Average Medicaid Office Visit Payments in Spokane Valley, WA: $56.34
Avg. Paid
$56.34
Range
$2.44 – $183.14
Total Claims
596,563
Providers
312
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 Spokane Valley, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sanja Proszek
1215 N Mcdonald Rd |
$28.67 | 12 | 12 |
|
Nils W. Ohlsen
15727 E Broadway Ave |
$44.09 | 12 | 12 |
|
Melissa Lockhart
1410 N Mullan Rd |
$74.74 | 12 | 12 |
|
Michael Harper
12104 E Main Ave |
$75.04 | 13 | 12 |
|
Steven W Beckstrom
12509 E Mission Ave |
$61.76 | 13 | 12 |
|
Kathleen R Lejameyer
1807 N Hutchinson Rd |
$49.47 | 13 | 13 |
|
Kevin K Mcvey
13414 E Mission Ave |
$36.16 | 13 | 13 |
|
Donald U Stone
16201 E Indiana Ave Ste 5000 |
$58.34 | 14 | 13 |
|
Anthony Michael Sestero
12410 E Sinto Ave Ste 201 |
$81.79 | 14 | 12 |
|
Lewis C Weaver
13102 E Mission Ave |
$56.43 | 15 | 15 |
|
Courtney Polimeni
15812 E Indiana Ave |
$31.87 | 15 | 15 |
|
Michael Ryan Odom
14402 E Sprague Ave |
$37.83 | 16 | 15 |
|
Emily Christie
15812 E Indiana Ave |
$28.90 | 18 | 17 |
|
Johnny Edward Liner
16201 E Indiana Ave Ste 3260 |
$17.04 | 22 | 21 |
|
Scott Roger Hadley
1414 N Houk Rd Ste 203 |
$54.53 | 24 | 24 |
|
Emily Murphy Korszen
16201 E Indiana Ave Ste 5000 |
$24.68 | 25 | 24 |
|
Andrea Mead Dominey
1807 N Hutchinson Rd |
$63.72 | 26 | 26 |
|
Christopher Melvin Lee
1204 N Vercler Rd |
$23.84 | 26 | 24 |
|
Kimberly Anne Kumiko Portch
13424 E Mission Ave |
$18.50 | 26 | 20 |
|
Guy Edward Katz
16528 E Desmet Ct |
$32.97 | 27 | 27 |
|
Genevieve Lynn Wimberley
1415 N Houk Rd |
$49.66 | 29 | 28 |
|
Christopher James Melich
15404 E Springfield Ave Ste 100 |
$74.07 | 29 | 26 |
|
Elizabeth Howard
16528 E Desmet Ct |
$42.75 | 30 | 26 |
|
Thao Linh Cat Le
1000 N Argonne Rd |
$57.65 | 34 | 24 |
|
Maurita Florence Andrews
13607 East Sprague Ave |
$3.61 | 38 | 28 |
|
Nikolas Steven Rademaker
1204 N Vercler Rd |
$63.11 | 42 | 37 |
|
Robin L Mitchell
16528 E Desmet Ct Ste B3100 |
$61.06 | 44 | 37 |
|
Danielle Schleicher
16201 E Indiana Ave Ste 5000 |
$6.37 | 46 | 42 |
|
Lauren A Earthman
16528 E Desmet Ct Ste B2200 |
$59.03 | 50 | 44 |
|
Brenda K Durnin
14408 E Sprague Ave |
$42.21 | 51 | 49 |
|
Marion T Chirayath
1204 N Vercler Rd |
$32.47 | 51 | 38 |
|
John Phillip Goldfeldt
826 N Mullan Rd |
$43.10 | 58 | 37 |
|
James Keith Parker
1807 N Hutchinson Rd |
$97.32 | 58 | 58 |
|
James A. Numata
16528 E Desmet Ct Ste B3100 |
$50.98 | 59 | 58 |
|
Darin P Eckert
14408 E Sprague Ave |
$38.01 | 59 | 51 |
|
Jonathan G Haymore
16201 E Indiana Ave Ste 5000 |
$38.20 | 60 | 54 |
|
Stephen A Reese
1512 N Vercler Rd |
$53.77 | 61 | 52 |
|
Kate Elizabeth Bluestone
15812 E Indiana Ave |
$31.94 | 66 | 61 |
|
Cecilia M Lauder
16528 E Desmet Ct Ste B2100 |
$47.16 | 67 | 65 |
|
Makena Loryn Kelly
13424 E Mission Ave |
$22.01 | 68 | 54 |
|
Alan J Kelly
1215 N Mcdonald Rd |
$37.88 | 70 | 65 |
|
Rebecca Ann Raymond
1014 N Pines Rd Ste 117 |
$78.88 | 71 | 60 |
|
Kelly Smoot
15812 E Indiana Ave |
$31.75 | 73 | 69 |
|
Cassandra M Sauther
16528 E Desmet Ct Ste B3100 |
$46.52 | 75 | 71 |
|
Robyn L Smith
1502 N Vercler Rd |
$57.85 | 78 | 78 |
|
Nicole Armitage
16528 E Desmet Ct |
$61.64 | 80 | 80 |
|
Amy J. Anderson
14408 E Sprague Ave |
$45.22 | 81 | 77 |
|
Stephen Hasler Thatcher
1204 N Vercler Rd |
$27.88 | 88 | 88 |
|
Stacey K Clark
16528 E Desmet Ct |
$50.45 | 92 | 92 |
|
Victor Rostapshov
1204 N Vercler Rd |
$19.45 | 93 | 76 |
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 Spokane Valley, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Spokane Valley, WA is $56.34 per claim, based on 596,563 claims from 312 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 Spokane Valley, WA?
There are 312 Medicaid providers offering Office Visit related services in Spokane Valley, WA according to public payment data.
What is the price range for Office Visit in Spokane Valley, WA?
Medicaid reimbursement for Office Visit in Spokane Valley, WA ranges from $2.44 to $183.14 per claim, with an average of $56.34. 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 Spokane Valley, WA
Dental Cleaning & Exam
Avg $27.47
379,245 claims
Blood Work & Lab Tests
Avg $9.97
357,005 claims
Physical Therapy
Avg $33.89
254,963 claims
Pathology & Lab Services
Avg $40.51
252,224 claims
Emergency Room Visit
Avg $84.22
170,517 claims
Substance Abuse Treatment
Avg $25.34
161,394 claims
Psychiatric Evaluation
Avg $53.61
159,916 claims
Speech Therapy
Avg $39.95
111,115 claims