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 |
|---|---|---|---|
|
Ken R Clayton
78-6831 Alii Dr Ste 411 |
$57.03 | 13,659 | 12,172 |
|
Wesley Jitsuo Sugai
78-6831 Alii Dr Ste 328 |
$10.34 | 11,016 | 9,660 |
|
Trenton E Knewtson
77-311 Sunset Dr |
$69.81 | 4,087 | 3,255 |
|
Virginia Burford Hatch-Pigott
76-6225 Kuakini Hwy Ste C101 |
$45.01 | 3,957 | 3,727 |
|
Naomi G Bikle
75-5751 Kuakini Hwy Ste 101A |
$148.49 | 3,528 | 3,224 |
|
Joshua Nguyen
75-5751 Kuakini Hwy Ste 101A |
$173.31 | 3,487 | 3,204 |
|
Aren J Thompson
75-5751 Kuakini Hwy Ste 101A |
$182.20 | 3,350 | 3,128 |
|
Timothy H. Hagino
74-517 Honokohau St |
$255.68 | 3,186 | 2,982 |
|
Lillian Mccollum
74-5214 Keanalehu Dr |
$184.61 | 3,036 | 2,811 |
|
Tamara M Krimm
75-5751 Kuakini Hwy Ste 101A |
$129.34 | 2,815 | 2,395 |
|
Cassandra Travers
75-5751 Kuakini Hwy Ste 101A |
$229.51 | 2,617 | 2,417 |
|
Wei Boon Ooi
75-184 Hualalai Rd Ste 202 |
$54.38 | 2,562 | 2,241 |
|
Chandi-Nichole K Kiefer
75-5751 Kuakini Hwy Ste 101A |
$165.41 | 2,556 | 2,331 |
|
Kaidden Kelly
75-184 Hualalai Rd Ste 302 |
$27.46 | 2,507 | 2,105 |
|
Ann M Cox
75-5751 Kuakini Hwy |
$73.04 | 2,493 | 1,926 |
|
Heather Miner
75-5751 Kuakini Hwy Ste 101A |
$226.24 | 2,131 | 2,000 |
|
Shannon Price-Schwartz
74-5214 Keanalehu Dr |
$202.91 | 2,119 | 1,902 |
|
Marta L Derieg
76-6225 Kuakini Hwy |
$10.31 | 2,111 | 2,003 |
|
David Chris Wood
77-6403 Nalani St Ste 104 |
$33.19 | 2,049 | 1,832 |
|
Jana Marie Pomeroy
75-5751 Kuakini Hwy Ste 101A |
$49.90 | 2,027 | 1,613 |
|
Craig Stevenson
74-5214 Keanalehu Dr |
$232.44 | 1,880 | 1,796 |
|
Anne C Broderson
75-5699 Kopiko St Unit 5 |
$217.85 | 1,872 | 1,710 |
|
David Mccandless
78-6831 Alii Dr Ste 418 |
$121.43 | 1,839 | 1,647 |
|
Esther Smith
75-184 Hualalai Rd Ste 205 |
$28.25 | 1,756 | 1,481 |
|
Laura J Ankrum
75-5751 Kuakini Hwy Ste 101A |
$227.20 | 1,734 | 1,532 |
|
Rieko Yoneda Barreto
75-5751 Kuakini Hwy Suite #203 |
$239.99 | 1,724 | 1,551 |
|
West Hawaii Community Health Center, Inc.
74-5214 Keanalehu Dr |
$178.83 | 1,714 | 1,555 |
|
Jacquelyn V Murray
75-166 Kalani St |
$194.74 | 1,708 | 1,572 |
|
Donald Joseph Curry
75-5995 Kuakini Hwy |
$56.56 | 1,573 | 1,262 |
|
Greta M Ivers
75-5751 Kuakini Hwy Ste 101A |
$184.16 | 1,371 | 1,287 |
|
Lisa Michelle Jeanson
75-170 Hualalai Rd Ste D214 |
$79.42 | 1,367 | 1,303 |
|
Erin G Beasley
74-5214 Keanalehu Dr |
$196.15 | 1,343 | 1,244 |
|
Mark Timothy Senft
75-5591 Palani Rd |
$30.04 | 1,335 | 1,135 |
|
Leonardo Acosta Cortez
76-6225 Kuakini Hwy |
$65.03 | 1,257 | 1,118 |
|
Nicholas E Seeliger
75-5751 Kuakini Hwy Ste 101A |
$37.46 | 1,247 | 1,166 |
|
Paul Joel Hayward
78-6957 Kamehameha Iii Rd |
$235.95 | 1,241 | 1,109 |
|
Judye A Scheidt
74-517 Honokohau St |
$44.48 | 1,229 | 1,158 |
|
Emily Burkman
75-5995 Kuakini Hwy Ste 443 |
$36.86 | 988 | 914 |
|
Stephen Andl
75-5751 Kuakini Hwy |
$204.50 | 927 | 818 |
|
Kurtyss Alan Kasten
75-5751 Kuakini Hwy Ste 101A |
$238.35 | 924 | 853 |
|
Shellie R Norman
75-5995 Kuakini Hwy Ste 443&445 |
$8.69 | 869 | 768 |
|
Darren S Geliga
75-6107 Hoomama St |
$7.38 | 846 | 728 |
|
Rhonda Leigh Hamilton
75-5995 Kuakini Hwy |
$81.56 | 789 | 684 |
|
Doris Gwendolyn Ross
73 4434 Mamalahoa Hwy |
$47.84 | 784 | 724 |
|
Tyler Scott Mcmurry
76-6225 Kuakini Hwy Ste C106 |
$62.86 | 701 | 670 |
|
Forrest J. Delikowski
74-517 Honokohau St |
$24.49 | 667 | 633 |
|
Nathan P Tomita
75-170 Hualalai Rd Ste D216A |
$47.45 | 632 | 517 |
|
Rachell Lynn Malamed
75-184 Hualalai Rd Ste 302 |
$24.38 | 605 | 567 |
|
Kellie Acosta
75-5995 Kuakini Hwy Ste 513 |
$82.66 | 569 | 528 |
|
Jo-Ann Marilyn Casenas Castanares
75-5751 Kuakini Hwy Ste 101A |
$81.53 | 554 | 535 |
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