Average Medicaid Office Visit Payments in Mountlake Terrace, WA: $85.48
Avg. Paid
$85.48
Range
$0.00 – $268.46
Total Claims
48,097
Providers
27
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 Mountlake Terrace, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Bethell Assefa
21907 64Th Ave W |
$91.18 | 10,876 | 9,272 |
|
Michelle Elaine Meako
22000 64Th Ave W Ste 2F |
$120.00 | 5,708 | 4,285 |
|
Giselle Falkenberg
23511 56Th Ave W Ste 105 |
$90.88 | 5,402 | 5,028 |
|
Amy Melissa Porter
21907 64Th Ave W Ste 200 |
$55.73 | 5,213 | 4,754 |
|
Jeffrey Clark Ernst
23511 56Th Ave W Ste 105 |
$83.92 | 2,934 | 2,811 |
|
Melissa Cecilia Walsh
23511 56Th Ave W Ste 105 |
$82.57 | 2,920 | 2,747 |
|
Tanya Birchler
6505 216Th St Sw Ste 100 |
$91.03 | 2,614 | 1,630 |
|
Van Ngoc Tran
6007 244Th St Sw Ste B |
$55.05 | 2,283 | 2,156 |
|
Tony H. Huynh
6100 219Th St Sw Ste 280 |
$14.91 | 2,160 | 1,989 |
|
Jennifer Lila Lonac
6007 244Th St Sw Ste B |
$57.15 | 2,133 | 2,007 |
|
Jane Maureen Egbufoama
6505 216Th St Sw Ste 100 |
$268.46 | 1,570 | 1,486 |
|
Alexandria St. Claire
22725 44Th Ave W Ste 101 |
$72.80 | 1,268 | 1,145 |
|
Margaret Nkechi Towolawi
244Th Street |
$47.80 | 578 | 561 |
|
Alina Maria Urriola
6007B 244Th St Sw |
$43.83 | 478 | 459 |
|
Susan J.S. Walters
6005 244Th St Sw |
$42.66 | 408 | 384 |
|
Deborah Anne Gleisner
22725 44Th Ave W Ste 101 |
$59.90 | 277 | 190 |
|
Rocky William Mazzeo
6007B 244Th St Sw |
$53.78 | 274 | 256 |
|
Christina Lynn Gelder
6100 219Th St Sw Ste 370 |
$53.66 | 199 | 198 |
|
James R Downey
6005 244Th St Sw |
$56.56 | 158 | 154 |
|
Mandi L Bainton
6005 244Th St Sw |
$15.71 | 121 | 93 |
|
Fatuma Hassan
21907 64Th Ave W Ste 200 |
$0.00 | 107 | 91 |
|
Heidi A Tate
24360 Van Ry Blvd Ste 111 |
$51.63 | 105 | 104 |
|
Mindful Therapy Group Pc
6505 216Th St Sw Ste 100 |
$18.58 | 88 | 63 |
|
Frantz Georges
6505 216Th St Sw Ste 100 |
$34.99 | 71 | 68 |
|
Sanam Salimi
24360 Van Ry Blvd Ste 111 |
$50.94 | 70 | 64 |
|
Funmilola Omolola Sijuade
6505 216Th St Sw Ste 100 |
$31.19 | 64 | 57 |
|
Kenneth Britt Dyer
21907 64Th Ave W Ste 200 |
$16.38 | 18 | 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 Mountlake Terrace, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mountlake Terrace, WA is $85.48 per claim, based on 48,097 claims from 27 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 Mountlake Terrace, WA?
There are 27 Medicaid providers offering Office Visit related services in Mountlake Terrace, WA according to public payment data.
What is the price range for Office Visit in Mountlake Terrace, WA?
Medicaid reimbursement for Office Visit in Mountlake Terrace, WA ranges from $0.00 to $268.46 per claim, with an average of $85.48. 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 Mountlake Terrace, WA
Physical Therapy
Avg $23.93
40,913 claims
Psychiatric Evaluation
Avg $44.68
34,413 claims
Dental Cleaning & Exam
Avg $29.77
19,170 claims
Home Health Visit
Avg $0.03
18,388 claims
Blood Work & Lab Tests
Avg $47.59
11,041 claims
Vaccines & Immunizations
Avg $5.27
6,162 claims
Eye Exam
Avg $18.80
5,466 claims
Substance Abuse Treatment
Avg $63.86
5,373 claims