Average Medicaid Office Visit Payments in Kamuela, HI: $67.49
Avg. Paid
$67.49
Range
$2.32 – $205.00
Total Claims
60,810
Providers
50
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 Kamuela, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ron D Ah Loy
64-5188 Kinohou St |
$58.81 | 12 | 12 |
|
Peter A. In
65-1206 Mamalahoa Hwy |
$2.32 | 19 | 15 |
|
Mark A. Pithan
65-1267 Kawaihae Rd |
$36.64 | 27 | 27 |
|
Dorothy Ann Dolhanty
67-1125 Mamalahoa Hwy |
$36.92 | 46 | 41 |
|
William Douglas Hiller
67-1123 Mamalahoa Hwy |
$49.12 | 49 | 39 |
|
Jenifer P. Aaronson
64-1032 Mamalahoa Hwy Ste 306 |
$13.23 | 55 | 52 |
|
Angie N Stanley
65-1206 Mamalahoa Hwy |
$45.11 | 112 | 99 |
|
Charlotte Fern Love
65-1227B Opelo Rd Ste 5 |
$76.63 | 126 | 103 |
|
Queens North Hawaii Community Hospital
67-1125 Mamalahoa Hwy |
$81.10 | 128 | 104 |
|
Gregory Paul Calkins
65-1117 Ehiku Pl |
$51.60 | 280 | 241 |
|
Brett Colin Ferguson
64-1032 Mamalahoa Hwy |
$15.06 | 281 | 272 |
|
James R Lucas
67-1123 Mamalahoa Hwy |
$44.76 | 294 | 267 |
|
Queen'S North Hawaii Community Hospital
67-1125 Mamalahoa Hwy |
$172.79 | 329 | 265 |
|
Shannon Kristine Richards
64-1032 Mamalahoa Hwy Ste 306 |
$11.58 | 363 | 314 |
|
Andrea J Nelsen
64-1035 Mamalahoa Hwy Ste F |
$59.59 | 419 | 278 |
|
Ka'Ohimanu L.K.D. Akiona
62-100 Kaunaoa Dr |
$77.89 | 496 | 412 |
|
Noel Ming Chia
65-1267 Kawaihae Rd |
$27.08 | 585 | 546 |
|
Robin E Ramsay
65-1267 Kawaihae Rd |
$91.34 | 627 | 553 |
|
Jamie Leigh Deuchler
64-1032 Mamalahoa Hwy |
$66.41 | 631 | 572 |
|
Tiare Kaleinani Hartman
64-1032 Mamalahoa Hwy |
$45.79 | 652 | 609 |
|
Ronda Soto
65-1267 Kawaihae Rd |
$57.24 | 654 | 597 |
|
Jennifer K Hashimoto
65-1267 Kawaihae Rd |
$86.00 | 711 | 633 |
|
Amanda Drake
64-1032 Mamalahoa Hwy Ste 306 |
$18.99 | 725 | 622 |
|
Jennifer Lea Myers Shotwell
64-1032 Mamalahoa Hwy |
$24.88 | 761 | 734 |
|
Mark Ramil Villarin
66-1125 Mamalahoa Highway |
$184.78 | 771 | 621 |
|
Hilarie Lynn
65-1267 Kawaihae Rd |
$80.59 | 801 | 722 |
|
Kristi Yearout
65-1267 Kawaihae Road |
$55.39 | 806 | 695 |
|
Robin E Char
64-1035 Mamalahoa Hwy Ste F |
$84.97 | 900 | 704 |
|
Elizabeth Bush
64-5234 Hohola Drive |
$17.42 | 906 | 648 |
|
John M Dawson
67-1123 Mamalahoa Hwy |
$24.84 | 1,008 | 803 |
|
Carly Kaleo Correa
65-1298B Kawaihae Rd Ste 3 |
$21.38 | 1,070 | 920 |
|
Peter Edward Gregg
64-1032 Mamalahoa Hwy |
$19.05 | 1,076 | 1,048 |
|
Maria Stella Kalalo Batol
65-1190 Mamalahoa Hwy |
$37.63 | 1,188 | 1,055 |
|
Five Mountains Hawaii, Inc
64-1035 Mamalaho Hwy Ste F |
$133.65 | 1,301 | 990 |
|
Queen'S North Hawaii Community Hospital
65-1267 Kawaihae Rd |
$119.58 | 1,314 | 1,043 |
|
Neal J Shikuma
65-1230 Mamalahoa Hwy |
$39.17 | 1,317 | 1,084 |
|
Dara Pagaduan
Po Box 818 |
$167.80 | 1,333 | 1,163 |
|
Paul E Howard
64-1035 Mamalahoa Hwy |
$60.49 | 1,373 | 1,237 |
|
Joshua Lessard-Chaudoin
64-1032 Mamalahoa Hwy |
$24.20 | 1,557 | 1,348 |
|
John Michael Kurap
61-3642 Kawaihae Rd |
$142.94 | 1,596 | 1,422 |
|
Azriel Dror
64-1032 Hawaii Belt Rd |
$25.20 | 1,777 | 1,717 |
|
Patricia A Hopkins
67-1123 Mamalahoa Hwy |
$205.00 | 1,881 | 1,649 |
|
Neeva Lemmel-Duerr
64-1032 Mamalahoa Hwy Ste 204 |
$11.07 | 1,984 | 1,908 |
|
Victoria F. Fox-Behrle
67-1185 Mamalahoa Hwy |
$152.53 | 1,998 | 1,883 |
|
Meghan Elizabeth Gallagher
64-1032 Mamalahoa Hwy |
$10.60 | 2,429 | 2,329 |
|
Jon D Gerdsen
67-1123 Mamalahoa Hwy |
$49.17 | 2,854 | 2,637 |
|
Lorraine Sonoda-Fogel
65-1230 Mamalahoa Hwy Ste A10 |
$97.09 | 4,332 | 4,154 |
|
Russell Alan Parker
64-1032 Mamalahoa Hwy Ste 306 |
$62.46 | 4,629 | 4,202 |
|
Steven Clyde Kaplan
64-1032 Mamalahoa Hwy |
$18.98 | 5,481 | 5,214 |
|
Lokenani Kealoha Souza
65-1235A Opelo Rd Ste 1 |
$72.70 | 6,746 | 6,334 |
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 Kamuela, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kamuela, HI is $67.49 per claim, based on 60,810 claims from 50 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 Kamuela, HI?
There are 50 Medicaid providers offering Office Visit related services in Kamuela, HI according to public payment data.
What is the price range for Office Visit in Kamuela, HI?
Medicaid reimbursement for Office Visit in Kamuela, HI ranges from $2.32 to $205.00 per claim, with an average of $67.49. 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 Kamuela, HI
Emergency Room Visit
Avg $395.05
26,995 claims
Blood Work & Lab Tests
Avg $0.45
26,644 claims
Psychiatric Evaluation
Avg $93.45
21,638 claims
Physical Therapy
Avg $40.86
19,349 claims
X-Ray
Avg $6.60
18,275 claims
Vaccines & Immunizations
Avg $1.49
13,985 claims
CT Scan (Computed Tomography)
Avg $122.27
13,297 claims
Urinalysis & Urine Tests
Avg $0.30
11,928 claims