Average Medicaid Office Visit Payments in Shelton, WA: $62.83
Avg. Paid
$62.83
Range
$0.00 – $122.14
Total Claims
130,413
Providers
81
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 Shelton, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Public Hospital District No 1 Of Mason County
1701 N 13Th St |
$122.14 | 20,776 | 16,301 |
|
Public Hospital District No 1 Of Mason County
901 Mt View Dr |
$45.24 | 7,404 | 5,277 |
|
Roseann Rayos
1701 N 13Th St |
$70.22 | 6,509 | 6,119 |
|
Lisa Carol Ribera
1701 N 13Th St |
$54.13 | 6,441 | 6,163 |
|
Therese Eileen Pizanti
1701 N 13Th St |
$68.09 | 4,351 | 4,074 |
|
James Stauffer
1701 N 13Th St |
$52.13 | 4,069 | 3,851 |
|
Kc Graham
237 Professional Way |
$52.35 | 3,989 | 3,808 |
|
Alexander John Mckean
627 W Franklin St |
$36.04 | 3,576 | 3,052 |
|
Carley A Jacobs
2300 Kati Ct Ste A |
$46.91 | 3,454 | 3,113 |
|
Lucinda T Boudreau
1701 N 13Th St Ste 100 |
$47.55 | 3,305 | 2,974 |
|
Charles Tiffany Barret
90 Se Klah Che Min Dr |
$18.70 | 3,269 | 2,519 |
|
Andrea N Martin
2300 Kati Ct |
$42.38 | 3,213 | 2,505 |
|
Carey R Martens
2300 Kati Ct Ste A |
$43.49 | 3,109 | 2,421 |
|
Sarah Marie Magnuson-Whyte
2136 Olympic Hwy N |
$44.40 | 2,798 | 2,304 |
|
Resa Shaner
1701 N 13Th St Ste 100 |
$52.01 | 2,701 | 2,487 |
|
Annella Mae Coffman
2505 Olympic Hwy N |
$35.45 | 2,650 | 2,572 |
|
Jennifer A Nelson
237 Professional Way |
$57.43 | 2,587 | 2,493 |
|
Ezekiel Derek Alexander Melquist
1701 N 13Th St |
$51.37 | 2,581 | 2,458 |
|
Katie Aldrich
1701 N 13Th St |
$69.40 | 2,356 | 2,163 |
|
Andrew Ohjoon Kwon
1701 N 13Th St |
$48.99 | 2,273 | 2,121 |
|
Alyssa Caryn Abegg-Garcia
237 Professional Way |
$61.00 | 2,187 | 2,045 |
|
Public Hospital District No 1 Of Mason County
221 Professional Way |
$66.39 | 1,957 | 1,796 |
|
Rayleen Denise Kirkland
90 Se Klah Che Min Dr |
$63.46 | 1,955 | 1,788 |
|
Angela L Tobias
939 Mountain View Dr |
$47.98 | 1,940 | 1,631 |
|
Public Hospital District No 1 Of Mason County
237 Professional Way |
$67.08 | 1,928 | 1,765 |
|
Vanessa Laurel Cray
1701 N 13Th St |
$64.27 | 1,862 | 1,668 |
|
John Sutherland Oglesby
1701 N 13Th St |
$50.06 | 1,822 | 1,413 |
|
Charles W Anderegg
1701 N 13Th St Ste A |
$55.71 | 1,602 | 1,569 |
|
Jennifer Lynn Kummerfeldt
1701 N 13Th St |
$52.43 | 1,428 | 1,325 |
|
Heung In
1701 N 13Th St |
$64.54 | 1,354 | 1,322 |
|
Trevor Shane Kwan
1701 N 13Th St |
$61.07 | 1,327 | 1,271 |
|
Jonathan Corbin Wilton
90 Se Klah Che Min Dr |
$43.28 | 1,288 | 1,063 |
|
Alisha Renee Wedding-Lambert
1701 N 13Th St |
$46.81 | 1,219 | 991 |
|
Northwest Resources Ii
325 S 3Rd Street |
$0.95 | 1,165 | 875 |
|
Phillip Andrew Bilderback
1710 N 13Th Loop Rd |
$31.10 | 1,098 | 1,014 |
|
Alexandra Danae Rhodes
247 Professional Way |
$58.46 | 1,023 | 958 |
|
Jimmy Ray Wesson
237 Professional Way |
$45.81 | 967 | 902 |
|
Amie Elise Freeman Mower
237 Professional Way |
$57.53 | 929 | 908 |
|
Public Hospital District No 1 Of Mason County
1812 N 13Th Loop Rd |
$53.24 | 912 | 800 |
|
Darren Cuevas
1701 N 13Th St |
$63.39 | 872 | 805 |
|
Mathew Kummerfeldt
1701 N 13Th St |
$63.66 | 821 | 791 |
|
Benjamin Gary May
1701 N 13Th St |
$65.23 | 796 | 756 |
|
Erica Elizabeth Schuman
1701 N 13Th St |
$59.39 | 598 | 587 |
|
David Patrick Soha
1701 N 13Th St |
$54.19 | 563 | 545 |
|
Christopher Webb Penoyar
1812 North 13Th Loop |
$41.27 | 520 | 472 |
|
Philip Matthew Woods
1701 N 13Th St |
$53.79 | 499 | 483 |
|
David Eric Anderson
1701 N 13Th St |
$58.57 | 466 | 448 |
|
Jess Calohan
1701 N 13Th St |
$34.71 | 449 | 441 |
|
Ladd Douglas Rutherford
1701 N 13Th St |
$62.19 | 429 | 418 |
|
D'Arcy M Kaaua
1701 N 13Th St |
$65.96 | 356 | 342 |
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 Shelton, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shelton, WA is $62.83 per claim, based on 130,413 claims from 81 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 Shelton, WA?
There are 81 Medicaid providers offering Office Visit related services in Shelton, WA according to public payment data.
What is the price range for Office Visit in Shelton, WA?
Medicaid reimbursement for Office Visit in Shelton, WA ranges from $0.00 to $122.14 per claim, with an average of $62.83. 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 Shelton, WA
Blood Work & Lab Tests
Avg $29.12
204,025 claims
Emergency Room Visit
Avg $244.13
105,856 claims
Physical Therapy
Avg $60.74
61,261 claims
Psychiatric Evaluation
Avg $65.10
41,641 claims
Urinalysis & Urine Tests
Avg $26.00
39,035 claims
Substance Abuse Treatment
Avg $37.49
38,534 claims
Dental Cleaning & Exam
Avg $27.24
34,679 claims
X-Ray
Avg $119.89
31,186 claims