Average Medicaid Office Visit Payments in Pasco, WA: $45.36
Avg. Paid
$45.36
Range
$0.00 – $101.56
Total Claims
338,434
Providers
112
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 Pasco, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tri-Cities Community Health
515 W Court St |
$17.30 | 24,545 | 22,400 |
|
Lourdes Hospital Llc
520 N 4Th Ave |
$4.09 | 23,842 | 9,578 |
|
Rolando Llanes Cayetano
531 W Park St |
$77.46 | 14,681 | 13,733 |
|
Ideal Option, Pllc
5615 Dunbarton Ave |
$43.90 | 11,080 | 6,005 |
|
Vicki Marie Haines
9221 Sandifur Pkwy Ste A |
$54.44 | 11,067 | 10,819 |
|
Eric Pearson
5304 Road 68 |
$65.68 | 10,606 | 10,429 |
|
Andrea Munder
7505 Sandifur Pkwy Ste 103 |
$86.06 | 8,786 | 8,180 |
|
Sean Patrick Brady
9605 Sandifur Parkway |
$66.34 | 7,750 | 7,314 |
|
Faustino Riojas
707 W Margaret |
$69.82 | 7,365 | 6,718 |
|
Matthew S Painter
1608 Road 44 |
$26.88 | 7,302 | 6,912 |
|
Rinah Gutierrez
715 W Court St |
$33.31 | 7,096 | 6,860 |
|
Geraldine Y Gatmaitan Dizon
7425 Wrigley Dr Ste 101 |
$77.12 | 6,892 | 6,539 |
|
Marvin Flores Roman
7505 Sandifur Pkwy Ste 103 |
$42.87 | 6,886 | 6,604 |
|
Alex B Najera
516 W Margaret |
$20.61 | 6,464 | 5,291 |
|
Aaron Scott Richardson
9605 Sandifur Pkwy |
$62.69 | 6,344 | 6,052 |
|
Maria N Guevara
515 W Court St |
$30.94 | 6,259 | 6,082 |
|
Michael Carney
5304 Road 68 |
$66.48 | 5,834 | 5,705 |
|
Paolo Antonio De Belen De Vera
7425 Wrigley Dr Ste 101 |
$76.67 | 5,801 | 5,584 |
|
Travis Alexander Najera
1620 N Road 44 |
$50.59 | 5,497 | 4,073 |
|
John Allan Hornell
9605 Sandifur Pkwy |
$31.79 | 5,316 | 5,044 |
|
Eyob G Kidane
7425 Wrigley Dr |
$47.80 | 5,111 | 4,727 |
|
Spencer Rorie Crihfield
Po Box 1452 |
$37.95 | 4,947 | 4,685 |
|
Ryan Paul Duarte
7425 Wrigley Dr |
$74.46 | 4,687 | 4,296 |
|
Jacob Royal
5015 Lucena Dr |
$42.20 | 4,429 | 4,352 |
|
Jessica H Lay
515 W Court St |
$52.19 | 4,389 | 4,133 |
|
Laurie Zimmerman
720 W Court St |
$20.36 | 4,332 | 4,153 |
|
Keith Goodman
1608 Road 44 |
$21.43 | 4,206 | 3,866 |
|
Laura Coolidge
1608 Road 44 |
$20.23 | 4,202 | 3,945 |
|
Ekta Khurana
9521 Sandifur Pkwy Ste 2 |
$84.26 | 4,100 | 3,891 |
|
Caitlyn Mae Free Uhnak
5304 N Road 68 |
$65.04 | 3,870 | 3,724 |
|
Cheryl Hipolito
515 W Court St |
$40.89 | 3,554 | 3,432 |
|
Terry Lee Wigley
1200 N 14Th Ave |
$50.32 | 3,535 | 3,442 |
|
Maria J Castillo
6115 Burden Blvd Ste D |
$53.10 | 3,379 | 3,206 |
|
Chelsea Marlene Mellett
515 W Court St |
$42.16 | 3,193 | 3,083 |
|
Stephanie Santos
1608 N Road 44 |
$48.42 | 3,098 | 2,900 |
|
Stephen M Dechter
9915 Sandifur Pkwy Ste B |
$42.89 | 3,067 | 2,878 |
|
Saul Valencia
515 W Court St |
$48.44 | 3,013 | 2,900 |
|
Edith Zaragoza
1608 Road 44 |
$16.34 | 2,986 | 2,804 |
|
Jasdip Matharu
520 N 4Th Ave |
$52.39 | 2,971 | 2,824 |
|
Elden Isaac Lopez Samayoa
4719 W Margaret St |
$18.19 | 2,937 | 1,965 |
|
David William Jones
9605 Sandifur Parkway |
$34.62 | 2,865 | 2,742 |
|
Kevin Ralph Taylor
5304 Road 68 |
$62.74 | 2,722 | 2,672 |
|
Bradley J. Logston
9613 Sandifur Pkwy Ste A |
$41.01 | 2,696 | 2,376 |
|
Kristina Dominguez Gloria
9605 Sandifur Parkway |
$28.84 | 2,670 | 2,544 |
|
Nicholas Gubler
4403 W Court St |
$31.86 | 2,568 | 2,441 |
|
Chris Brussow
7425 Wrigley Dr Ste 100 |
$57.51 | 2,510 | 2,357 |
|
Tomas A Hernandez-Mejia
5908 Bedford St |
$42.28 | 2,495 | 2,175 |
|
Peresi Kahirimbanyi Mugisha
7425 Wrigley Dr Ste 100 |
$50.39 | 2,362 | 2,187 |
|
Erenio Keoni Aledo
515 W Court St |
$41.48 | 2,172 | 2,102 |
|
Robert Charles Shirey
5304 N Road 68 |
$52.17 | 2,160 | 2,079 |
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 Pasco, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pasco, WA is $45.36 per claim, based on 338,434 claims from 112 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 Pasco, WA?
There are 112 Medicaid providers offering Office Visit related services in Pasco, WA according to public payment data.
What is the price range for Office Visit in Pasco, WA?
Medicaid reimbursement for Office Visit in Pasco, WA ranges from $0.00 to $101.56 per claim, with an average of $45.36. 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 Pasco, WA
Blood Work & Lab Tests
Avg $26.01
201,778 claims
Dental Cleaning & Exam
Avg $29.97
177,916 claims
Emergency Room Visit
Avg $170.07
116,077 claims
Vaccines & Immunizations
Avg $8.42
83,622 claims
Physical Therapy
Avg $38.99
83,004 claims
Urinalysis & Urine Tests
Avg $10.95
60,055 claims
Eye Exam
Avg $30.22
46,681 claims
Speech Therapy
Avg $26.68
43,321 claims