Average Medicaid Office Visit Payments in Makawao, HI: $33.25
Avg. Paid
$33.25
Range
$0.00 – $69.14
Total Claims
23,984
Providers
14
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 Makawao, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Coral Yap
55 Pukalani St |
$22.74 | 9,089 | 7,958 |
|
Robert P Mastroianni
81 Makawao Ave Ste 25 |
$46.89 | 7,465 | 6,010 |
|
Ma Rosario C Guzman
40 Kupaoa Street |
$32.09 | 2,698 | 2,205 |
|
Rina Kojima Rousek
55 Pukalani St |
$37.18 | 2,238 | 1,969 |
|
Robin Lisa Garrison
222 Aliiolani St |
$13.97 | 574 | 421 |
|
Cecilia Choi
40 Kupaoa St Unit B-204 |
$53.50 | 555 | 440 |
|
Dan Baston
81 Makawao Ave Ste 25 |
$42.51 | 462 | 431 |
|
Lisa Herrmann
1120A Makawao Ave |
$0.00 | 376 | 320 |
|
Crystal Ai Yaple Yamada
30 Kupaoa St Ste 208 |
$6.91 | 211 | 204 |
|
Gabrielle Galler-Rimm
1043 Makawao Ave, |
$52.31 | 121 | 86 |
|
Adam Mays
30 Kupaoa St |
$35.57 | 119 | 97 |
|
Maui Nurtures Llc
3295 Honokolani St |
$11.05 | 43 | 35 |
|
Cristina Elizabeth Prokop
81 Makawao Ave Ste 100 |
$10.28 | 21 | 19 |
|
John Robert Alm
1120A Makawao Ave |
$69.14 | 12 | 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 Makawao, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Makawao, HI is $33.25 per claim, based on 23,984 claims from 14 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 Makawao, HI?
There are 14 Medicaid providers offering Office Visit related services in Makawao, HI according to public payment data.
What is the price range for Office Visit in Makawao, HI?
Medicaid reimbursement for Office Visit in Makawao, HI ranges from $0.00 to $69.14 per claim, with an average of $33.25. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Makawao, HI
Physical Therapy
Avg $31.63
18,729 claims
Psychiatric Evaluation
Avg $79.01
13,553 claims
Substance Abuse Treatment
Avg $25.73
7,662 claims
Behavioral & Mental Health Therapy
Avg $161.48
4,043 claims
Hearing Test (Audiometry)
Avg $0.86
3,562 claims
Eye Exam
Avg $19.60
3,251 claims
Speech Therapy
Avg $48.17
1,768 claims
Urinalysis & Urine Tests
Avg $1.64
969 claims