Average Medicaid Office Visit Payments in Sedro Woolley, WA: $52.30
Avg. Paid
$52.30
Range
$0.00 – $72.90
Total Claims
33,443
Providers
19
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 Sedro Woolley, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gilson Roberto Girotto
1990 Hospital Dr Ste 100 |
$64.20 | 6,825 | 6,734 |
|
Kimm I. Layland
1990 Hospital Drive, Suite 100 |
$34.69 | 3,621 | 3,373 |
|
Herbert Edwin Stickle
2000 Hospital Dr |
$37.23 | 3,247 | 3,061 |
|
Desiree Rose Huntley
1990 Hospital Dr Ste 200 |
$61.07 | 3,096 | 2,717 |
|
Morgan F Merrill
1990 Hospital Dr Ste 200 |
$51.72 | 2,554 | 2,244 |
|
Indeep Bal
1990 Hospital Dr Ste 200 |
$56.88 | 2,474 | 2,210 |
|
Melissa L Hedlin
1990 Hospital Dr Ste 110 |
$59.75 | 2,351 | 2,187 |
|
Tiffany L. Johns
1990 Hospital Drive, Suite 100 |
$37.32 | 2,246 | 2,148 |
|
Gurkaran Singh Thiara
1990 Hospital Dr Ste 200 |
$56.55 | 2,065 | 1,920 |
|
Angela J. Clements
1990 Hospital Dr |
$48.10 | 1,772 | 1,696 |
|
Aprill Graham
2000 Hospital Dr |
$43.76 | 1,395 | 1,272 |
|
Tim M Pearson
2000 Hospital Dr |
$72.90 | 1,134 | 905 |
|
Nadezhda I. Volsky
2061 Hospital Dr |
$63.36 | 292 | 256 |
|
Janessa J Chang
2000 Hospital Dr |
$42.97 | 244 | 238 |
|
John D Lewis
2000 Hospital Dr |
$52.01 | 41 | 40 |
|
Allen L. Johnson
1990 Hospital Dr |
$17.40 | 28 | 27 |
|
Peacehealth
2000 Hospital Dr |
$0.00 | 23 | 13 |
|
John Mcdonald
700 Murdock St |
$10.15 | 21 | 12 |
|
Karen S. Hunter
1900 Hospital Dr. Suite 200 |
$53.12 | 14 | 14 |
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 Sedro Woolley, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sedro Woolley, WA is $52.30 per claim, based on 33,443 claims from 19 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 Sedro Woolley, WA?
There are 19 Medicaid providers offering Office Visit related services in Sedro Woolley, WA according to public payment data.
What is the price range for Office Visit in Sedro Woolley, WA?
Medicaid reimbursement for Office Visit in Sedro Woolley, WA ranges from $0.00 to $72.90 per claim, with an average of $52.30. 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 Sedro Woolley, WA
Blood Work & Lab Tests
Avg $25.36
70,923 claims
Emergency Room Visit
Avg $417.72
58,471 claims
Physical Therapy
Avg $33.35
37,621 claims
Speech Therapy
Avg $19.47
15,254 claims
Urinalysis & Urine Tests
Avg $11.40
14,189 claims
Ambulance Transport
Avg $43.90
12,533 claims
EKG / ECG (Electrocardiogram)
Avg $49.40
11,537 claims
CT Scan (Computed Tomography)
Avg $695.08
9,898 claims