Average Medicaid Office Visit Payments in Sequim, WA: $34.50
Avg. Paid
$34.50
Range
$0.31 – $436.51
Total Claims
99,708
Providers
72
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 Sequim, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tracy Zaher-Lee
840 N 5Th Ave Ste 2400 |
$15.42 | 12 | 12 |
|
Gloria J. Redmond
808 N 5Th Ave |
$39.61 | 12 | 12 |
|
Ranjini M Krishnan
840 N 5Th Ave Ste 1500 |
$24.33 | 12 | 12 |
|
Lesley Cruz
844 N 5Th Ave |
$27.20 | 13 | 13 |
|
Chemin Perez
375 W Bell St |
$60.48 | 15 | 12 |
|
Bruce Lundin
955 W Washington St |
$77.67 | 17 | 16 |
|
Duane D. Webb
840 N 5Th Ave Ste 1500 |
$40.34 | 25 | 25 |
|
Harry Everett Lyndes
777 N 5Th Ave |
$23.10 | 36 | 26 |
|
Sara Anne Squyres
840 N 5Th Ave Ste 1500 |
$37.49 | 41 | 40 |
|
Binay Kumar Shah
844 N 5Th Ave |
$47.49 | 100 | 88 |
|
Staci R Day
840 N 5Th Ave Ste 1500 |
$40.87 | 106 | 100 |
|
Paul R Cunningham
808 N 5Th Ave |
$36.93 | 112 | 107 |
|
Timothy K Guthrie
808 N 5Th Ave |
$25.79 | 139 | 122 |
|
David Patrick Murphy
840 N 5Th Ave Ste 1500 |
$40.18 | 143 | 137 |
|
Charene S. Alderman
844 N 5Th Ave |
$24.84 | 201 | 179 |
|
Joel Robert Finman
840 N 5Th Ave |
$31.98 | 248 | 244 |
|
John Yergan
840 N 5Th Ave Ste 1400 |
$31.21 | 263 | 260 |
|
Harold R Huff
777 N 5Th Ave |
$16.55 | 288 | 250 |
|
John Blaise Ellery
808 N 5Th Ave |
$37.57 | 320 | 304 |
|
Ranjeet Kaur Seera
808 N 5Th Ave |
$32.81 | 370 | 352 |
|
Valerie B Lodge
800 N 5Th Ave Ste 101 |
$21.36 | 412 | 397 |
|
Militza Ausmanas
840 N 5Th Ave |
$35.77 | 423 | 392 |
|
Timothy A Lipski
840 N 5Th Ave Ste 1400 |
$40.67 | 459 | 451 |
|
Thomas J Fitzgerald
844 N 5Th Ave |
$48.77 | 461 | 405 |
|
Usha K Reddi
777 N 5Th Ave Ste 106 |
$58.59 | 515 | 509 |
|
Claire Edwins
840 N 5Th Ave Ste 1500 |
$33.92 | 572 | 564 |
|
Nicholas Joseph Grinnell
808 N 5Th Ave |
$22.16 | 574 | 520 |
|
Diane H. Root-Racine
808 N 5Th Ave |
$29.64 | 579 | 499 |
|
Jose Alberto Ruiz-Bonilla
844 N 5Th Ave |
$22.88 | 639 | 562 |
|
Jennifer Hunter
840 N 5Th Ave |
$22.19 | 648 | 627 |
|
Carl G Weber
800 N 5Th Ave |
$57.56 | 651 | 642 |
|
Frank Henry Jahns
840 N 5Th Ave Ste 1500 |
$17.76 | 686 | 659 |
|
David Christian Larrymore
565 Eureka Way |
$82.22 | 708 | 702 |
|
Meghan Evans
808 N 5Th Ave |
$26.32 | 711 | 581 |
|
Andrew W Lazos
800 N 5Th Ave Ste 101 |
$39.66 | 748 | 689 |
|
William V Harrer
844 N 5Th Ave |
$41.26 | 757 | 627 |
|
Kevin Austin Weeks
844 N 5Th Ave |
$27.97 | 825 | 735 |
|
Carrie L Sun
800 N 5Th Ave |
$35.21 | 836 | 790 |
|
Michael W Crim
808 N 5Th Ave |
$24.09 | 1,021 | 862 |
|
Elizabeth Olinger
840 N 5Th Ave Ste 1400 |
$46.18 | 1,036 | 978 |
|
Saifuddin M Kasubhai
844 N 5Th Ave |
$35.89 | 1,051 | 877 |
|
Larri Ann Mishko
808 N 5Th Ave |
$36.46 | 1,058 | 808 |
|
Mark S Redlin
808 N 5Th Ave |
$28.37 | 1,067 | 1,019 |
|
Thomas Carl Michels
800 N 5Th Ave Ste 101 |
$27.40 | 1,096 | 1,033 |
|
Marna K. Butler
777 N 5Th Ave |
$29.55 | 1,102 | 1,091 |
|
Andrea Ann Eickelmann
808 N 5Th Ave |
$54.16 | 1,121 | 1,040 |
|
Emily A April
840 N 5Th Avenue, Ste 1500 |
$30.53 | 1,231 | 1,142 |
|
Martin Clive Palmer
844 N 5Th Ave |
$24.23 | 1,434 | 1,222 |
|
Eric Douglas Hempel
800 N 5Th Ave Ste 101 |
$22.60 | 1,473 | 1,395 |
|
Mark Edward Sienko
844 N 5Th Ave |
$32.32 | 1,607 | 1,408 |
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 Sequim, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sequim, WA is $34.50 per claim, based on 99,708 claims from 72 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 Sequim, WA?
There are 72 Medicaid providers offering Office Visit related services in Sequim, WA according to public payment data.
What is the price range for Office Visit in Sequim, WA?
Medicaid reimbursement for Office Visit in Sequim, WA ranges from $0.31 to $436.51 per claim, with an average of $34.50. 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 Sequim, WA
Substance Abuse Treatment
Avg $21.26
69,988 claims
Psychiatric Evaluation
Avg $81.06
24,847 claims
Durable Medical Equipment (DME)
Avg $24.49
18,361 claims
Blood Work & Lab Tests
Avg $19.59
17,752 claims
Dental Cleaning & Exam
Avg $26.46
11,695 claims
Speech Therapy
Avg $21.02
11,688 claims
Physical Therapy
Avg $18.19
8,277 claims
Eye Exam
Avg $38.85
5,585 claims