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 |
|---|---|---|---|
|
Tara Pemberton
9495 Sw Locust St |
$152.99 | 12 | 12 |
|
Yanan Shang
3303 S Bond Ave |
$88.92 | 12 | 12 |
|
Corinne Leblanc
2305 Se 50Th Ave. |
$28.82 | 12 | 12 |
|
Nina Sanna
2222 Nw Lovejoy St |
$147.68 | 12 | 12 |
|
Grace L Wu
2730 S Moody Ave |
$55.00 | 12 | 12 |
|
Christopher M Bender
5050 Ne Hoyt St Ste 540 |
$1.25 | 12 | 12 |
|
Erika Lee Finanger
3181 Sw Sam Jackson Park Rd |
$33.59 | 12 | 12 |
|
Kevin Loring Winthrop
3375 Sw Terwilliger Blvd |
$36.05 | 12 | 12 |
|
Jessica N James
9135 Sw Barnes Rd Ste 261 |
$90.99 | 12 | 12 |
|
Te-Yu Ruth Chang
7705 Se Division St |
$151.25 | 12 | 12 |
|
Punprapai Boriboonsomsin
3600 N Interstate Ave |
$342.27 | 12 | 12 |
|
Sarah Sperry Mcconville
3181 Sw Sam Jackson Park Rd |
$107.25 | 12 | 12 |
|
Thomas Lee
9701 Sw Barnes Rd |
$82.74 | 12 | 12 |
|
Cynthia Jane Goldor
19500 Se Stark St |
$133.08 | 12 | 12 |
|
Gibran K Ramos
7477 Se 52Nd Ave |
$115.04 | 12 | 12 |
|
Eli A. Rosenthal
1040 Nw 22Nd Ave, Suite 660 |
$46.89 | 12 | 12 |
|
Elizabeth Grace Munro
3181 Sw Sam Jackson Park Rd |
$61.15 | 12 | 12 |
|
Brandice T Durkan
3303 S Bond Ave |
$165.93 | 12 | 12 |
|
Christine Marie Allen
12121 E Burnside St |
$134.40 | 12 | 12 |
|
Barbara Eileen Lazio
3181 Sw Sam Jackson Park Rd |
$44.27 | 12 | 12 |
|
Michele Lynn Babicky
5050 Ne Hoyt St Ste 256 |
$169.42 | 12 | 12 |
|
Joseph Welch
9135 Sw Barnes Rd Ste 875 |
$82.59 | 12 | 12 |
|
Daniel B Brown
9135 Sw Barnes Rd |
$43.17 | 12 | 12 |
|
Ryan Michael Gloeckner
200 Ne 20Th Ave Ste 20 |
$74.54 | 12 | 12 |
|
Kenneth Cox
3181 Sw Sam Jackson Park Rd |
$97.49 | 12 | 12 |
|
Jake Daniel Lenington
3181 Sw Sam Jackson Park Rd |
$192.08 | 12 | 12 |
|
Yee-Cheen Doung
3181 Sw Sam Jackson Park Rd |
$34.29 | 12 | 12 |
|
Richard Z Tsai
417 Sw 117Th Ave |
$1.69 | 12 | 12 |
|
Jannelle Marie Fukuji
9495 Sw Locust St |
$94.78 | 12 | 12 |
|
Elizabeth Guenther Harmon
2222 Nw Lovejoy St Ste 315 |
$65.42 | 12 | 12 |
|
Malina Renee Montenegro
3025 S Corbett Ave |
$165.90 | 12 | 12 |
|
Arthur Travis Haffey
1040 Nw 22Nd Ave Ste 420 |
$89.56 | 12 | 12 |
|
Kellie Rooney Foster
17727 E Burnside St |
$203.00 | 12 | 12 |
|
Jennine Marie Varhola
5050 Ne Hoyt St Ste 362 |
$77.86 | 12 | 12 |
|
Holly Ann Polinkus
5312 Ne 16Th Ave |
$136.36 | 12 | 12 |
|
Lisa Louise Mccluskey
9555 Sw Barnes Rd |
$79.06 | 12 | 12 |
|
Kirsten Reinecke
3181 Sw Sam Jackson Park Rd |
$255.00 | 12 | 12 |
|
Carol Mcfarland
3181 Sw Sam Jackson Park Rd |
$82.84 | 12 | 12 |
|
Hans Stern Moller
11782 Sw Barnes Rd |
$71.07 | 12 | 12 |
|
Kathryn Rumer-Cleary
2901 E Burnside St |
$0.00 | 12 | 12 |
|
May Wang
15 N Morris St |
$277.92 | 12 | 12 |
|
Bhumy Dave Heliker
5050 Ne Hoyt St Ste 353 |
$127.58 | 12 | 12 |
|
Gregory Alan Thomas
3181 Sw Sam Jackson Park Rd |
$45.63 | 12 | 12 |
|
Jillian Bianchi
3181 Sw Sam Jackson Park Rd |
$129.56 | 12 | 12 |
|
Mulnomah County
619 Nw 6Th Ave Ste 500 |
$60.22 | 12 | 12 |
|
Sarah Louise Storniolo
411 Se 65Th Ave |
$87.01 | 12 | 12 |
|
Benjamin Mark Hornung
3181 Sw Sam Jackson Park Rd |
$144.54 | 12 | 12 |
|
Diana Antoniskis
3550 N Interstate Ave |
$71.89 | 12 | 12 |
|
Darren John Young
9205 Sw Barnes Rd |
$225.00 | 12 | 12 |
|
Scott Webb Hoffmann
1130 Nw 22Nd Ave Ste 130 |
$81.50 | 12 | 12 |
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