Average Medicaid Office Visit Payments in Lihue, HI: $34.70
Avg. Paid
$34.70
Range
$2.77 – $222.80
Total Claims
101,790
Providers
64
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 Lihue, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ronald Y Fujimoto
3-3295 Kuhio Hwy |
$51.75 | 12 | 12 |
|
Natalie Leinani Relles Lee
3-3420 Kuhio Hwy |
$29.42 | 12 | 12 |
|
James O. Scamahorn
3-3420 Kuhio Hwy |
$45.05 | 13 | 13 |
|
Scot A Murray
3-3420 Kuhio Hwy |
$71.97 | 27 | 27 |
|
Ashley Jean James
3-3420 Kuhio Hwy |
$45.96 | 43 | 33 |
|
Janie Hea-Ryung Yoo
4368 Kukui Grove St |
$38.40 | 43 | 41 |
|
Jean Shein
4439 Pahee St |
$50.90 | 58 | 54 |
|
Raymond J Petrillo
4473 Pahee St Ste L |
$61.53 | 69 | 65 |
|
Beth Sharpe Carter
3-3420 Kuhio Hwy |
$29.03 | 79 | 68 |
|
Alyssa Anne Carnegie
3-3420 Kuhio Hwy |
$25.73 | 88 | 84 |
|
Dawn Allison Sparks
4366 Kukui Grove St Ste 202 |
$2.77 | 90 | 73 |
|
Robert T. Mathis
3-3420 Kuhio Hwy |
$16.39 | 100 | 98 |
|
Benjamin Cheung
4300 Nuhou St |
$68.26 | 103 | 98 |
|
William E. Bodenstab
3-3420 Kuhio Hwy |
$32.52 | 105 | 101 |
|
Carol A Fujiyoshi
3-3420 Kuhio Hwy Ste B |
$18.75 | 132 | 124 |
|
Christine Amanda Baptiste Freeman
3-3420 Kuhio Hwy Ste B |
$41.78 | 140 | 136 |
|
Jennifer Marie Andrade
3-3420 Kuhio Hwy |
$30.64 | 140 | 122 |
|
Heather A. Hopkins
3-3420 Kuhio Hwy |
$21.82 | 144 | 136 |
|
Liliane L. Kheng
3-3295 Kuhio Hwy |
$16.59 | 154 | 145 |
|
Clyner Sagayaga Antalan
3-3420 Kuhio Hwy Ste B |
$28.30 | 160 | 149 |
|
David Robert Mcdonald
3-3420 Kuhio Hwy |
$15.38 | 210 | 200 |
|
Catherine Hekyung Shin
3125 Akahi St |
$74.20 | 217 | 208 |
|
Harold Roger Netzer
3-3420 Kuhio Hwy |
$27.03 | 219 | 206 |
|
Matthew Orion Phillips
4484 Pahee St |
$55.66 | 222 | 217 |
|
Emily Bennett Lucente
3125 Elua St |
$74.67 | 285 | 271 |
|
Vivian Lin Kyono
3-3295 Kuhio Hwy |
$20.88 | 516 | 443 |
|
Lucky Robinson
3501 Rice St Ste 2020 |
$65.62 | 652 | 363 |
|
Ryan Yang
3-3420 Kuhio Hwy Ste B |
$23.48 | 687 | 623 |
|
David Adler
3-3420 Kuhio Hwy Ste B |
$28.17 | 705 | 639 |
|
Edward S Lanson
4484 Pahee St |
$17.31 | 770 | 658 |
|
Heidi Kristen Hillesland
3-3420 Kuhio Hwy Ste B |
$34.20 | 771 | 686 |
|
Jay Michael Murphy
3-3420 Kuhio Hwy |
$25.61 | 834 | 798 |
|
Tad Jackson
3125A Elua St |
$48.99 | 846 | 799 |
|
Jon Nakamura Nakamura
4374 Kukui Grove St |
$67.51 | 1,003 | 792 |
|
John T. Funai
3-3420 Kuhio Hwy |
$37.56 | 1,080 | 992 |
|
Raymond J. Martinez
3-3295 Kuhio Hwy |
$13.82 | 1,157 | 1,019 |
|
Leo-Daniel Valencia Butac
3-3420 Kuhio Hwy |
$28.14 | 1,254 | 1,186 |
|
Jennifer A Ballard
3-3420 Kuhio Hwy Ste B |
$22.22 | 1,278 | 1,136 |
|
Surendra D. Rao
3-3420 Kuhio Hwy |
$34.91 | 1,319 | 1,239 |
|
Bernice Co Yap
3216 Elua St |
$24.17 | 1,373 | 1,128 |
|
Donald W Traller
3-3420 Kuhio Hwy Ste B |
$30.86 | 1,415 | 1,289 |
|
Vera R. Anakalea
3-3420 Kuhio Hwy Ste B |
$21.89 | 1,421 | 1,244 |
|
Amy Hutson
3-3420 Kuhio Hwy |
$22.28 | 1,464 | 1,430 |
|
Theresa Faust
3-3420 Kuhio Hwy Ste B |
$16.83 | 1,510 | 1,404 |
|
Thomas C. Sanchez
3-3420 Kuhio Hwy |
$102.83 | 1,519 | 1,340 |
|
Mark Daniel Magelssen
3-3420 Kuhio Hwy |
$23.02 | 1,538 | 1,500 |
|
Chia Granda
3-3204 Kuhio Hwy Ste 104 |
$70.90 | 1,620 | 1,548 |
|
Sashi Andrade Braga
3-3420 Kuhio Hwy |
$27.22 | 1,692 | 1,551 |
|
Katrina Marie Dembeck
3-3420 Kuhio Hwy |
$9.76 | 1,781 | 1,662 |
|
Anne Elizabeth Dempsey
3-3420 Kuhio Hwy |
$24.63 | 1,999 | 1,892 |
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 Lihue, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lihue, HI is $34.70 per claim, based on 101,790 claims from 64 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 Lihue, HI?
There are 64 Medicaid providers offering Office Visit related services in Lihue, HI according to public payment data.
What is the price range for Office Visit in Lihue, HI?
Medicaid reimbursement for Office Visit in Lihue, HI ranges from $2.77 to $222.80 per claim, with an average of $34.70. 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 Lihue, HI
Blood Work & Lab Tests
Avg $1.54
66,267 claims
Emergency Room Visit
Avg $348.29
62,966 claims
Psychiatric Evaluation
Avg $73.86
38,093 claims
X-Ray
Avg $18.13
32,590 claims
Physical Therapy
Avg $29.25
32,133 claims
Eye Exam
Avg $26.54
26,915 claims
Dental Cleaning & Exam
Avg $34.98
24,795 claims
Personal Care Services
Avg $58.41
19,936 claims