Average Medicaid Office Visit Payments in Portland, OR: $73.00
Avg. Paid
$73.00
Range
$0.00 – $1,356
Total Claims
3,294,065
Providers
3,477
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 Portland, OR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hoang Q Nguyen
3202 Se 82Nd Ave |
$52.22 | 30,217 | 25,515 |
|
Morio C Mcwilliams
4805 Ne Glisan St |
$81.55 | 19,883 | 11,862 |
|
Jane Ellen Sonneland
6026 N Michigan Ave |
$12.60 | 19,256 | 11,582 |
|
Eve Leah Klein
3181 Sw Sam Jackson Park Rd |
$129.30 | 13,878 | 10,857 |
|
Reza Kafi
417 Sw 117Th Ave Ste 100 |
$48.03 | 13,297 | 13,126 |
|
Ishmael Togamae
12710 Se Division St |
$72.27 | 12,639 | 11,615 |
|
Elijah T Smith
727 W Burnside St |
$68.91 | 11,722 | 10,153 |
|
Ian Richard Starr
3716 Ne Mlk Jr Blvd |
$74.07 | 11,261 | 9,344 |
|
Christopher Scott Seuferling
7940 Se Division St |
$31.31 | 11,168 | 8,895 |
|
Johnni Jo Cansler
4225 Sw Huber St Ste 300 |
$54.54 | 10,763 | 8,371 |
|
Jeffrey H Barrett
3653 Se 34Th Ave |
$66.19 | 10,236 | 8,781 |
|
Gerald Peake
506 Sw 6Th Ave |
$70.16 | 9,912 | 8,391 |
|
Elliot Trustin Taxman
3025 Sw Corbett Ave |
$86.41 | 9,816 | 8,076 |
|
Amy Doss Bednar
300 N Graham St |
$40.44 | 9,688 | 7,073 |
|
Ruth Maxwell
3653 Se 34Th Ave |
$64.48 | 9,560 | 8,546 |
|
Jason Paul Taylor
8122 Se Tibbetts St |
$78.65 | 9,419 | 8,583 |
|
Kim Michelle Kelly
12710 Se Division Street |
$76.76 | 9,415 | 8,297 |
|
Sounak N Misra
700 N Hayden Island Dr Ste 100 |
$37.59 | 9,327 | 5,113 |
|
Brook Birchard
8935 Se Powell Blvd |
$2.58 | 8,776 | 7,852 |
|
Michael Cory Grady
9500 Sw Barbur Blvd |
$83.50 | 8,740 | 5,764 |
|
Bryan Thomas Rhoads
9135 Sw Barnes Rd Ste 668 |
$46.58 | 8,738 | 7,996 |
|
Shannon Carey
3181 Sw Sam Jackson Park Rd |
$28.52 | 8,701 | 7,528 |
|
Janice Lee
12710 Se Division St |
$74.34 | 8,689 | 7,869 |
|
Stephen M. Hayes
9370 Sw Greenburg Rd |
$40.55 | 8,676 | 7,616 |
|
Shawnte Yates
1110 Se Alder St Ste 201 |
$67.66 | 8,640 | 5,459 |
|
Jeffrey Meyrowitz
8332 Se 13Th Ave |
$2.76 | 8,591 | 7,917 |
|
Bruce Alan Marks
3930 Se Division St |
$60.96 | 8,282 | 6,698 |
|
Daniel Stein
3930 Se Division St |
$77.49 | 8,248 | 6,511 |
|
Emily Kay Myers
3930 Se Division St |
$67.15 | 8,212 | 6,755 |
|
Abdul Ali Sadiq Wright
5329 Ne Martin Luther King Jr Blvd |
$59.99 | 8,199 | 7,451 |
|
Thanhlong Duc Pham
8106 Ne Wasco St |
$45.12 | 8,110 | 7,132 |
|
Valerie Lynn Cecil
3930 Se Division St |
$58.82 | 7,997 | 6,544 |
|
Filza Akhtar
619 Nw 6Th Ave |
$84.33 | 7,947 | 7,246 |
|
Brian Elliot Frank
3930 Se Division St |
$65.54 | 7,932 | 6,628 |
|
Vanessa Lind
8935 Se Powell Blvd |
$3.05 | 7,929 | 6,961 |
|
Brent Fivecoat
8935 Se Powell Blvd |
$12.57 | 7,907 | 7,187 |
|
Deane C De Fontes
426 Sw Stark St |
$59.69 | 7,870 | 7,152 |
|
Nora Fey
3025 Sw Corbett Ave |
$83.61 | 7,805 | 6,941 |
|
Ajay Wanchu
10101 Se Main St Ste 2011 |
$80.96 | 7,782 | 7,233 |
|
Gay Wong
135 Ne 102Nd Ave |
$59.58 | 7,571 | 6,996 |
|
Christopher Michael Barone
4805 Ne Glisan St |
$87.86 | 7,432 | 3,731 |
|
Judith C Becher
619 Nw 6Th Ave |
$46.25 | 7,357 | 6,623 |
|
Peter Nicholas Mahr
426 Sw Stark St |
$69.30 | 7,309 | 6,420 |
|
Jennifer Jablin
135 Ne 102Nd Ave |
$82.11 | 7,307 | 6,368 |
|
Jacob Balinky
3716 Ne Mlk Blvd |
$125.83 | 7,279 | 5,925 |
|
Mary E Meadows
12710 Se Division St |
$74.91 | 7,252 | 6,722 |
|
Robert O Olsen
13535 Sw 72Nd Ave Ste 170 |
$165.23 | 7,249 | 6,282 |
|
Mary Elizabeth Leone
1132 Sw 13Th Ave |
$78.09 | 7,181 | 6,597 |
|
Cynthia Hodge
9047 Se Foster Rd |
$3.52 | 7,160 | 6,092 |
|
Jamianne Moore
4713 N Albina Ave Unit 301 |
$56.20 | 7,160 | 5,683 |
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 Portland, OR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Portland, OR is $73.00 per claim, based on 3,294,065 claims from 3477 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 Portland, OR?
There are 3477 Medicaid providers offering Office Visit related services in Portland, OR according to public payment data.
What is the price range for Office Visit in Portland, OR?
Medicaid reimbursement for Office Visit in Portland, OR ranges from $0.00 to $1,356 per claim, with an average of $73.00. 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 Portland, OR
Non-Emergency Medical Transportation
Avg $8.52
8,218,690 claims
Substance Abuse Treatment
Avg $37.53
6,780,611 claims
Blood Work & Lab Tests
Avg $8.81
4,391,828 claims
Emergency Room Visit
Avg $158.80
1,692,627 claims
Psychiatric Evaluation
Avg $127.77
1,060,187 claims
Dental Cleaning & Exam
Avg $24.43
966,509 claims
X-Ray
Avg $8.73
762,377 claims
EKG / ECG (Electrocardiogram)
Avg $5.55
630,369 claims