Average Medicaid Office Visit Payments in Sammamish, WA: $57.47
Avg. Paid
$57.47
Range
$15.98 – $119.14
Total Claims
11,050
Providers
21
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 Sammamish, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edanili Sagun Lacar
2153 E Beaver Lake Dr Se |
$36.09 | 2,765 | 2,153 |
|
Asmita Chaudhary
4560 Klahanie Dr Se Ste 400 |
$58.80 | 1,764 | 1,648 |
|
Baijie Wang
3066 Issaquah Pine Lake Rd Se |
$61.94 | 1,337 | 1,318 |
|
Jeannie Chia Hui Chang
22707 Se 29Th St |
$62.41 | 1,025 | 985 |
|
Meagan Ann Dwyer
530 228Th Ave Ne |
$61.05 | 654 | 641 |
|
Tiffany P Chiu
4560 Klahanie Dr Se Ste 400 |
$68.98 | 621 | 566 |
|
Jessica T Johnson
24944 Se 43Rd St |
$119.14 | 615 | 608 |
|
Lindsey Royal Hurt
22620 Se 4Th St Ste 130 |
$73.00 | 593 | 514 |
|
Colleen Mulvihill Pacem
22850 Ne 8Th St |
$56.64 | 547 | 526 |
|
Li Wang
22707 Se 29Th St |
$52.57 | 336 | 321 |
|
Brandon E Smith
22850 Ne 8Th St Ste 103 |
$40.20 | 237 | 219 |
|
Fengxia Qiao
22707 Se 29Th St |
$58.67 | 92 | 86 |
|
Richard Mitchell
2400 Sahalee Dr E |
$15.98 | 89 | 86 |
|
Carolyn C Liu
22707 Se 29Th St |
$59.81 | 84 | 73 |
|
Amanda D Cox
22850 Ne 8Th St Ste 103 |
$56.65 | 81 | 78 |
|
Sainabou Wadda
22850 Ne 8Th St Ste 103 |
$42.54 | 72 | 69 |
|
William Yeardon Mckee
22850 Ne 8Th St |
$37.68 | 42 | 37 |
|
T Michael Claudson
22620 Se 4Th Street |
$80.46 | 32 | 25 |
|
David Y Pong
22707 Se 29Th St |
$42.88 | 27 | 27 |
|
Kayleen M Jones
22707 Se 29Th St |
$82.77 | 24 | 24 |
|
Wenjia Song
22707 Se 29Th St |
$39.33 | 13 | 13 |
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 Sammamish, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sammamish, WA is $57.47 per claim, based on 11,050 claims from 21 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 Sammamish, WA?
There are 21 Medicaid providers offering Office Visit related services in Sammamish, WA according to public payment data.
What is the price range for Office Visit in Sammamish, WA?
Medicaid reimbursement for Office Visit in Sammamish, WA ranges from $15.98 to $119.14 per claim, with an average of $57.47. 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 Sammamish, WA
Dental Cleaning & Exam
Avg $25.03
7,338 claims
Vaccines & Immunizations
Avg $5.77
2,593 claims
Substance Abuse Treatment
Avg $0.00
2,508 claims
Physical Therapy
Avg $33.31
2,338 claims
Psychiatric Evaluation
Avg $24.51
1,842 claims
Dental Filling
Avg $59.00
836 claims
Emergency Room Visit
Avg $61.47
460 claims
Behavioral & Mental Health Therapy
Avg $2.30
335 claims