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Based on public Medicaid payment data.

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
Lyne C Liboiron-Bouie

24080 Se Kent Kangley Rd

$94.35 14 13
Chester Edmond Jangala

22443 Se 240Th St Ste 203

$58.79 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

Other Procedures in Maple Valley, WA