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 |
|---|---|---|---|
|
Jacqueline Rubylee Gorzynski
1701 N 13Th St |
$67.32 | 12 | 12 |
|
Kaylesh K. Pandya
625 W Railroad Ave # 234 |
$84.32 | 14 | 13 |
|
Andrew J Pelczar
1701 N 13Th St |
$47.57 | 14 | 14 |
|
Naomi Elizabeth Mork
112 E Spencer Lake Rd |
$7.36 | 19 | 14 |
|
Squaxin Island Medical Encounter
90 Se Klah Che Min Dr |
$0.00 | 29 | 29 |
|
Public Hospital District No 1 Of Mason County
1812 N 13Th Loop Rd |
$23.64 | 36 | 29 |
|
Jenni Rubio Aaseby
1701 N 13Th St |
$48.20 | 39 | 38 |
|
Monica B Vuong
1701 N 13Th St |
$45.36 | 52 | 52 |
|
Tiffany Henningsen
1701 N 13Th St |
$73.02 | 69 | 66 |
|
Matthew Todd Moody
901 Mountain View Dr |
$58.30 | 70 | 68 |
|
James Anthony Wright
1812 N 13Th Loop Rd |
$45.66 | 77 | 75 |
|
Peninsula Community Health Services
627 W Franklin St |
$24.64 | 105 | 72 |
|
John Val Rice
1812 N 13Th Loop Rd |
$30.76 | 112 | 107 |
|
Alyssa Sethi
1701 N 13Th St |
$76.57 | 113 | 112 |
|
Jonathan A Gold
2300 Kati Ct |
$0.00 | 115 | 113 |
|
Rachel Helena Armas
90 Se Klah Che Min Dr |
$42.81 | 147 | 142 |
|
Timothy Weber
939 Mt View Dr |
$44.23 | 158 | 154 |
|
Anne-Marie Chapman
112 E Spencer Lake Rd |
$17.46 | 167 | 103 |
|
Rebecca K Hendryx
237 Professional Way |
$53.21 | 171 | 165 |
|
Kathryn P Hackney
237 Professional Way |
$50.04 | 174 | 171 |
|
Michelle Hamilton
939 Mountain View Dr |
$73.76 | 185 | 175 |
|
Mark Luther Schlauderaff
237 Professional Way |
$45.13 | 189 | 183 |
|
Jennifer Jane Robinson
1701 N 13Th St |
$81.20 | 231 | 223 |
|
Joseph John Theodore Renaud
422 W Birch St |
$42.48 | 240 | 223 |
|
Thomas Russell Prieskorn
901 Mountain View Dr |
$60.87 | 252 | 249 |
|
Samar Saadat Hassouneh
1701 N 13Th St |
$50.61 | 256 | 232 |
|
Robert John Cavaliere
1701 N 13Th St |
$51.78 | 282 | 266 |
|
Carlos Armando Rubio-Reyes
1812 N 13Th Loop Rd |
$44.13 | 315 | 303 |
|
Allen Millard
1701 N 13Th St |
$64.68 | 326 | 308 |
|
Rosemary Spyhalsky
237 Professional Way |
$49.76 | 346 | 334 |
|
In Kyu Yoo
237 Professional Way |
$39.09 | 355 | 338 |
|
D'Arcy M Kaaua
1701 N 13Th St |
$65.96 | 356 | 342 |
|
Ladd Douglas Rutherford
1701 N 13Th St |
$62.19 | 429 | 418 |
|
Jess Calohan
1701 N 13Th St |
$34.71 | 449 | 441 |
|
David Eric Anderson
1701 N 13Th St |
$58.57 | 466 | 448 |
|
Philip Matthew Woods
1701 N 13Th St |
$53.79 | 499 | 483 |
|
Christopher Webb Penoyar
1812 North 13Th Loop |
$41.27 | 520 | 472 |
|
David Patrick Soha
1701 N 13Th St |
$54.19 | 563 | 545 |
|
Erica Elizabeth Schuman
1701 N 13Th St |
$59.39 | 598 | 587 |
|
Benjamin Gary May
1701 N 13Th St |
$65.23 | 796 | 756 |
|
Mathew Kummerfeldt
1701 N 13Th St |
$63.66 | 821 | 791 |
|
Darren Cuevas
1701 N 13Th St |
$63.39 | 872 | 805 |
|
Public Hospital District No 1 Of Mason County
1812 N 13Th Loop Rd |
$53.24 | 912 | 800 |
|
Amie Elise Freeman Mower
237 Professional Way |
$57.53 | 929 | 908 |
|
Jimmy Ray Wesson
237 Professional Way |
$45.81 | 967 | 902 |
|
Alexandra Danae Rhodes
247 Professional Way |
$58.46 | 1,023 | 958 |
|
Phillip Andrew Bilderback
1710 N 13Th Loop Rd |
$31.10 | 1,098 | 1,014 |
|
Northwest Resources Ii
325 S 3Rd Street |
$0.95 | 1,165 | 875 |
|
Alisha Renee Wedding-Lambert
1701 N 13Th St |
$46.81 | 1,219 | 991 |
|
Jonathan Corbin Wilton
90 Se Klah Che Min Dr |
$43.28 | 1,288 | 1,063 |
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