Based on public Medicaid payment data.

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
Nicholas Wayne Shepherd 2320 Freeway Dr	$48.35	12	12
Rasha Ali Allam 1400 N Laventure Rd	$29.62	12	12
Sanjeev Vaderah 307 S. 13Th St., Suite 300	$27.78	12	12
Allison J. Porter 1400 E. Kincade Street	$72.14	12	12
Eleanor A Deshone 1400 E Kincaid St	$63.11	12	12
Carlton E Heine 1415 E Kincaid St	$65.46	13	13
Kara Joan Hawker 307 S 13Th St Ste 300	$26.62	13	12
Thomas S Catalina 1415 E Kincaid St	$42.37	14	14
Eugene Kee Hong 1400 E. Kincaid Street	$63.66	14	13
Anika Larson 1415 E Kincaid St	$128.58	15	14
Sidra Tufon Mendez 211 S 13Th St	$58.90	15	15
Chinnaya Parimi 1400 E Kincaid St	$67.47	16	16
Amy Schultz 2101 Little Mountain Ln	$84.53	16	16
Lisa Jo Litton 916 S 3Rd St	$65.68	16	13
Todd L. Mclaughlin 307 S. 13Th Street	$25.02	16	16
Ha Ta 1415 E Kincaid St	$46.33	20	16
Nichole Brianne Loree Baruth 1400 E Kincaid St	$37.91	25	24
Kent Alan Fry 2320 Freeway Drive	$55.90	25	24
Jasleena K Grewal 1400 E Kincaid St	$57.33	25	25
Ramy Lewez Hanna 307 S. 13Th Street	$54.03	25	25
Kathleen Mary O'Neill 2320 Freeway Dr	$30.33	26	25
Cara Alexandra Walker 2320 Freeway Dr	$39.27	26	26
Neil Scott Eberhardt 1427 N Laventure Rd	$31.84	27	27
Kyle G Schuyler 1400 E Kincaid St	$34.67	27	26
Ayah Oglat 211 S 13Th St	$48.62	27	26
Brittany C. Rowan 1400 E Kincaid St	$48.91	27	27
Maria Victoria Cayabyab 1400 E Kincaid St	$50.31	28	26
Sea Mar Community Health Centers 125 N 18Th St Ste A	$29.04	28	28
Nicholas Chang 1617 E Division St	$34.22	29	29
Eric Jacob Larsen 1415 E Kincaid St	$99.50	29	22
Michael Ge Thomas 2320 Freeway Drive	$44.07	31	25
Naomi S Hoyle 819 S 13Th St	$56.08	32	32
Maria Van-Nurden 2100 Little Mountain Ln	$31.26	36	36
Robert H. Zwick 208 S. 14Th Street	$12.33	42	26
Joshua D. Hawkins 1400 E. Kincaid St.	$56.70	42	42
Anna Marie Casillas 2021 E College Way Ste 210	$59.94	43	41
Sarah Mcdaniel 300 Hospital Pkwy	$99.82	47	47
Anna L Pilzek 1400 E Kincaid St	$35.14	47	39
Jeremy W Godsell 211 S 13Th St	$59.00	49	49
Janet Gail Hansom 2116 East Section Street	$7.63	57	56
Eugene Villanueva De Guzman 208 S Hospital Pkwy	$21.46	58	56
Matthew John Novak 208 Hospital Pkwy	$11.94	59	48
Navid Mehraban 2320 Freeway Dr	$54.77	59	59
Herbie Yung 1500 Continental Pl	$23.38	59	52
Brittany Shepherd Grytdahl 2320 Freeway Dr	$26.75	61	59
Jordan James Kramer 1400 E Kincaid St	$23.73	66	66
Erika Rose Bjorklund Pope 1415 E Kincaid St	$12.93	68	59
Mana Dissadee 1415 E Kincaid St	$37.93	68	67
Robert M. Lipscomb 2320 Freeway Dr	$38.19	68	62
Seth Russell Turner 1415 E Kincaid St	$52.79	68	64

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.

Average Medicaid Office Visit Payments in Mount Vernon, WA: $54.16

Providers Offering Office Visit in Mount Vernon, WA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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