Average Medicaid Office Visit Payments in Mount Vernon, WA: $54.16
Avg. Paid
$54.16
Range
$7.63 – $211.02
Total Claims
521,967
Providers
288
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 Mount Vernon, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Howard L Leibrand
1725 Continental Pl Ste C |
$92.66 | 16,339 | 13,445 |
|
Andrea B. Lowe
2101 Little Mountain Ln |
$72.08 | 12,168 | 11,496 |
|
Jasanjot Jenny Parmar
901 S 5Th St |
$26.39 | 11,321 | 10,369 |
|
Sherry Lee Peterson
1400 E Kincaid St |
$55.68 | 10,888 | 10,747 |
|
Mark A. Carlson
1400 E. Kincade Street |
$61.31 | 10,807 | 10,654 |
|
Rae Boyd
1400 E Kincaid St |
$59.43 | 10,244 | 10,055 |
|
Rowena N. Pusateri
1400 E. Kincaid Street |
$72.28 | 9,497 | 9,113 |
|
Linnea Kristin Cooper
1400 E Kincaid St |
$63.49 | 9,265 | 9,117 |
|
Mariel Castillo
2320 Freeway Dr |
$69.65 | 8,782 | 8,531 |
|
Sean Michael Burson
1400 E Kincaid St |
$57.31 | 8,746 | 8,621 |
|
Tara L. Montgomery
1400 E. Kincaid Street |
$60.19 | 8,680 | 8,594 |
|
David Alan Krass
901 S 5Th St |
$66.90 | 8,609 | 8,424 |
|
Allison Kate Berglin
916 S 3Rd St |
$47.13 | 6,734 | 5,954 |
|
Jonathan D Patton
1400 E Kincaid St |
$62.10 | 6,661 | 6,556 |
|
Lisa Marie Kohler
1400 E Kincaid St |
$55.47 | 6,484 | 6,395 |
|
Kirk Hamilton Brownell
1415 E Kincaid St |
$91.05 | 6,459 | 5,832 |
|
James William Hartley
1400 E Kincaid St |
$57.98 | 6,426 | 6,328 |
|
Elizabeth E. Repplier
1400 E. Kincaid St. |
$52.24 | 6,346 | 6,269 |
|
Jennifer Ann Elliott
2320 Freeway Dr |
$44.73 | 6,248 | 6,042 |
|
Alina Yakivna Ostapchuk
916 S 3Rd St |
$63.09 | 6,213 | 5,650 |
|
John S. Dew
819 S. 13Th Street |
$51.77 | 5,630 | 5,462 |
|
Nathan Allen Ullom
1400 E Kincaid St |
$29.55 | 5,517 | 5,074 |
|
Carmela Marie Carrasco
2101 Little Mountain Ln |
$83.44 | 5,483 | 5,169 |
|
Holly Jeanne Henson
2101 Little Mountain Ln |
$77.49 | 5,476 | 5,255 |
|
Stacey E. O'Kinsella
1400 E Kincaid St |
$49.13 | 5,275 | 5,168 |
|
Lydia June Lasalle
916 S 3Rd St |
$67.80 | 5,248 | 4,720 |
|
Lin Shan
1400 N Laventure Rd |
$25.57 | 5,118 | 4,794 |
|
Yvette Esparza
825 Cleveland Ave |
$95.54 | 5,028 | 3,429 |
|
Seth P Cowan
916 S 3Rd St |
$59.11 | 4,741 | 4,364 |
|
Emily A K Bianconi
2101 Little Mountain Lane |
$76.38 | 4,590 | 4,388 |
|
Robert R Jacobsen
1400 E Kincaid St |
$41.35 | 4,488 | 4,311 |
|
Aaron J Arnold
110 N Laventure Rd |
$63.63 | 4,466 | 4,190 |
|
Jessica Brie Wilcox
916 S 3Rd St |
$60.26 | 4,355 | 3,994 |
|
Anirban Das
1400 E Kincaid St |
$57.49 | 4,314 | 4,251 |
|
Zemfira Leonidovna Schwartz
1400 N Laventure Rd |
$35.75 | 4,233 | 4,016 |
|
Mari Hammerquist Oathes
2320 Freeway Dr |
$68.23 | 4,207 | 4,083 |
|
Allan Michael Damian
1415 E Kincaid St |
$70.52 | 4,147 | 3,835 |
|
Doris S K Lam
1617 E Division St |
$21.42 | 4,127 | 3,450 |
|
Sea Mar Community Health Centers
1400 N Laventure Rd |
$23.96 | 4,021 | 3,724 |
|
Donna C. Queyquep
2320 Freeway Drive |
$77.99 | 3,769 | 3,666 |
|
Jon C Ransom
1400 E. Kincaid Street |
$72.79 | 3,761 | 3,075 |
|
Richard S Levine
2101 Little Mountain Ln |
$74.79 | 3,657 | 3,486 |
|
Christopher Ray England
118 S 12Th St |
$69.30 | 3,623 | 3,521 |
|
Bruce C Mathey
307 S 13Th St Ste 100 |
$29.72 | 3,607 | 3,019 |
|
Ty C. Gulstrom
1400 E. Kincaid Street |
$47.21 | 3,514 | 3,468 |
|
Notie Andrea Iyen Erhahon
125 N 18Th St Ste A |
$14.55 | 3,470 | 3,322 |
|
Nikki L Behner
117 N 1St St Ste 55 |
$46.55 | 3,448 | 3,067 |
|
Larry David Carnes
1400 E. Kincaid Street |
$45.82 | 3,399 | 3,333 |
|
Jennifer Kooiker Benson
110 N Laventure Rd Ste C |
$52.41 | 3,364 | 3,249 |
|
Elizabeth A Mccrank
2101 Little Mountain Ln |
$82.47 | 3,362 | 3,291 |
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 Mount Vernon, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mount Vernon, WA is $54.16 per claim, based on 521,967 claims from 288 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 Mount Vernon, WA?
There are 288 Medicaid providers offering Office Visit related services in Mount Vernon, WA according to public payment data.
What is the price range for Office Visit in Mount Vernon, WA?
Medicaid reimbursement for Office Visit in Mount Vernon, WA ranges from $7.63 to $211.02 per claim, with an average of $54.16. 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 Mount Vernon, WA
Blood Work & Lab Tests
Avg $8.04
612,342 claims
Emergency Room Visit
Avg $97.48
169,367 claims
Vaccines & Immunizations
Avg $10.77
130,964 claims
X-Ray
Avg $15.08
129,151 claims
Urinalysis & Urine Tests
Avg $1.79
128,777 claims
EKG / ECG (Electrocardiogram)
Avg $5.92
91,094 claims
Physical Therapy
Avg $27.22
77,764 claims
Dental Cleaning & Exam
Avg $29.14
64,383 claims