Average Medicaid Office Visit Payments in Saint Helens, OR: $60.92
Avg. Paid
$60.92
Range
$0.00 – $1,300
Total Claims
38,081
Providers
26
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 Saint Helens, OR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Thomas Larue Jacobs
475 S Columbia River Hwy Ste 105 |
$57.10 | 6,654 | 6,208 |
|
Kimberly L Anchell
475 S Columbia River Hwy |
$71.66 | 6,300 | 5,884 |
|
Gelar Paul Nocon Biscaro
475 S Columbia River Hwy Ste 100 |
$51.59 | 4,863 | 4,214 |
|
Terence Chu
500 N Columbia River Hwy Ste 6 |
$82.16 | 2,768 | 2,426 |
|
Bryce Annis
500 N Columbia River Hwy Ste 6 |
$75.14 | 2,736 | 2,434 |
|
Lisa Margaret Jones
500 N Columbia River Hwy |
$73.94 | 2,415 | 2,130 |
|
Sharon M Lawrence
525 N Columbia River Hwy |
$78.11 | 1,715 | 1,386 |
|
Marti Bazell
58646 Mcnulty Way |
$1.86 | 1,435 | 1,281 |
|
Emily Anna Paddon
1060 Eisenschmidt Ln |
$4.73 | 1,377 | 1,236 |
|
Heather Louise Dryden
500 N Columbia River Hwy |
$62.41 | 1,331 | 1,085 |
|
Jennifer J Reffel
58646 Mcnulty Way |
$1.29 | 1,250 | 1,121 |
|
Pamela Betty Pastore
500 N Columbia River Hwy |
$73.16 | 1,152 | 1,055 |
|
Irene Ann Holland
58646 Mcnulty Way |
$5.67 | 1,049 | 862 |
|
Deborah Josephine Stano
58147 Columbia River Hwy |
$63.68 | 769 | 728 |
|
Steven Krager
2370 Gable Rd |
$66.72 | 655 | 606 |
|
Andrea Strobel Gepner
500 N Columbia River Hwy |
$83.86 | 470 | 388 |
|
Lily Mccauley
525 N Columbia River Hwy |
$158.41 | 445 | 432 |
|
Justine Lisella
525 N Columbia River Hwy |
$201.63 | 243 | 236 |
|
Columbia Community Mental Health
58646 Mcnulty Way |
$0.00 | 165 | 151 |
|
Larissa Christine Ienna
500 N Columbia River Hwy |
$100.93 | 101 | 93 |
|
Danilyn Renee Allen
525 N Columbia River Hwy |
$10.88 | 49 | 40 |
|
Kathleen Spurling
2370 Gable Rd |
$102.06 | 41 | 39 |
|
Gregorio A Sicard
500 N Columbia River Hwy |
$121.20 | 31 | 30 |
|
Emily Eileen Scotland
1060 Eisenschmidt Ln |
$67.17 | 27 | 27 |
|
Linda Lee Eddy
1621 Columbia Blvd |
$1,300 | 27 | 27 |
|
Thomas A Chewerda
1864 Columbia Blvd |
$57.11 | 13 | 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 Saint Helens, OR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Saint Helens, OR is $60.92 per claim, based on 38,081 claims from 26 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 Saint Helens, OR?
There are 26 Medicaid providers offering Office Visit related services in Saint Helens, OR according to public payment data.
What is the price range for Office Visit in Saint Helens, OR?
Medicaid reimbursement for Office Visit in Saint Helens, OR ranges from $0.00 to $1,300 per claim, with an average of $60.92. 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 Saint Helens, OR
Substance Abuse Treatment
Avg $51.20
174,611 claims
Physical Therapy
Avg $34.09
28,153 claims
Psychiatric Evaluation
Avg $70.13
26,356 claims
Behavioral & Mental Health Therapy
Avg $52.27
18,136 claims
Chiropractic Care
Avg $26.11
7,562 claims
Eye Exam
Avg $59.51
3,555 claims
Case Management Services
Avg $9.88
3,221 claims
Home Health Visit
Avg $5,715
2,013 claims