Average Medicaid Office Visit Payments in Sandy, OR: $78.38
Avg. Paid
$78.38
Range
$54.05 – $159.97
Total Claims
36,657
Providers
29
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 Sandy, OR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jamie Brown
17055 Ruben Ln |
$61.64 | 7,622 | 7,034 |
|
Melanie Bertenelli
37400 Bell St |
$78.91 | 7,167 | 6,166 |
|
Julia Anne Menard
17055 Ruben Ln |
$72.97 | 4,241 | 3,896 |
|
Karen G Hedden
39740 Pleasant St |
$91.22 | 2,484 | 2,239 |
|
Tara Pfaff
36860 Industrial Way |
$77.23 | 1,924 | 1,692 |
|
Hien Martine Bowden
17055 Ruben Ln |
$80.79 | 1,819 | 1,638 |
|
Sean Schulz
36860 Industrial Way |
$98.99 | 1,739 | 1,472 |
|
William Anthony Gromko
17055 Ruben Ln |
$90.44 | 1,376 | 1,109 |
|
Jing Wei
37400 Bell St |
$71.69 | 1,205 | 983 |
|
Eric Eugene Swiridoff
36860 Industrial Way |
$82.58 | 1,156 | 1,013 |
|
Elizabeth Joyce Pacarro
17055 Ruben Ln |
$128.04 | 1,067 | 919 |
|
Deryk Mark Zinser
36860 Industrial Way |
$81.32 | 1,060 | 944 |
|
Elizabeth Busetto
38706 Pioneer Blvd |
$77.96 | 754 | 480 |
|
Stephen Edward Slattery
17055 Ruben Ln |
$78.84 | 631 | 588 |
|
Sandra Carol Broeren
17055 Ruben Ln |
$67.59 | 475 | 418 |
|
Trevor J Haynes
37569 Highway 26 |
$54.05 | 456 | 377 |
|
Elizabeth Lopez
17055 Ruben Ln |
$81.63 | 277 | 272 |
|
Michael Robert Dirks
17055 Ruben Ln |
$95.57 | 222 | 218 |
|
Vileka Fisher
38706 Pioneer Blvd |
$127.53 | 181 | 147 |
|
Janet C West
37400 Bell St |
$86.39 | 153 | 137 |
|
Michael Pinn
17055 Ruben Ln |
$59.36 | 141 | 133 |
|
Claudia M Peterson
17055 Ruben Ln |
$80.69 | 133 | 129 |
|
Ryan E Williams
17055 Ruben Ln |
$159.97 | 125 | 121 |
|
Jonna Hobbs
17055 Ruben Ln |
$115.20 | 77 | 74 |
|
Megan E Nichols
17055 Ruben Ln |
$66.22 | 49 | 47 |
|
Lily Hoog-Fry
38953 Pioneer Blvd |
$54.71 | 46 | 35 |
|
Ravneet Sandhu
37569 Highway 26 |
$80.65 | 37 | 36 |
|
Kaley Brianne Archibald Goers
37400 Bell St |
$73.08 | 22 | 12 |
|
Stephen Frank Nicholson
36860 Industrial Way |
$64.66 | 18 | 15 |
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 Sandy, OR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sandy, OR is $78.38 per claim, based on 36,657 claims from 29 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 Sandy, OR?
There are 29 Medicaid providers offering Office Visit related services in Sandy, OR according to public payment data.
What is the price range for Office Visit in Sandy, OR?
Medicaid reimbursement for Office Visit in Sandy, OR ranges from $54.05 to $159.97 per claim, with an average of $78.38. 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 Sandy, OR
Psychiatric Evaluation
Avg $126.52
5,007 claims
Physical Therapy
Avg $34.67
4,937 claims
Chiropractic Care
Avg $26.56
4,184 claims
Substance Abuse Treatment
Avg $140.11
4,155 claims
Dental Cleaning & Exam
Avg $16.48
2,796 claims
Case Management Services
Avg $69.13
2,262 claims
Speech Therapy
Avg $11.39
2,081 claims
Blood Work & Lab Tests
Avg $3.90
1,938 claims