Average Medicaid Office Visit Payments in Kenmore, WA: $51.29
Avg. Paid
$51.29
Range
$14.43 – $106.21
Total Claims
18,324
Providers
22
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 Kenmore, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Nona L. Hanson
6133 Ne 188Th Pl |
$57.89 | 4,505 | 4,429 |
|
Alaro M Lawson
6016 Ne Bothell Way |
$44.17 | 4,484 | 4,415 |
|
Patricia Claire Wreford-Brown
18151 68Th Ave Ne Ste 100 |
$73.23 | 1,953 | 1,568 |
|
Karen Rongren
6016 Ne Bothell Way Ste G |
$40.68 | 1,769 | 1,698 |
|
Timothy Scott Anderson
18208 66Th Ave Ne |
$35.60 | 1,343 | 1,251 |
|
Scott Allen Buesing
17620 80Th Ave Ne Apt 133 |
$14.43 | 1,316 | 905 |
|
Stephanie Michelle Sinclair
18208 66Th Ave Ne Ste 201 |
$91.55 | 981 | 885 |
|
Sam Child Eggertsen
6016 Ne Bothell Way |
$32.77 | 445 | 425 |
|
Helan Lee-Garrard
18151 68Th Ave Ne Ste 100 |
$53.04 | 205 | 187 |
|
Travis Jo Gerhart Cufley
18208 66Th Ave Ne Ste 200 |
$60.16 | 186 | 183 |
|
Brandon Testa
18208 66Th Ave Ne Ste 200 |
$46.68 | 177 | 152 |
|
Brianna Allain Piche
6610 Ne 181St St Ste 2 |
$106.21 | 171 | 152 |
|
Jodie Murdoch
18208 66Th Ave Ne |
$51.88 | 150 | 142 |
|
Ana Luisa Cabrales Neal
18151 68Th Ave Ne Ste 100 |
$50.00 | 140 | 134 |
|
Sunita Iyer
18208 66Th Ave Ne Ste 201 |
$57.26 | 95 | 88 |
|
Mercedes Marie Alice
18208 66Th Ave Ne Ste 201 |
$85.77 | 93 | 85 |
|
Brandon Wei
18151 68Th Ave Ne Ste 100 |
$56.82 | 86 | 83 |
|
Katherine Emily Martin
18208 66Th Ave Ne Ste 200 |
$81.01 | 71 | 69 |
|
Hazel A Philp
14500 Juanita Dr Ne |
$54.95 | 50 | 44 |
|
Christopher J Telge
18208 66Th Ave Ne |
$32.50 | 46 | 44 |
|
Thomas S Dawson
18151 68Th Ave Ne Ste 100 |
$49.31 | 44 | 41 |
|
Marcus Aaron Zeitz
18151 68Th Ave Ne Ste 100 |
$72.49 | 14 | 14 |
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 Kenmore, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kenmore, WA is $51.29 per claim, based on 18,324 claims from 22 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 Kenmore, WA?
There are 22 Medicaid providers offering Office Visit related services in Kenmore, WA according to public payment data.
What is the price range for Office Visit in Kenmore, WA?
Medicaid reimbursement for Office Visit in Kenmore, WA ranges from $14.43 to $106.21 per claim, with an average of $51.29. 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 Kenmore, WA
Case Management Services
Avg $43.83
13,061 claims
Dental Cleaning & Exam
Avg $0.72
6,127 claims
Physical Therapy
Avg $31.20
3,371 claims
Blood Work & Lab Tests
Avg $35.25
2,087 claims
Tooth Extraction
Avg $3.04
1,972 claims
Dental Filling
Avg $0.69
1,585 claims
Emergency Room Visit
Avg $60.04
1,251 claims
Urinalysis & Urine Tests
Avg $2.84
564 claims