Average Medicaid Office Visit Payments in Mercer Island, WA: $23.98
Avg. Paid
$23.98
Range
$1.01 – $91.67
Total Claims
8,153
Providers
16
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 Mercer Island, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jennifer Huwaldt Hall
8435 Se 68Th St Ste 118 |
$50.40 | 14 | 14 |
|
Andrea H Chang
3236 78Th Ave Se Ste 200 |
$51.90 | 16 | 15 |
|
Stephen Louis Walston
3236 78Th Ave Se Ste 200 |
$57.21 | 25 | 25 |
|
Frances Gmur
8841 Se 37Th St |
$51.48 | 26 | 26 |
|
Alisha Wang
9675 Se 36Th St |
$69.59 | 31 | 29 |
|
Krista Lynn Meeks
2737 78Th Ave Se |
$64.59 | 50 | 36 |
|
Tumaini Rucker Coker
9107 Se 78Th Pl |
$84.92 | 51 | 51 |
|
Neeti Mittal
7707 Se 27Th St |
$44.25 | 54 | 53 |
|
Paul B Sytman
3236 78Th Ave Se |
$28.10 | 61 | 54 |
|
John Gerard Schreuder
2553 76Th Ave Se |
$65.06 | 72 | 63 |
|
Scott J Taylor
8435 Se 68Th St Ste 118 |
$52.79 | 148 | 143 |
|
Rutherford Platt Hayes
8435 Se 68Th St |
$33.05 | 189 | 164 |
|
Matthew Thomas Streelman
3023 80Th Ave Se Ste 200 |
$91.67 | 194 | 183 |
|
Julie Ellner
9675 Se 36Th St Ste 100 |
$62.60 | 245 | 222 |
|
Mary G Bartels
7254 91St Ave Se |
$1.01 | 3,432 | 3,231 |
|
Danial Khan
9725 Se 36Th St Ste 410 |
$34.43 | 3,545 | 3,066 |
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 Mercer Island, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mercer Island, WA is $23.98 per claim, based on 8,153 claims from 16 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 Mercer Island, WA?
There are 16 Medicaid providers offering Office Visit related services in Mercer Island, WA according to public payment data.
What is the price range for Office Visit in Mercer Island, WA?
Medicaid reimbursement for Office Visit in Mercer Island, WA ranges from $1.01 to $91.67 per claim, with an average of $23.98. 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 Mercer Island, WA
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Avg $116.76
11,259 claims
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Avg $24.85
5,659 claims
Dental Cleaning & Exam
Avg $30.34
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Physical Therapy
Avg $53.10
2,369 claims
Blood Work & Lab Tests
Avg $7.10
720 claims
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Avg $5.16
710 claims
Dental Filling
Avg $76.29
419 claims
Speech Therapy
Avg $12.75
313 claims