Average Medicaid Office Visit Payments in Pahoa, HI: $147.54
Avg. Paid
$147.54
Range
$33.21 – $282.39
Total Claims
42,855
Providers
15
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 Pahoa, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
West Hawaii Community Health Center, Inc.
15-2866 Pahoa Village Rd |
$141.72 | 9,553 | 8,713 |
|
Kau Hospital
15-2662 Pahoa Village Rd |
$103.27 | 7,814 | 6,606 |
|
Terri S Helbling
15-2866 Pahoa Village Rd Bldg C |
$180.26 | 3,878 | 3,432 |
|
Peggy S. O'Neal
15-2866 Pahoa Village Rd Bldg C |
$207.06 | 3,844 | 3,399 |
|
Anne Elizabeth Pollock
15-2866 Pahoa Village Rd Bldg C |
$209.46 | 2,686 | 2,485 |
|
Meilee Fields
15-2866 Pahoa Village Rd Bldg C |
$138.54 | 2,465 | 2,384 |
|
Hart Legrand Miller
15-2662 Pahoa Village Rd |
$61.15 | 2,401 | 2,232 |
|
Cheryl Zorn
15-2866 Pahoa Village Rd. |
$183.63 | 2,398 | 2,282 |
|
Eric J Webster
15-2866 Pahoa Village Rd |
$216.98 | 2,367 | 2,207 |
|
Lynda Anne Hirakami
15-2866 Pahoa Village Rd Bldg C |
$33.21 | 2,165 | 1,815 |
|
Carrie Ip
15-2866 Pahoa Village Rd Bldg F |
$282.39 | 887 | 824 |
|
William B Meinke
15-2866 Pahoa Village Rd |
$198.86 | 856 | 818 |
|
Lisa Gallishaw Lyon
15-2662 Pahoa Village Rd |
$42.10 | 791 | 757 |
|
West Hawaii Community Health Center, Inc.
15-2866 Pahoa Village Rd |
$203.52 | 648 | 583 |
|
Roxanne C Estes
15-2866 Pahoa Village Rd |
$42.44 | 102 | 89 |
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 Pahoa, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pahoa, HI is $147.54 per claim, based on 42,855 claims from 15 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 Pahoa, HI?
There are 15 Medicaid providers offering Office Visit related services in Pahoa, HI according to public payment data.
What is the price range for Office Visit in Pahoa, HI?
Medicaid reimbursement for Office Visit in Pahoa, HI ranges from $33.21 to $282.39 per claim, with an average of $147.54. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Pahoa, HI
Physical Therapy
Avg $28.80
20,073 claims
Psychiatric Evaluation
Avg $90.82
9,739 claims
Urinalysis & Urine Tests
Avg $0.22
4,220 claims
Vaccines & Immunizations
Avg $8.12
2,221 claims
Case Management Services
Avg $15.68
1,760 claims
Chiropractic Care
Avg $0.00
240 claims
Substance Abuse Treatment
Avg $0.00
81 claims
Blood Work & Lab Tests
Avg $5.15
77 claims