Average Medicaid Office Visit Payments in Pearl City, HI: $26.15
Avg. Paid
$26.15
Range
$2.23 – $166.72
Total Claims
11,850
Providers
14
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 Pearl City, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Paula Harumi Imada
1000 Kamehameha Hwy |
$60.35 | 32 | 25 |
|
Hannah Seyler
98-1238 Kaahumanu St Ste 300 |
$166.72 | 192 | 176 |
|
Joanne C. Takara
1000 Kamehameha Hwy Ste 100 |
$94.58 | 251 | 224 |
|
Hausen Cheong
803 Kamehameha Hwy |
$48.70 | 267 | 255 |
|
John Yoza
2194 Hoohai St |
$27.90 | 307 | 271 |
|
Lauren Azuma
2361 Ahaiki St |
$53.04 | 636 | 604 |
|
Sara Fischlowitz Davis
1245 Kuala St |
$61.96 | 674 | 602 |
|
Nichole Reyes
1245 Kuala St |
$65.45 | 706 | 659 |
|
Gabriele M Barthlen
98-1238 Kaahumanu St |
$34.03 | 904 | 781 |
|
Beverly Viola
98-1238 Kaahumanu St |
$2.48 | 1,046 | 907 |
|
Meagan Nolin
1245 Kuala St |
$39.18 | 1,064 | 901 |
|
Lance M. Taniguchi
98-1238 Kaahumanu St |
$2.23 | 1,880 | 1,678 |
|
Teresa Hien Vo
98-1238 Kaahumanu St Ste 404A |
$3.10 | 1,886 | 1,652 |
|
Shalini Mishra
860 Fourth St |
$11.91 | 2,005 | 1,323 |
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 Pearl City, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pearl City, HI is $26.15 per claim, based on 11,850 claims from 14 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 Pearl City, HI?
There are 14 Medicaid providers offering Office Visit related services in Pearl City, HI according to public payment data.
What is the price range for Office Visit in Pearl City, HI?
Medicaid reimbursement for Office Visit in Pearl City, HI ranges from $2.23 to $166.72 per claim, with an average of $26.15. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Pearl City, HI
Dental Cleaning & Exam
Avg $29.77
78,518 claims
Durable Medical Equipment (DME)
Avg $55.82
20,492 claims
Case Management Services
Avg $158.33
10,297 claims
Dental Filling
Avg $72.52
8,811 claims
Emergency Room Visit
Avg $71.37
4,367 claims
Eye Exam
Avg $20.23
3,918 claims
Physical Therapy
Avg $36.30
3,426 claims
Tooth Extraction
Avg $76.03
2,938 claims