Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Kapolei, HI: $157.03

Avg. Paid

$157.03

Range

$1.45 – $296.49

Total Claims

137,598

Providers

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 Kapolei, HI

Provider	Avg. Paid	Claims	Patients
Waianae District Comprehensive Health And Hospital Board, Incorporated 599 Farrington Hwy	$207.44	48,463	38,673
Waianae District Comprehensive Health And Hospital Board, Incorporated 599 Farrington Hwy	$228.27	13,134	11,520
Ian Guerrero 91-710 Farrington Hwy Ste A120	$22.76	5,371	4,379
Elsa K. Tsutaoka 401 Kamokila Blvd	$49.97	5,327	3,994
Derek I Mito 599 Farrington Hwy Ste 201	$75.86	4,971	4,225
Naro Luke Torres 579 Farrington Hwy	$18.62	4,047	3,627
Mikala G Pino 401 Kamokila Blvd	$149.46	3,682	3,522
Joel Akimoto 599 Farrington Hwy Ste 100	$270.80	3,650	3,489
Donna C. Rumbaoa 401 Kamokila Blvd	$189.23	3,480	3,406
Dorothy Faye Fale 92-830 Kinohi Pl Apt 1	$274.83	2,904	2,554
Brian Panik 599 Farrington Hwy Ste 201	$248.17	2,487	2,396
Carol Y. Fong 401 Kamokila Blvd	$113.69	2,356	2,323
Ashley Kong Brimley 599 Farrington Hwy Ste 100	$296.49	2,245	2,002
Sho Park 599 Farrington Hwy Ste 201	$61.89	2,086	1,982
Valerie L. Besenbruch 401 Kamokila Blvd	$232.31	2,060	2,004
Joyce Aldon 401 Kamokila Blvd	$176.11	1,952	1,903
Leila M. Agullana 1001 Kamokila Blvd	$14.73	1,937	1,811
Maria C. Glover 401 Kamokila Blvd	$99.58	1,926	1,893
Brennen L. C. Owan 401 Kamokila Blvd	$167.42	1,832	1,618
John M. Waite 401 Kamokila Blvd	$101.91	1,768	1,738
Chloe Danielle Edinger 91-5431 Kapolei Pkwy Ste 1706	$11.53	1,742	1,564
Kylie Tanaka 91-5431 Kapolei Pkwy	$23.14	1,497	1,337
Rosalina Della 890 Kamokila Blvd Ste 102	$58.72	1,434	1,166
George Toshio Kato 599 Farrington Hwy	$25.39	1,391	1,206
Mark Henry Bernstein 599 Farrington Hwy	$25.10	1,324	1,002
Jonathan Tai Kook Kim 590 Farrington Hwy	$4.14	1,238	1,142
Lisa Marie Garrett 599 Farrington Hwy	$57.13	1,176	1,108
Nicole Yamaguchi Sun 401 Kamokila Blvd	$122.38	1,119	1,024
Johanna Javier 599 Farrington Hwy Ste 201	$29.12	1,008	961
Rebecca Shawn Gray 599 Farrington Hwy	$247.88	891	858
Marcus K. Iwane 401 Kamokila Bvld	$176.38	848	770
Lauren M. Ishida 401 Kamokila Blvd	$100.63	817	792
Darlene Ramones 599 Farrington Hwy	$14.21	683	619
Akolea K Santos 401 Kamokila Blvd	$52.64	673	599
Janette M. Brunken 401 Kamokila Blvd	$185.20	581	551
Christopher T Young 401 Kamokila Blvd	$191.55	553	524
Autumn June Mckillip 590 Farrington Hwy Unit 300	$71.95	479	440
Gerald Papin 401 Kamokila Blvd	$112.71	443	437
Todd Kyle Nakagawa 1001 Kamokila Blvd	$41.10	384	347
Alamelu Udayappan 401 Kamokila Blvd	$85.82	374	369
Kiyomi Keala Goto 599 Farrington Hwy Ste 201	$46.32	366	344
Henry Lyman Makini 590 Farrington Hwy Unit 220	$45.84	338	309
Megan Hokulani Sakamoto-Chun 91-5431 Kapolei Pkwy Ste 1706	$21.10	326	310
Audrey Arita 599 Farrington Hwy Ste 201	$20.70	309	275
Edward E Okimoto 599 Farrington Hwy	$23.01	296	282
Ivrys Dukes 590 Farrington Hwy Unit 300	$95.09	228	189
Cherie L S Raffelson 401 Kamokila Blvd	$258.60	202	197
Bradley Kaipoleimanu Lee 590 Farrington Hwy	$1.45	201	177
Carlos Magalhaes Daniel Akaka Outpatient Clinic	$75.59	175	138
Tracie F Hata 590 Farrington Hwy	$8.50	154	138

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 Kapolei, HI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kapolei, HI is $157.03 per claim, based on 137,598 claims from 60 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 Kapolei, HI?

There are 60 Medicaid providers offering Office Visit related services in Kapolei, HI according to public payment data.

What is the price range for Office Visit in Kapolei, HI?

Medicaid reimbursement for Office Visit in Kapolei, HI ranges from $1.45 to $296.49 per claim, with an average of $157.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Kapolei, HI: $157.03

Providers Offering Office Visit in Kapolei, HI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Kapolei, HI

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Blood Work & Lab Tests

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Vaccines & Immunizations

Physical Therapy

Non-Emergency Medical Transportation

Dental Cleaning & Exam

Urinalysis & Urine Tests