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 |
|---|---|---|---|
|
Katherine Elizabeth Gill
840 Sw 4Th Ave |
$0.00 | 12 | 12 |
|
Lindsay Wood
1219 Sw 4Th Ave Unit 1 |
$96.71 | 12 | 12 |
|
Brittany Imon Jones
840 Sw 4Th Ave Ste 105 |
$66.00 | 12 | 12 |
|
Jeffrey Nowlin
2327 Sw 4Th Ave |
$0.00 | 13 | 13 |
|
Chris Richard Welter
2327 Sw 4Th Ave |
$41.15 | 21 | 18 |
|
Hilary Kinna Bjornson
200 Sw 2Nd Ave |
$70.27 | 27 | 24 |
|
Randolph E Peterson
840 Sw 4Th Ave |
$43.94 | 48 | 39 |
|
Kenneth Leif Nathaniel Sjoren
840 Sw 4Th Ave Ste 105 |
$70.63 | 57 | 56 |
|
Katelyn Nielsen
840 Sw 4Th Ave Ste 105 |
$14.32 | 58 | 58 |
|
Sarah Beth Chandler
932 W Idaho Ave Ste 100 |
$79.73 | 59 | 52 |
|
Sandra Dunbrasky
1219 Sw 4Th Ave |
$4.01 | 62 | 58 |
|
Victoria S Rogers
351 Sw 9Th St |
$57.88 | 66 | 66 |
|
Julie Catherine Rysenga
1050 Sw 3Rd Ave |
$44.14 | 80 | 69 |
|
Kreyton Dirk Jackson
279 Sw 10Th St |
$87.17 | 82 | 80 |
|
Ben Joseph Judson
1257 Sw 4Th Ave |
$41.75 | 109 | 83 |
|
Si Robin Steinberg
702 Sunset Dr |
$56.06 | 110 | 107 |
|
Andrew Leon Bennett
896 Fortner St |
$23.62 | 113 | 96 |
|
Frank J Spokas
1050 Sw 3Rd Ave |
$92.25 | 130 | 117 |
|
Brennen Paul Bjornson
200 Sw 2Nd Ave |
$66.75 | 176 | 167 |
|
Ann Adele Easly-Debisschop
279 Sw 10Th St |
$47.25 | 182 | 162 |
|
Kacey L Andreasen
1050 Sw 3Rd Ave Ste 1200 |
$47.60 | 184 | 176 |
|
Jeffrey C Pitts
269 Sw 19Th St |
$36.46 | 223 | 166 |
|
Christine Eileen Davenport-Welter
840 Sw 4Th Ave Ste 105 |
$39.17 | 235 | 224 |
|
Caitlin Jeanne Therese Evans
2327 Sw 4Th Ave |
$15.24 | 258 | 249 |
|
Brittany Saunders
2327 Sw 4Th Ave |
$39.14 | 259 | 234 |
|
Janel Wright
1050 Sw 3Rd Ave Ste 2200 |
$62.12 | 357 | 348 |
|
David W. Brauer
335 Sw 13Th St |
$59.10 | 363 | 327 |
|
Kent Michael Sandquist
335 Sw 13Th St |
$53.38 | 381 | 302 |
|
Laura Temple Cotter
335 Sw 13Th St |
$56.39 | 394 | 351 |
|
Patrick Martin Plummer
2586 Lauren Dr |
$78.53 | 511 | 464 |
|
Jared Papa
840 Sw 4Th Ave Ste 105 |
$2.79 | 546 | 533 |
|
James T Roth
1219 Sw 4Th Ave Unit 2 |
$38.13 | 595 | 539 |
|
William Barrett Stinger
840 Sw 4Th Ave |
$59.29 | 616 | 578 |
|
Rieneke D White
1052 Sw 4Th Ave Ste 2 |
$50.43 | 686 | 607 |
|
Amanda Silue
1219 Sw 4Th Ave Unit 1 |
$2.07 | 779 | 745 |
|
Kaitana Martinez Dahle
896 Fortner St |
$20.54 | 847 | 758 |
|
Raquel Dee Johnson
1219 Sw 4Th Ave |
$97.48 | 890 | 511 |
|
Emily Renee Wittenberg
702 Sunset Dr |
$13.90 | 921 | 793 |
|
John H Phillips
485 Stanton Blvd |
$31.40 | 944 | 649 |
|
Maggie M. Bonilla
840 Sw 4Th Ave Ste 105 |
$0.00 | 952 | 828 |
|
Elisa Ann Peavey
840 Sw 4Th Ave Ste 105 |
$4.60 | 1,028 | 930 |
|
Tami Beth Lamb
777 Stanton Blvd |
$75.83 | 1,037 | 916 |
|
John Jay Frank
702 Sunset Dr |
$14.18 | 1,179 | 1,005 |
|
Kevin Francis Wade
840 Sw 4Th Ave Ste 105 |
$4.87 | 1,195 | 1,142 |
|
Daisy L Miller
1219 Sw 4Th Ave Unit 2 |
$34.93 | 1,249 | 1,052 |
|
Robert A Mairs
1050 Sw 3Rd Ave Ste 3200 |
$48.20 | 1,391 | 1,251 |
|
Amanda Vansant
702 Sunset Dr |
$23.64 | 1,397 | 1,137 |
|
Brittany Coombs Chronister
1219 Sw 4Th Ave Unit 1 |
$5.27 | 1,406 | 1,263 |
|
Steven C Reich
1050 Sw 3Rd Ave |
$54.74 | 1,435 | 1,313 |
|
Nicole Broadbent Heywood
840 Sw 4Th Ave Ste 105 |
$6.10 | 1,475 | 1,410 |
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