Average Medicaid Office Visit Payments in Kaneohe, HI: $38.51
Avg. Paid
$38.51
Range
$0.00 – $287.69
Total Claims
99,564
Providers
45
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 Kaneohe, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott John Miscovich
46-001 Kamehameha Hwy Ste 109 |
$20.56 | 43,073 | 32,680 |
|
Taying Yang
46-001 Kamehameha Hwy |
$37.12 | 8,883 | 6,768 |
|
David M Samsami
45-1151 Kamehameha Hwy Ste C |
$52.36 | 6,873 | 5,604 |
|
Justin Mitsuo Hino
46-056 Kamehameha Hwy Ste 221 |
$8.92 | 4,960 | 4,518 |
|
Kaipo Kaiulu Haa Lindsey
46-001 Kamehameha Hwy Ste 109 |
$28.87 | 3,897 | 3,172 |
|
Albert Ing
46-001 Kamehameha Hwy |
$71.19 | 3,789 | 3,409 |
|
Lisa Ann Shigemura
46-056 Kamehameha Hwy |
$6.29 | 3,372 | 3,078 |
|
Lynn B. Yanagihara
46-056 Kamehameha Hwy |
$5.20 | 2,748 | 2,503 |
|
Kathleen A. Morimoto-Nishioka
45-602 Kamehameha Hwy |
$166.89 | 2,348 | 2,208 |
|
Jamil S Sulieman
46-001 Kamehameha Hwy |
$66.16 | 2,339 | 1,967 |
|
Adam D. Picker
45-602 Kamehameha Hwy |
$127.05 | 1,888 | 1,807 |
|
Erma F. Jose
46-056 Kamehameha Hwy |
$10.57 | 1,540 | 1,366 |
|
Mark C. Lee
46-056 Kamehameha Hwy |
$12.10 | 1,481 | 1,317 |
|
Suzanne L. Dunn
45-602 Kamehameha Hwy |
$38.26 | 1,379 | 1,351 |
|
Jami M.Y. Strapple
46-001 Kamehameha Hwy |
$37.93 | 1,028 | 972 |
|
Ryan Michael Smith
46-001 Kamehameha Hwy Ste 212 |
$55.58 | 900 | 774 |
|
Minuteclinic Diagnostic Of Hawaii, L.L.C.
45-480 Kaneohe Bay Dr |
$4.37 | 872 | 740 |
|
Jean-Paul Clark
46-001 Kamehameha Hwy |
$76.31 | 850 | 781 |
|
Glenn M Stahl
46-001 Kamehameha Hwy |
$12.08 | 782 | 586 |
|
James Patrick Jones
46-001 Kamehameha Hwy Ste 401 |
$165.51 | 747 | 627 |
|
Alda Lam
46-056 Kamehameha Hwy Ste 221 |
$7.77 | 743 | 668 |
|
Clayton Chan
45-1144 Kamehameha Hwy |
$176.87 | 624 | 572 |
|
Yogi R. Patel
45-602 Kamehameha Hwy |
$182.98 | 535 | 471 |
|
Mii A. Hawkins
45-602 Kamehameha Hwy |
$199.89 | 475 | 449 |
|
Elizabeth Kahoaloha Kaaihue Stoltzman
45-1144 Kamehameha Hwy |
$8.60 | 403 | 359 |
|
Anna-Lia Garcia Quinio
45-955 Kamehameha Hwy Ste 300 |
$287.69 | 361 | 350 |
|
Joseph Chiu Shung Tsai
46-001 Kamehameha Hwy |
$16.01 | 359 | 316 |
|
Madelyn G. Locquiao
45 480 Kaneohe Bay Drive |
$75.25 | 348 | 330 |
|
Erika Ann Borlie-Crawford
45-030 Namoku St |
$81.67 | 323 | 287 |
|
Robin Izumi Matsukawa
46-056 Kamehameha Hwy |
$18.10 | 294 | 272 |
|
Li-Duen Clark
46-001 Kamehameha Hwy |
$77.06 | 282 | 261 |
|
Miriam M Chang
46-001 Kamehameha Hwy |
$181.64 | 234 | 215 |
|
Janine Y. Among
45-602 Kamehameha Hwy |
$277.48 | 222 | 218 |
|
Ardi Hermawan
46-056 Kamehameha Hwy Ste 221 |
$0.25 | 140 | 104 |
|
Julia C. Park
45-602 Kamehameha Hwy |
$164.80 | 130 | 123 |
|
Lauren Watanabe
45-710 Keaahala Rd |
$0.00 | 69 | 62 |
|
Lahelaho'Opomaika'I Blake
46-005 Kawa St Ste 203 |
$17.41 | 47 | 37 |
|
Community Mental Health Center Clubhouse-Ko'Olau
46-016 Alaloa St |
$0.00 | 44 | 41 |
|
Sharon Marie Tisza
45-710 Keaahala Rd |
$57.33 | 40 | 37 |
|
Changhua Wang
46-001 Kamehameha Hwy Ste 303 |
$11.39 | 32 | 26 |
|
Carter Thomas Liotta
45-995 Wailele Rd Apt 67 |
$0.00 | 32 | 31 |
|
Anne Reynolds Leake
45-260 Waikalua Rd. |
$25.64 | 30 | 24 |
|
Jennifer Penn Lerner
47-387 Lulani St |
$38.64 | 18 | 16 |
|
Clifford Teruo Tanaka
46-001 Kamehameha Highway |
$7.26 | 15 | 13 |
|
Rolin Otomo
46-056 Kamehameha Hwy |
$34.09 | 15 | 13 |
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 Kaneohe, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kaneohe, HI is $38.51 per claim, based on 99,564 claims from 45 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 Kaneohe, HI?
There are 45 Medicaid providers offering Office Visit related services in Kaneohe, HI according to public payment data.
What is the price range for Office Visit in Kaneohe, HI?
Medicaid reimbursement for Office Visit in Kaneohe, HI ranges from $0.00 to $287.69 per claim, with an average of $38.51. 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 Kaneohe, HI
Home Health Visit
Avg $70.88
26,967 claims
Dental Cleaning & Exam
Avg $31.08
25,325 claims
Psychiatric Evaluation
Avg $83.42
16,342 claims
Eye Exam
Avg $21.63
10,579 claims
Substance Abuse Treatment
Avg $65.57
10,556 claims
Blood Work & Lab Tests
Avg $4.44
9,525 claims
Tooth Extraction
Avg $222.81
9,273 claims
Case Management Services
Avg $26.62
8,119 claims