-Emergency Medical Transportation
Avg $14.55
29,016 claims
Vaccines & Immunizations
Avg $9.71
24,910 claims