Average Medicaid Office Visit Payments in Kapolei, HI: $157.03
Avg. Paid
$157.03
Range
$1.45 – $296.49
Total Claims
137,598
Providers
60
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 |
|---|---|---|---|
|
Wendi Nobuko Harada Shibayama
91-600 Farrington Hwy Unit 3 |
$60.66 | 16 | 12 |
|
Virgil Tanizaki
2176 Lauwiliwili St Unit 1 Office 12 |
$38.45 | 16 | 15 |
|
Diane L Ching
91-525 Farrington Hwy |
$40.33 | 30 | 28 |
|
Chelsea Ray O'Brien Pang
599 Farrington Hwy |
$262.95 | 35 | 35 |
|
Jessica A. Ono
401 Kamokila Blvd |
$292.86 | 62 | 56 |
|
Ashley K. Morisako
401 Kamokila Blvd |
$156.13 | 80 | 79 |
|
Vanessa Krieger
590 Farrington Hwy Unit 300 |
$11.09 | 83 | 67 |
|
Emily N. Sumner
401 Kamokila Blvd |
$122.80 | 113 | 113 |
|
Mel Angelo Ona
590 Farrington Hwy Unit 526A |
$97.29 | 115 | 114 |
|
Renisse Trecia Trillana
590 Farrington Hwy Unit 525 |
$85.19 | 120 | 114 |
|
Tracie F Hata
590 Farrington Hwy |
$8.50 | 154 | 138 |
|
Carlos Magalhaes
Daniel Akaka Outpatient Clinic |
$75.59 | 175 | 138 |
|
Bradley Kaipoleimanu Lee
590 Farrington Hwy |
$1.45 | 201 | 177 |
|
Cherie L S Raffelson
401 Kamokila Blvd |
$258.60 | 202 | 197 |
|
Ivrys Dukes
590 Farrington Hwy Unit 300 |
$95.09 | 228 | 189 |
|
Edward E Okimoto
599 Farrington Hwy |
$23.01 | 296 | 282 |
|
Audrey Arita
599 Farrington Hwy Ste 201 |
$20.70 | 309 | 275 |
|
Megan Hokulani Sakamoto-Chun
91-5431 Kapolei Pkwy Ste 1706 |
$21.10 | 326 | 310 |
|
Henry Lyman Makini
590 Farrington Hwy Unit 220 |
$45.84 | 338 | 309 |
|
Kiyomi Keala Goto
599 Farrington Hwy Ste 201 |
$46.32 | 366 | 344 |
|
Alamelu Udayappan
401 Kamokila Blvd |
$85.82 | 374 | 369 |
|
Todd Kyle Nakagawa
1001 Kamokila Blvd |
$41.10 | 384 | 347 |
|
Gerald Papin
401 Kamokila Blvd |
$112.71 | 443 | 437 |
|
Autumn June Mckillip
590 Farrington Hwy Unit 300 |
$71.95 | 479 | 440 |
|
Christopher T Young
401 Kamokila Blvd |
$191.55 | 553 | 524 |
|
Janette M. Brunken
401 Kamokila Blvd |
$185.20 | 581 | 551 |
|
Akolea K Santos
401 Kamokila Blvd |
$52.64 | 673 | 599 |
|
Darlene Ramones
599 Farrington Hwy |
$14.21 | 683 | 619 |
|
Lauren M. Ishida
401 Kamokila Blvd |
$100.63 | 817 | 792 |
|
Marcus K. Iwane
401 Kamokila Bvld |
$176.38 | 848 | 770 |
|
Rebecca Shawn Gray
599 Farrington Hwy |
$247.88 | 891 | 858 |
|
Johanna Javier
599 Farrington Hwy Ste 201 |
$29.12 | 1,008 | 961 |
|
Nicole Yamaguchi Sun
401 Kamokila Blvd |
$122.38 | 1,119 | 1,024 |
|
Lisa Marie Garrett
599 Farrington Hwy |
$57.13 | 1,176 | 1,108 |
|
Jonathan Tai Kook Kim
590 Farrington Hwy |
$4.14 | 1,238 | 1,142 |
|
Mark Henry Bernstein
599 Farrington Hwy |
$25.10 | 1,324 | 1,002 |
|
George Toshio Kato
599 Farrington Hwy |
$25.39 | 1,391 | 1,206 |
|
Rosalina Della
890 Kamokila Blvd Ste 102 |
$58.72 | 1,434 | 1,166 |
|
Kylie Tanaka
91-5431 Kapolei Pkwy |
$23.14 | 1,497 | 1,337 |
|
Chloe Danielle Edinger
91-5431 Kapolei Pkwy Ste 1706 |
$11.53 | 1,742 | 1,564 |
|
John M. Waite
401 Kamokila Blvd |
$101.91 | 1,768 | 1,738 |
|
Brennen L. C. Owan
401 Kamokila Blvd |
$167.42 | 1,832 | 1,618 |
|
Maria C. Glover
401 Kamokila Blvd |
$99.58 | 1,926 | 1,893 |
|
Leila M. Agullana
1001 Kamokila Blvd |
$14.73 | 1,937 | 1,811 |
|
Joyce Aldon
401 Kamokila Blvd |
$176.11 | 1,952 | 1,903 |
|
Valerie L. Besenbruch
401 Kamokila Blvd |
$232.31 | 2,060 | 2,004 |
|
Sho Park
599 Farrington Hwy Ste 201 |
$61.89 | 2,086 | 1,982 |
|
Ashley Kong Brimley
599 Farrington Hwy Ste 100 |
$296.49 | 2,245 | 2,002 |
|
Carol Y. Fong
401 Kamokila Blvd |
$113.69 | 2,356 | 2,323 |
|
Brian Panik
599 Farrington Hwy Ste 201 |
$248.17 | 2,487 | 2,396 |
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.
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 Kapolei, HI
Psychiatric Evaluation
Avg $117.00
66,421 claims
Blood Work & Lab Tests
Avg $4.39
37,686 claims
Eye Exam
Avg $30.01
30,277 claims
Vaccines & Immunizations
Avg $36.49
25,565 claims
Physical Therapy
Avg $52.37
19,142 claims
Non-Emergency Medical Transportation
Avg $0.00
14,395 claims
Dental Cleaning & Exam
Avg $29.56
9,456 claims
Urinalysis & Urine Tests
Avg $8.02
7,196 claims