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
Alba Graciela Carpenter 105 W 8Th Ave Ste 122C	$33.58	12	12
Cory James Jensen 601 W Francis Ave	$45.99	12	12
Mara Loris Nydes 322 W North River Dr	$32.91	12	12
Samantha Kallinen 817 S Perry St Unit B	$57.79	12	12
Erika Lynn Garbrecht 820 S Mcclellan St Ste 300	$40.44	12	12
Michael A Parisot 820 S Mcclellan St Ste 500	$28.53	12	12
John J Brandabur 105 W 8Th Ave Ste 7050	$66.95	12	12
Kevin M Kavanaugh 122 W 7Th Ave	$27.89	12	12
Michael J Ryan 105 W 8Th Ave Ste 7010	$51.32	12	12
Gregory P Macdonald 101 W 8Th Ave	$82.70	12	12
Louis Koncz 910 W 5Th Ave	$22.89	12	12
Paul H Lin 217 W Cataldo Ave Fl 3	$71.66	12	12
Grant Wesley Hardan 4815 N Assembly St	$36.52	12	12
Stephanie Lucille Parnell 624 E Front Ave	$50.29	12	12
Derrick Ray Havin 101 W 8Th Ave Ste 1300	$56.33	12	12
Katie L Gomez 1101 W College Ave	$36.23	12	12
Dru Louis Rodriguez 1333 W Francis Ave	$6.14	12	12
Allan Christopher Heller 801 W 5Th Ave	$39.32	12	12
Robert J. Riggs 322 W North River Dr	$45.35	12	12
Henry Mroch 105 W 8Th Ave	$28.35	12	12
Eric A Sohn 6420 W Kitsap Dr	$0.00	12	12
Phoebe Ruth Ortman 105 W 8Th Ave Ste 200	$36.82	12	12
Tara Togstad Parque 62 W 7Th Ave Ste 300	$88.51	12	12
Gerhard H Muelheims 122 W 7Th Ave	$29.90	12	12
Donald B. Canaday 801 W 5Th Ave	$46.89	13	13
Sarah R King 400 E 5Th Ave	$20.57	13	12
Elizabeth Blodnick Herron 105 W 8Th Ave	$151.05	13	12
Allison Elizabeth Leverett 820 S Mcclellan St Ste 200	$37.50	13	12
Rachel Justine Le 122 W 7Th Ave	$65.98	13	12
Paul David Chamberlain 101 W 8Th Ave	$72.42	13	13
Mary F. Bergum 3154 E 29Th Ave	$60.09	13	12
Nathaniel Whitney 105 W 8Th Ave	$26.95	13	12
Jean Weston Ruth 105 W 8Th Ave Ste 6050	$43.93	13	12
Mark D Bauer 101 W 8Th Ave	$38.96	13	13
Caitlin Newton 820 S Mcclellan St Ste 300	$82.70	13	13
Eric Timothy Lavy 105 W 8Th Ave Ste 450E	$86.25	13	13
Samuel Philip Burke 427 S Bernard St	$34.75	13	13
Jessemae Lynn Welsh 212 E Central Ave Ste 335	$59.85	13	13
Kristin Ann Simpson 805 W 5Th Ave Ste 619	$33.34	13	13
Benjamin Stuart Schultze 62 W 7Th Ave Ste 232	$43.38	13	12
Michelle Stiles 212 E Central Ave Ste 240	$33.91	13	12
Maddy Ann Himmel Marinos 400 E 5Th Ave # 4	$77.18	13	13
Mark C Olson 601 W 5Th Ave	$23.29	13	12
Rebecca Esther Merritt 221 N Wall St	$66.76	14	12
Rana N Ahmad 217 W Cataldo Ave Fl 3	$78.03	14	14
Teresa Michele Colley 205 W Indiana Ave	$20.59	14	13
Harshwant Grover 9631 N Nevada St Ste 300	$63.05	14	12
Dana Marie Oswald 213 S Russell Rd	$0.00	14	14
Joseph Anton Davis 122 W 7Th Ave	$28.47	14	13
Ruth Mollet 105 W 5Th Ave Ste 6010	$44.92	14	12

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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