Average Medicaid Office Visit Payments in Newport, WA: $46.10
Avg. Paid
$46.10
Range
$0.00 – $59.25
Total Claims
49,268
Providers
23
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 Newport, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pend Oreille County Public Hospital District No 1
714 W Pine St |
$58.16 | 9,238 | 7,714 |
|
Keith E Bell
714 W Pine St |
$45.99 | 7,667 | 7,019 |
|
Christopher Buscher
714 W Pine St |
$46.04 | 6,145 | 5,801 |
|
Jeremy C Lewis
714 W Pine St |
$38.35 | 4,522 | 4,015 |
|
Karla Rivera
714 W Pine St |
$38.59 | 4,517 | 4,330 |
|
Aaron Reinke
714 W Pine St Bldg C |
$46.75 | 3,380 | 3,115 |
|
Clayton W Kersting
714 W Pine St |
$35.27 | 2,393 | 2,128 |
|
Angelika B Kraus
714 W Pine St |
$32.37 | 1,975 | 1,796 |
|
Geoffry S Jones
714 W Pine St |
$44.36 | 1,471 | 1,369 |
|
Jonathan Mccord
714 W Pine St |
$55.56 | 1,243 | 1,172 |
|
Nathanial Clifford Lilya
714 W Pine St |
$30.30 | 1,134 | 1,024 |
|
Scott Mcdonald
714 W Pine St |
$47.20 | 886 | 877 |
|
Samantha Madison Gustafson
714 W Pine St Bldg C |
$53.45 | 798 | 746 |
|
Eric Lloyd Renk
714 W Pine St Bldg C |
$58.81 | 798 | 774 |
|
Lisa Claire Matelich
714 W Pine St |
$45.99 | 786 | 707 |
|
Benedict Beam
714 W Pine St Bldg C |
$59.25 | 563 | 527 |
|
Shannon B Radke
714 W Pine St |
$42.39 | 548 | 532 |
|
Taylor Katherine Stewart
714 W Pine St Bldg C |
$49.50 | 363 | 342 |
|
Laura Rebecca Noyes
714 W Pine St Bldg C |
$52.01 | 351 | 314 |
|
Lisa Mary Malakowsky
435 W Walnut St |
$50.29 | 203 | 182 |
|
Pend Oreille County
105 South Garden Ave |
$0.00 | 182 | 175 |
|
Kevin Mcnamee
714 W Pine St Bldg C |
$49.23 | 92 | 88 |
|
Christopher C Mcglothlen
714 W Pine St |
$48.57 | 13 | 13 |
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 Newport, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Newport, WA is $46.10 per claim, based on 49,268 claims from 23 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 Newport, WA?
There are 23 Medicaid providers offering Office Visit related services in Newport, WA according to public payment data.
What is the price range for Office Visit in Newport, WA?
Medicaid reimbursement for Office Visit in Newport, WA ranges from $0.00 to $59.25 per claim, with an average of $46.10. 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 Newport, WA
Blood Work & Lab Tests
Avg $23.38
51,051 claims
Emergency Room Visit
Avg $156.21
42,971 claims
Physical Therapy
Avg $62.71
21,244 claims
Substance Abuse Treatment
Avg $0.54
9,362 claims
Psychiatric Evaluation
Avg $29.14
8,662 claims
Urinalysis & Urine Tests
Avg $13.49
7,477 claims
X-Ray
Avg $40.99
4,373 claims
Eye Exam
Avg $31.93
3,229 claims