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Based on public Medicaid payment data.

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

Other Procedures in Seattle, WA