Average Medicaid Office Visit Payments in Kailua Kona, HI: $107.14
Avg. Paid
$107.14
Range
$0.00 – $279.91
Total Claims
119,695
Providers
95
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 Kona, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Alexandra Pratt
78-6831 Alii Dr Ste 328 |
$66.12 | 12 | 12 |
|
Transformation Health Network
75-5995 Kuakini Hwy Ste 513 |
$0.00 | 12 | 12 |
|
Excel Barayuga
75-5870 Walua Rd |
$1.69 | 13 | 12 |
|
Dallas R Andrade
75-184 Hualalai Rd Ste 202 |
$60.85 | 14 | 13 |
|
Richard A Pekala
75-137 Hualalai Rd |
$50.74 | 15 | 13 |
|
Kevin Kunz
75-5751 Kuakini Hwy Ste 101A |
$0.00 | 20 | 14 |
|
Aaron Todd Drapeau
75-5751 Kuakini Hwy Ste 101A |
$56.74 | 27 | 27 |
|
Mark S. Rhee
74-517 Honokohau St |
$3.15 | 41 | 39 |
|
Chow Y. Hwang
74-517 Honokohau St |
$72.70 | 52 | 48 |
|
Nicole Sung Nghi Hoang Murray
78-6831 Alii Dr Ste 422 |
$139.82 | 55 | 52 |
|
William G. Cervantes
74-517 Honokohau St |
$43.20 | 64 | 64 |
|
Clayton Lee Foster
78-6831 Alii Dr Ste 422 |
$57.37 | 70 | 51 |
|
Ashlynne Brown
75-5751 Kuakini Hwy Ste 101A |
$138.66 | 71 | 58 |
|
Elizabeth Stone
73-1319 Onaona Dr Unit 13E |
$52.96 | 82 | 76 |
|
Elizeth Lopez
74-517 Honokohau St |
$10.18 | 92 | 91 |
|
Joe Miller
78-6831 Alii Dr Ste 328 |
$0.00 | 104 | 102 |
|
Harnath Christopher Holmes
78-6831 Alii Dr |
$44.81 | 105 | 100 |
|
Cynthia C Ventenilla
74-517 Honokohau St |
$23.06 | 114 | 79 |
|
Lisa Angela Steinmueller
75-170 Hualalai Rd Ste C110 |
$45.84 | 118 | 96 |
|
David Marvin Woodliff
75-5751 Kuakini Hwy |
$201.25 | 123 | 112 |
|
Susan Heidi Senft
75-1028 Henry St |
$65.09 | 137 | 128 |
|
Cindy A Jean-Rooney
75-5751 Kuakini Hwy Ste 101A |
$199.22 | 197 | 181 |
|
Grethen Gamet
75-5751 Kuakini Hwy Ste 203 |
$256.50 | 201 | 195 |
|
Eyita Gaga
75-5751 Kuakini Hwy Ste 101A |
$279.91 | 204 | 175 |
|
Karla K Noel
78-6831 Alii Dr Ste 328 |
$37.35 | 208 | 180 |
|
Anjalie Rose Graham
75-5751 Kuakini Hwy |
$180.35 | 211 | 169 |
|
Jaime Angelyn Westlund
77-6399 Nalani St |
$16.21 | 214 | 176 |
|
Dominador Diokno Genio
75-5995 Kuakini Hwy |
$21.87 | 215 | 194 |
|
Wendi Clapp
75-5751 Kuakini Hwy Ste 101A |
$273.35 | 232 | 225 |
|
Christina Collins
75-5759 Kuakini Hwy |
$68.07 | 244 | 222 |
|
Aries Kuo
78-6831 Alii Dr Ste 411 |
$51.26 | 253 | 232 |
|
Lambert K Lee Loy
78-6831 Alii Dr Ste 116 |
$58.61 | 272 | 232 |
|
William Ross Hardwick
75-5751 Kuakini Hwy |
$203.31 | 280 | 271 |
|
Lauren A. Choy
74-517 Honokohau St |
$76.55 | 285 | 285 |
|
Navaid Asad
74-517 Honokohau St |
$11.41 | 289 | 286 |
|
Sue Ellen Oconnor
75-5751 Kuakini Hwy Ste 101A |
$210.24 | 295 | 260 |
|
Hannah Montanye
75-5870 Walua Rd |
$9.00 | 305 | 286 |
|
James A Ameika
75-167 Hualalai Rd Ste 100 |
$57.37 | 324 | 259 |
|
Carrie L. Colmenares
74-517 Honokohau St |
$72.48 | 325 | 301 |
|
Inna Litvin
75-1015 Henry St Ste 700 |
$53.36 | 345 | 313 |
|
Michelle Van Druff
75-5751 Kuakini Hwy Ste 101A |
$268.58 | 354 | 319 |
|
C Eric Lindborg
75-5751 Kuakini Hwy Ste 101A |
$232.64 | 411 | 382 |
|
Harshal Patel
74-517 Honokohau St |
$49.23 | 415 | 386 |
|
Jesyka D. L. Garlich
74-517 Honokohau St |
$155.48 | 435 | 362 |
|
Allan Veh Tuc Wang
75-166 Kalani St |
$79.38 | 502 | 440 |
|
Jo-Ann Marilyn Casenas Castanares
75-5751 Kuakini Hwy Ste 101A |
$81.53 | 554 | 535 |
|
Kellie Acosta
75-5995 Kuakini Hwy Ste 513 |
$82.66 | 569 | 528 |
|
Rachell Lynn Malamed
75-184 Hualalai Rd Ste 302 |
$24.38 | 605 | 567 |
|
Nathan P Tomita
75-170 Hualalai Rd Ste D216A |
$47.45 | 632 | 517 |
|
Forrest J. Delikowski
74-517 Honokohau St |
$24.49 | 667 | 633 |
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 Kona, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kailua Kona, HI is $107.14 per claim, based on 119,695 claims from 95 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 Kona, HI?
There are 95 Medicaid providers offering Office Visit related services in Kailua Kona, HI according to public payment data.
What is the price range for Office Visit in Kailua Kona, HI?
Medicaid reimbursement for Office Visit in Kailua Kona, HI ranges from $0.00 to $279.91 per claim, with an average of $107.14. 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 Kona, HI
Blood Work & Lab Tests
Avg $33.65
118,619 claims
Psychiatric Evaluation
Avg $87.08
62,221 claims
Physical Therapy
Avg $29.06
47,343 claims
Dental Cleaning & Exam
Avg $17.47
34,219 claims
Urinalysis & Urine Tests
Avg $0.79
26,345 claims
Substance Abuse Treatment
Avg $51.00
26,097 claims
Vaccines & Immunizations
Avg $4.15
19,547 claims
Eye Exam
Avg $23.10
16,820 claims