Average Medicaid Office Visit Payments in Maple Valley, WA: $55.63
Avg. Paid
$55.63
Range
$31.33 – $103.18
Total Claims
46,346
Providers
33
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 Maple Valley, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John A Tomchick
23846 Se Kent Kangley Rd |
$52.67 | 6,697 | 6,560 |
|
Larena Lynn Walshe
26458 Maple Valley Black Diamond Rd Se |
$66.20 | 5,071 | 4,946 |
|
Crystal E Czaplicki
26458 Maple Valley Black Diamond Rd Se |
$56.23 | 3,645 | 3,582 |
|
Dinesh Vasudev Pai
26458 Maple Valley Black Diamond Rd Se |
$61.84 | 3,517 | 3,430 |
|
Joseph Casimir Garcia
23846 Se Kent Kangley Rd |
$73.12 | 3,221 | 3,035 |
|
Lawrence J Madewell
26458 Maple Valley Black Diamond Rd Se |
$48.60 | 3,136 | 3,058 |
|
Jenna Noelle Madeja
22610 Se 240Th St Ste 100 |
$37.27 | 2,590 | 2,407 |
|
Angela Monir Sabra
24080 Se Kent Kangley Rd |
$58.84 | 2,252 | 2,158 |
|
Telly R Russell
26458 Maple Valley Black Diamond Rd Se Ste A |
$49.03 | 1,851 | 1,802 |
|
Sukhdip Singh Dhillon
26458 Maple Valley Black Diamond Rd Se |
$58.90 | 1,438 | 1,407 |
|
Aaron Von Krueger
26458 Maple Valley Black Diamond Rd Se |
$44.25 | 1,165 | 1,054 |
|
Sabrina Christine Stephens
27203 216Th Ave Se Ste D |
$74.28 | 1,162 | 1,064 |
|
Kathryn Michelle Ordon
24080 Se Kent Kangley Rd |
$60.03 | 932 | 858 |
|
Shreeketa Mehta
27203 216Th Ave Se |
$61.91 | 928 | 866 |
|
Sarah Mun
26458 Maple Valley Black Diamond Rd Se |
$47.02 | 911 | 897 |
|
Joshua H Kachner
27203 216Th Ave Se Ste D |
$46.88 | 908 | 846 |
|
Sade Khorami
23745 225Th Way Se Ste 201 |
$52.60 | 894 | 869 |
|
Jessica Angelina Mcabee
27203 216Th Ave Se |
$60.61 | 847 | 805 |
|
Jennifer Lelia Davis
22620 Se 216Th Pl Ste E |
$31.33 | 757 | 664 |
|
Kristen Elizabeth Drury
26458 Maple Valley Black Diamond Rd Se |
$44.05 | 733 | 672 |
|
Jennifer A Castelluccio
26458 Maple Valley Black Diamond Rd Se |
$41.18 | 629 | 586 |
|
Laura Lynn Aguilar
26458 Maple Valley Black Diamond Rd Se |
$41.45 | 616 | 583 |
|
Valerie Jill Mazziotti
27203 216Th Ave Se Ste D |
$55.56 | 588 | 556 |
|
Travis Anthony Dalton
27203 216Th Ave Se |
$56.68 | 568 | 539 |
|
Michael S Shamseldin
27203 216Th Ave Se Ste D |
$59.40 | 374 | 350 |
|
Rodney Tyson Riedel
26458 Maple Valley Black Diamond Rd Se |
$42.68 | 356 | 335 |
|
Tara Harvey
23745 225Th Way Se Ste 201 |
$41.08 | 190 | 176 |
|
Constance P Hood
24080 Se Kent Kangley Rd |
$54.06 | 176 | 173 |
|
David A Cline
23846 Se Kent Kangley Rd |
$56.39 | 84 | 80 |
|
Jessica Lancaster
24080 Se Kent Kangley Rd |
$67.01 | 70 | 66 |
|
Chester Edmond Jangala
22443 Se 240Th St Ste 203 |
$58.79 | 14 | 13 |
|
Lyne C Liboiron-Bouie
24080 Se Kent Kangley Rd |
$94.35 | 14 | 13 |
|
Christopher Philip Nyte
27539 Maple Valley Black Diamond Rd Se |
$103.18 | 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 Maple Valley, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Maple Valley, WA is $55.63 per claim, based on 46,346 claims from 33 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 Maple Valley, WA?
There are 33 Medicaid providers offering Office Visit related services in Maple Valley, WA according to public payment data.
What is the price range for Office Visit in Maple Valley, WA?
Medicaid reimbursement for Office Visit in Maple Valley, WA ranges from $31.33 to $103.18 per claim, with an average of $55.63. 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 Maple Valley, WA
Physical Therapy
Avg $26.63
16,770 claims
Speech Therapy
Avg $29.75
13,342 claims
Dental Cleaning & Exam
Avg $29.28
8,238 claims
Dental Filling
Avg $65.52
2,745 claims
Eye Exam
Avg $23.03
2,080 claims
Psychiatric Evaluation
Avg $5.41
892 claims
Urinalysis & Urine Tests
Avg $2.82
737 claims
Vaccines & Immunizations
Avg $12.23
527 claims