Average Medicaid Office Visit Payments in Seattle, WA: $64.74
Avg. Paid
$64.74
Range
$0.00 – $784.86
Total Claims
3,147,175
Providers
3,468
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 Seattle, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Seattle Children'S Hospital
4800 Sand Point Way Ne |
$135.55 | 573,261 | 519,474 |
|
International Community Health Services
720 8Th Ave S |
$15.88 | 36,862 | 33,101 |
|
Lauren Goli
550 16Th Ave Ste 100 |
$2.13 | 18,097 | 15,531 |
|
Bicycle Health Medical Group Pa
506 Second Avenue |
$63.52 | 16,353 | 13,560 |
|
Lauren Sonderegger
550 16Th Ave |
$215.75 | 15,388 | 13,685 |
|
David Kurt Hough
325 9Th Ave |
$64.28 | 14,037 | 12,373 |
|
International Community Health Services
3815 S Othello St |
$17.41 | 13,717 | 12,644 |
|
Leanne Margaret Miller
4033 E Madison St Ste 100 |
$103.82 | 12,725 | 10,480 |
|
Elena Michelle Wagner
1100 Ninth Ave |
$149.47 | 12,584 | 11,589 |
|
David D Nguyen
2120 Rainier Ave S Suite C |
$33.16 | 12,342 | 11,068 |
|
Community Psychiatric Clinic Inc
11000 Lake City Way Ne |
$0.44 | 12,205 | 8,313 |
|
Leslie Janine Morris
1959 Ne Pacific St |
$75.33 | 11,490 | 8,852 |
|
Ian Pacey Boydstun
332 Ne Northgate Way |
$73.95 | 10,622 | 9,851 |
|
Thomas Merson Tocher
6322 Roosevelt Way Ne |
$42.57 | 10,552 | 9,606 |
|
Xiaoxue Huang
1959 Ne Pacific St |
$1.42 | 10,542 | 6,227 |
|
Xin Jie Luo
4755 Fauntleroy Way Sw |
$46.44 | 10,445 | 10,004 |
|
Erin Nicole Berry
2001 E Madison St |
$67.37 | 10,344 | 10,130 |
|
Paymon Elahi
14212 Ambaum Blvd Sw 202 |
$14.25 | 10,014 | 8,179 |
|
Huy Le Hoang
3324 Rainier Ave S |
$36.73 | 9,931 | 8,152 |
|
Yuanzhi Angela Li
9800 4Th Ave Ne |
$35.06 | 9,731 | 9,116 |
|
Navos
2600 Sw Holden St |
$0.11 | 9,235 | 5,340 |
|
Theresa L Hineline
14212 Ambaum Blvd Sw #202 |
$15.93 | 9,037 | 7,540 |
|
Neighborcare Health
9245 Rainier Ave S |
$14.72 | 8,833 | 6,860 |
|
Roberto Ruelas
4800 Sand Point Way Ne |
$0.62 | 8,684 | 7,684 |
|
Tyler C Munson
1145 Broadway |
$43.67 | 8,109 | 7,256 |
|
Todd Barrett Woods
4210 4Th Ave Ne |
$56.65 | 8,089 | 7,919 |
|
Yen Hoang Nguyen
9800 4Th Ave Ne |
$37.89 | 7,843 | 7,479 |
|
Amy L Stevenson
720 8Th Ave S |
$38.79 | 7,681 | 7,384 |
|
Neighborcare Health
1930 Post Aly |
$12.22 | 7,622 | 5,588 |
|
Lisa M Britton
9635 17Th Ave Sw |
$61.58 | 7,111 | 6,530 |
|
Franciscan City Urgent Care Services
6322 Roosevelt Way Ne |
$64.74 | 7,022 | 6,717 |
|
Neighborcare Health
4400 37Th Ave S |
$15.96 | 6,971 | 5,386 |
|
Laura Michelle Ireland
550 16Th Ave Ste 100 |
$3.88 | 6,847 | 6,336 |
|
Ashlin Mountjoy
1801 Nw Market St Ste 403 |
$33.23 | 6,789 | 6,319 |
|
Belinda J Gustafson
11000 Lake City Way Ne |
$2.09 | 6,778 | 5,546 |
|
Robert Cook
4400 37Th Ave S |
$43.56 | 6,671 | 6,416 |
|
Katherine Renee Scherling
325 9Th Ave |
$20.75 | 6,576 | 4,550 |
|
Michael Ray Baze
515 Minor Ave Ste 210 |
$55.59 | 6,551 | 6,421 |
|
Megan Lear Prior
4800 Sand Point Way Ne |
$57.55 | 6,483 | 5,777 |
|
Scott Eric Moser
5020 Meridian Ave N |
$92.13 | 6,435 | 5,805 |
|
Samantha Weed
1959 Ne Pacific St |
$54.38 | 6,300 | 5,999 |
|
Sonali Sheth
4915 25Th Ave Ne Ste 300W |
$9.77 | 6,295 | 3,840 |
|
Rajpreet K Tiwana
1101 Madison St Ste 200 |
$54.69 | 6,195 | 6,091 |
|
Neighborcare Health
1629 N 45Th St |
$13.86 | 6,187 | 4,523 |
|
Joonis Abdulkhader
201 16Th Ave E |
$55.85 | 5,914 | 5,769 |
|
Nissa Freed
1959 Ne Pacific St |
$19.94 | 5,886 | 5,352 |
|
Aaron Levin
825 Eastlake Ave E |
$96.33 | 5,801 | 5,559 |
|
Neighborcare Health
6020 35Th Ave Sw |
$17.12 | 5,610 | 4,261 |
|
Asian Counseling And Referral Service
3639 Martin Luther King Jr. Way South |
$0.18 | 5,597 | 3,921 |
|
Genji Terasaki
325 9Th Ave |
$20.41 | 5,558 | 5,020 |
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 Seattle, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Seattle, WA is $64.74 per claim, based on 3,147,175 claims from 3468 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 Seattle, WA?
There are 3468 Medicaid providers offering Office Visit related services in Seattle, WA according to public payment data.
What is the price range for Office Visit in Seattle, WA?
Medicaid reimbursement for Office Visit in Seattle, WA ranges from $0.00 to $784.86 per claim, with an average of $64.74. 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 Seattle, WA
Blood Work & Lab Tests
Avg $6.58
14,710,002 claims
Substance Abuse Treatment
Avg $5.11
4,506,327 claims
Urinalysis & Urine Tests
Avg $3.83
1,793,429 claims
Emergency Room Visit
Avg $91.01
1,579,665 claims
Culture & Microbiology Tests
Avg $5.06
1,284,482 claims
X-Ray
Avg $5.81
1,243,950 claims
Dental Cleaning & Exam
Avg $28.42
1,026,751 claims
Pathology & Lab Services
Avg $24.43
707,020 claims