Average Medicaid Office Visit Payments in Shoreline, WA: $42.98
Avg. Paid
$42.98
Range
$0.62 – $216.76
Total Claims
77,020
Providers
76
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 Shoreline, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Christina May Nelson
2465 Ne 182Nd Ct |
$58.05 | 12 | 12 |
|
Erica Johnson Lybarger
1201 N 175Th St |
$46.72 | 14 | 14 |
|
John Benedict Abano
20011 Ballinger Way Ne Ste C100 |
$39.78 | 16 | 14 |
|
Marissa Fontanez
604 Nw Richmond Beach Rd |
$45.39 | 29 | 29 |
|
Arthi Komala Narayanan
16549 Aurora Ave N |
$20.71 | 32 | 29 |
|
Jean Gruver
1355 N 205Th St |
$0.74 | 55 | 55 |
|
Ellen Simone Passloff
1201 N 175Th St |
$69.15 | 56 | 52 |
|
Alice M Inouye
15214 Aurora Ave N |
$44.17 | 61 | 54 |
|
Amy Braun Boone
19521 22Nd Ave Nw |
$42.42 | 69 | 59 |
|
Jessica Truong
16549 Aurora Ave N |
$30.43 | 96 | 93 |
|
Sarah Christine Lewis
604 Ne 165Th St Apt 204 |
$59.49 | 98 | 93 |
|
Diana L Villanueva
1355 N 205Th St |
$79.14 | 107 | 104 |
|
Azar Sadeghalvad
1207 N 200Th St |
$4.10 | 110 | 97 |
|
Sarah Wynelle Bernhards
16549 Aurora Ave N |
$23.19 | 124 | 116 |
|
Kyle Danielson
1355 N 205Th St |
$45.57 | 126 | 121 |
|
Claire P Yearian
1201 N 175Th St |
$32.23 | 128 | 120 |
|
Sarah Jayne Roskam
1355 N 205Th St |
$32.68 | 131 | 124 |
|
Joohee Kim
1130 N 185Th St |
$15.50 | 146 | 136 |
|
Meaghan Oakes
16549 Aurora Ave N |
$21.84 | 152 | 141 |
|
Suzanne K Bladek
355 Nw Richmond Beach Rd |
$30.56 | 157 | 153 |
|
Mai Tran
1355 N 205Th St |
$37.00 | 168 | 144 |
|
Christine Suydam
1201 N 175Th St |
$48.08 | 170 | 164 |
|
Stephanie Tougas Nash
16549 Aurora Ave N |
$22.27 | 200 | 183 |
|
Tamara Zina Anne Atkins
1355 N 205Th Street |
$47.64 | 247 | 238 |
|
Scott C Cuthbert
1201 N 175Th St |
$55.33 | 271 | 261 |
|
Emily Peterson Biddulph
16549 Aurora Ave N |
$39.50 | 274 | 222 |
|
Shikha Paresh Shah
604 Nw Richmond Beach Rd |
$51.47 | 280 | 259 |
|
Aisha P Ruler
1355 N 205Th St |
$82.50 | 315 | 306 |
|
Karina Alejandra Mendoza
1355 N 205Th St |
$45.08 | 318 | 309 |
|
Tiffany Lynn Shih
1201 N 175Th St |
$62.86 | 409 | 403 |
|
Marion L Folkemer
1355 N 205Th St |
$69.22 | 428 | 410 |
|
Bobbie V. Kumar
604 Nw Richmond Beach Rd |
$32.84 | 462 | 428 |
|
Paul C Costello
16549 Aurora Ave N |
$31.96 | 468 | 446 |
|
Michelle Tran
16549 Aurora Ave N |
$38.27 | 490 | 429 |
|
Mary Diane White
20011 Ballinger Way Ne Ste 202 |
$58.47 | 557 | 500 |
|
Julie Williams
15214 Aurora Ave N |
$216.76 | 569 | 546 |
|
Patrick Charles Simpson
1201 N 175Th St |
$49.71 | 598 | 571 |
|
Matthew Brian Jaffy
1355 N 205Th St |
$42.50 | 668 | 613 |
|
Allison Grace Cummings
1355 N 205Th St |
$54.57 | 681 | 647 |
|
Brooke Smith
1201 N 175Th St |
$63.66 | 694 | 677 |
|
Claire Southern Jenkins
1355 N 205Th St |
$57.08 | 704 | 663 |
|
Melissa Nicole Genualdi
604 Nw Richmond Beach Rd |
$90.57 | 708 | 684 |
|
Marla Rudd Brucken
1424 Ne 155Th St Ste 205 |
$0.62 | 739 | 669 |
|
Bill Toukan
1201 N 175Th St |
$49.13 | 763 | 735 |
|
Suzanne El-Attar Evans
1355 N 205Th St |
$47.35 | 765 | 733 |
|
Kathleen Mckeegan Volkman
1355 N 205Th St |
$39.98 | 786 | 757 |
|
Jennifer Lynn Chung
16549 Aurora Ave N |
$31.25 | 883 | 813 |
|
Jung H Joh
1130 N 185Th St Ste 201 |
$13.61 | 885 | 870 |
|
Robert James Klem
604 Nw Richmond Beach Rd |
$62.24 | 916 | 878 |
|
Sonja B Tarrago
357 Nw Richmond Beach Rd |
$67.70 | 941 | 879 |
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 Shoreline, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shoreline, WA is $42.98 per claim, based on 77,020 claims from 76 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 Shoreline, WA?
There are 76 Medicaid providers offering Office Visit related services in Shoreline, WA according to public payment data.
What is the price range for Office Visit in Shoreline, WA?
Medicaid reimbursement for Office Visit in Shoreline, WA ranges from $0.62 to $216.76 per claim, with an average of $42.98. 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 Shoreline, WA
Substance Abuse Treatment
Avg $14.25
147,339 claims
Dental Cleaning & Exam
Avg $22.35
29,936 claims
Psychiatric Evaluation
Avg $45.99
21,343 claims
Physical Therapy
Avg $31.05
17,577 claims
Vaccines & Immunizations
Avg $7.30
12,845 claims
Podiatry (Foot Care)
Avg $5.43
11,466 claims
Ambulance Transport
Avg $36.03
11,103 claims
Speech Therapy
Avg $31.04
6,745 claims