Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Spokane, WA: $54.17

Avg. Paid

$54.17

Range

$0.00 – $470.83

Total Claims

2,408,136

Providers

1,419

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, WA

Provider	Avg. Paid	Claims	Patients
Christopher Patrick Korsgaard 140 S Arthur St Ste 670	$41.59	27,645	23,728
Duncan Lahtinen 220 E Rowan St	$44.52	26,437	21,414
Frontier Behavioral Health 107 S Division St	$1.54	23,378	22,177
Christian D Garrido 1601 N Division St Ste A	$44.28	19,392	17,234
Jeffrey M Schilt 759 E Holland Ave Ste 101	$83.46	17,516	16,459
Vern Andrus 208 E Francis Ave	$107.86	16,578	13,714
Community Health Association Of Spokane 3919 N Maple St	$8.03	15,463	13,931
Stephanie Margaret Bowdish 208 E Francis Ave	$89.62	15,273	12,676
Cmdpn Medical Group Of Washington P C 707 West Main Ave. Ste B1	$21.82	14,973	8,357
Hugh W Thomas 800 W 5Th Ave	$86.59	14,759	10,792
Community Health Association Of Spokane 1001 W 2Nd Ave	$8.50	14,108	12,329
Brooke Jordan 5901 N Lidgerwood St Ste 220	$92.40	14,043	13,215
George Frederick Whitehead 842 S Cowley Ste 2	$95.23	13,976	12,931
Leslie S Fifer 2317 W 3Rd Ave	$52.86	13,177	8,485
James Leslie Foster 2607 S Southeast Blvd	$19.98	12,802	8,467
David John Joosten 5011 W Lowell Ave Ste 100	$81.46	12,498	11,805
David Borg 120 W Mission Ave	$16.25	12,149	11,091
Denise Bayuszik 123 E Indiana Ave	$67.27	12,133	11,804
Caroline Jill Shea 842 S Cowley Ste 2	$90.50	12,001	11,126
Jesus Primitivo Rendon 5620 S Regal St Ste 11	$42.44	11,194	9,832
Community Health Association Of Spokane 5921 N Market St	$8.52	11,140	10,033
Jared Dudley 5901 N Lidgerwood St Ste 220	$90.83	10,716	9,979
Andrew Michael Garten 3124 S Regal St	$17.24	10,323	7,194
Matthew Christopher Weed 427 S Bernard St	$94.58	10,115	9,860
Joshua Andrew Beers 551 E Hawthorne Rd	$63.85	10,042	9,925
Jeffrey David Colburn 427 S Bernard St	$89.49	9,833	9,548
Brianna J Schlaich 5901 N Lidgerwood St	$91.89	9,789	9,128
Brett Eckenrod 551 E Hawthorne Rd	$61.28	9,787	9,645
Mitchell Van Tippetts 551 E Hawthorne Rd	$62.31	9,670	9,528
Virginia D Reyta 9001 N Country Homes Blvd	$86.24	9,597	9,082
Priscilla A Gabel 300 E 5Th Ave # 1N	$97.16	9,504	8,090
Christina Nelson Nye 842 S Cowley Ste 2	$90.53	9,481	8,770
Elizabeth A Smith 5901 N Lidgerwood St	$52.52	9,469	9,222
Paul E Piper 220 E Rowan St	$46.94	9,303	8,226
Craig I Robertson 421 S Division St	$58.26	9,278	9,134
Trevor George 3710 N Monroe	$68.10	9,275	6,936
Sarah Ann Stewart 4815 N Assembly St	$80.86	9,221	6,933
Lisa L.B. Kunz 5901 N Lidgerwood St Ste 126	$53.14	8,933	8,817
Yakima Valley Farm Workers Clinic 120 W Mission Ave	$3.43	8,738	7,679
Community Health Association Of Spokane 5901 N Lidgerwood St Ste 126	$6.14	8,685	7,946
Melissa L Allman 107 S Division St	$0.73	8,615	7,746
Melody M Bemis 107 S Division St	$1.19	8,591	7,601
Seth Aaron Kasunick 421 S Division St	$65.62	8,334	8,234
Sarah Grisier 2923 E 29Th Ave	$63.25	8,240	8,149
Brenna Cain 120 W Mission Ave	$21.13	8,189	7,449
Ana Sofia Rosa-Ruiz 3002 E Mission Ave	$41.58	8,150	6,815
Brock Rule 120 W Mission Ave	$17.85	8,057	7,261
Kemunto Phoebe Kakumba 5901 N Lidgerwood St	$69.36	7,916	6,234
Danica Parkin 759 E Holland Ave Ste 101	$85.58	7,856	7,312
Lylanya Cox 120 W Mission Ave	$14.86	7,829	7,458

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, WA?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Spokane, WA is $54.17 per claim, based on 2,408,136 claims from 1419 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, WA?

There are 1419 Medicaid providers offering Office Visit related services in Spokane, WA according to public payment data.

What is the price range for Office Visit in Spokane, WA?

Medicaid reimbursement for Office Visit in Spokane, WA ranges from $0.00 to $470.83 per claim, with an average of $54.17. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Spokane, WA: $54.17

Providers Offering Office Visit in Spokane, WA

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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