Average Medicaid Office Visit Payments in Ontario, OR: $26.23
Avg. Paid
$26.23
Range
$0.00 – $97.48
Total Claims
72,862
Providers
64
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 Ontario, OR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jody A. Stark
932 W Idaho Ave |
$39.91 | 8,202 | 6,803 |
|
Sarah Nicole Wood
896 Fortner St |
$14.19 | 5,632 | 4,415 |
|
Judith Norris
2327 Sw 4Th Ave |
$4.92 | 4,948 | 3,847 |
|
Matea Berria
840 Sw 4Th Ave |
$9.83 | 4,550 | 4,286 |
|
Kiersten Hackley Hogg
533 Nw 2Nd St |
$9.16 | 3,194 | 2,780 |
|
Patrick Ashley Barfield
2327 Sw 4Th Ave |
$1.30 | 3,043 | 1,863 |
|
Morris H Smith
2327 Sw 4Th Ave |
$4.10 | 2,813 | 2,085 |
|
Jared Ross Van Orman
2327 Sw 4Th Ave |
$34.32 | 2,601 | 2,120 |
|
Sarah Martinez Cisneros
2327 Sw 4Th Ave |
$26.12 | 2,451 | 2,270 |
|
Sharmeen Nelson
2327 Sw 4Th Ave |
$53.35 | 2,391 | 1,150 |
|
Donna Messersmith
1050 Sw 3Rd Ave |
$22.71 | 2,334 | 990 |
|
Melissa D. Akin
932 W Idaho Ave |
$52.53 | 2,174 | 2,062 |
|
Jennifer King
1219 Sw 4Th Ave |
$17.51 | 1,696 | 1,572 |
|
Stephen K Ames
840 Sw 4Th Avenue |
$48.37 | 1,671 | 1,515 |
|
Nicole Broadbent Heywood
840 Sw 4Th Ave Ste 105 |
$6.10 | 1,475 | 1,410 |
|
Steven C Reich
1050 Sw 3Rd Ave |
$54.74 | 1,435 | 1,313 |
|
Brittany Coombs Chronister
1219 Sw 4Th Ave Unit 1 |
$5.27 | 1,406 | 1,263 |
|
Amanda Vansant
702 Sunset Dr |
$23.64 | 1,397 | 1,137 |
|
Robert A Mairs
1050 Sw 3Rd Ave Ste 3200 |
$48.20 | 1,391 | 1,251 |
|
Daisy L Miller
1219 Sw 4Th Ave Unit 2 |
$34.93 | 1,249 | 1,052 |
|
Kevin Francis Wade
840 Sw 4Th Ave Ste 105 |
$4.87 | 1,195 | 1,142 |
|
John Jay Frank
702 Sunset Dr |
$14.18 | 1,179 | 1,005 |
|
Tami Beth Lamb
777 Stanton Blvd |
$75.83 | 1,037 | 916 |
|
Elisa Ann Peavey
840 Sw 4Th Ave Ste 105 |
$4.60 | 1,028 | 930 |
|
Maggie M. Bonilla
840 Sw 4Th Ave Ste 105 |
$0.00 | 952 | 828 |
|
John H Phillips
485 Stanton Blvd |
$31.40 | 944 | 649 |
|
Emily Renee Wittenberg
702 Sunset Dr |
$13.90 | 921 | 793 |
|
Raquel Dee Johnson
1219 Sw 4Th Ave |
$97.48 | 890 | 511 |
|
Kaitana Martinez Dahle
896 Fortner St |
$20.54 | 847 | 758 |
|
Amanda Silue
1219 Sw 4Th Ave Unit 1 |
$2.07 | 779 | 745 |
|
Rieneke D White
1052 Sw 4Th Ave Ste 2 |
$50.43 | 686 | 607 |
|
William Barrett Stinger
840 Sw 4Th Ave |
$59.29 | 616 | 578 |
|
James T Roth
1219 Sw 4Th Ave Unit 2 |
$38.13 | 595 | 539 |
|
Jared Papa
840 Sw 4Th Ave Ste 105 |
$2.79 | 546 | 533 |
|
Patrick Martin Plummer
2586 Lauren Dr |
$78.53 | 511 | 464 |
|
Laura Temple Cotter
335 Sw 13Th St |
$56.39 | 394 | 351 |
|
Kent Michael Sandquist
335 Sw 13Th St |
$53.38 | 381 | 302 |
|
David W. Brauer
335 Sw 13Th St |
$59.10 | 363 | 327 |
|
Janel Wright
1050 Sw 3Rd Ave Ste 2200 |
$62.12 | 357 | 348 |
|
Brittany Saunders
2327 Sw 4Th Ave |
$39.14 | 259 | 234 |
|
Caitlin Jeanne Therese Evans
2327 Sw 4Th Ave |
$15.24 | 258 | 249 |
|
Christine Eileen Davenport-Welter
840 Sw 4Th Ave Ste 105 |
$39.17 | 235 | 224 |
|
Jeffrey C Pitts
269 Sw 19Th St |
$36.46 | 223 | 166 |
|
Kacey L Andreasen
1050 Sw 3Rd Ave Ste 1200 |
$47.60 | 184 | 176 |
|
Ann Adele Easly-Debisschop
279 Sw 10Th St |
$47.25 | 182 | 162 |
|
Brennen Paul Bjornson
200 Sw 2Nd Ave |
$66.75 | 176 | 167 |
|
Frank J Spokas
1050 Sw 3Rd Ave |
$92.25 | 130 | 117 |
|
Andrew Leon Bennett
896 Fortner St |
$23.62 | 113 | 96 |
|
Si Robin Steinberg
702 Sunset Dr |
$56.06 | 110 | 107 |
|
Ben Joseph Judson
1257 Sw 4Th Ave |
$41.75 | 109 | 83 |
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 Ontario, OR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ontario, OR is $26.23 per claim, based on 72,862 claims from 64 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 Ontario, OR?
There are 64 Medicaid providers offering Office Visit related services in Ontario, OR according to public payment data.
What is the price range for Office Visit in Ontario, OR?
Medicaid reimbursement for Office Visit in Ontario, OR ranges from $0.00 to $97.48 per claim, with an average of $26.23. 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 Ontario, OR
Dental Cleaning & Exam
Avg $21.88
42,502 claims
Physical Therapy
Avg $26.19
34,279 claims
Eye Exam
Avg $52.31
33,340 claims
Psychiatric Evaluation
Avg $51.94
29,057 claims
Substance Abuse Treatment
Avg $15.89
28,612 claims
Durable Medical Equipment (DME)
Avg $37.94
20,833 claims
Emergency Room Visit
Avg $75.36
20,790 claims
Ambulance Transport
Avg $92.76
19,534 claims