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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Lahaina, HI: $82.11

Avg. Paid

$82.11

Range

$19.11 – $281.20

Total Claims

23,261

Providers

20

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 Lahaina, HI

Provider Avg. Paid Claims Patients
Melissa L. Hessel

130 Prison St

 $29.84 4,713 4,277
Heidi Denton

130 Prison St

 $19.11 3,788 3,342
Kyle E. Mouery

910 Wainee St

 $195.47 2,538 2,434
Amber Rose Hawkins

1760 Honoapiilani Hwy Unit 10007

 $105.69 2,505 2,321
Karolina W. Dembinski

910 Wainee St

 $79.14 2,279 2,104
Lise M. Stevens

910 Wainee St

 $191.82 1,896 1,840
Anne Biedel

130 Prison St

 $33.09 1,380 1,143
Stephanie Ann Dent

968 Kanakea Loop

 $28.12 998 710
Samuel Ernest William Johnsen

180 Dickenson St Ste 103

 $37.04 816 683
David Wing Lee

40 Kupuohi St Ste 204

 $37.99 475 346
Luna Mae Noel

910 Wainee St

 $208.47 473 445
David S Dean

305 Keawe St Ste 507

 $25.93 392 332
Sharita B. A. Abbott

910 Wainee St

 $263.97 321 293
Rachel Alexandra Graham

305 Keawe St Ste 507

 $57.30 193 179
Vincent Christian Fussell

3350 Lower Honoapiilani Rd Ste 211

 $102.47 180 170
Kimmie S. Ouchi

910 Wainee St

 $118.95 113 106
Carrie R Baker

727 Wainee St Ste 201

 $105.08 84 84
Julie Katherine Tudor

910 Wainee St

 $281.20 64 59
Fredrick H. Sands

910 Wainee St

 $146.99 40 40
Norman Michel Estin

200 Nohea Kai Drive

 $65.97 13 12

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 Lahaina, HI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lahaina, HI is $82.11 per claim, based on 23,261 claims from 20 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 Lahaina, HI?

There are 20 Medicaid providers offering Office Visit related services in Lahaina, HI according to public payment data.

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

Medicaid reimbursement for Office Visit in Lahaina, HI ranges from $19.11 to $281.20 per claim, with an average of $82.11. 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 Lahaina, HI

Vaccines & Immunizations

Avg $38.55

6,711 claims

Physical Therapy

Avg $25.93

2,770 claims

Hearing Test (Audiometry)

Avg $5.60

2,252 claims

Emergency Room Visit

Avg $55.71

2,199 claims

Eye Exam

Avg $26.85

1,974 claims

Blood Work & Lab Tests

Avg $23.69

1,590 claims

Urinalysis & Urine Tests

Avg $8.89

1,421 claims

Dental Cleaning & Exam

Avg $38.94

758 claims