Average Medicaid Office Visit Payments in Sunnyside, WA: $50.83
Avg. Paid
$50.83
Range
$5.28 – $121.47
Total Claims
259,418
Providers
75
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 Sunnyside, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Harlan D Halma
1016 Tacoma Ave |
$59.37 | 36,258 | 31,418 |
|
Elba Fernandez
700 S 11Th St |
$60.69 | 19,848 | 16,644 |
|
Sunnyside Community Hospital Association
1016 Tacoma Ave |
$17.62 | 18,258 | 9,269 |
|
Irma Zesati Mejia
700 S 11Th St |
$57.60 | 15,442 | 13,450 |
|
Ana G. Garcia-Collazo
1016 Tacoma Ave |
$62.59 | 15,402 | 12,987 |
|
Jason D Redd
2935 Allen Rd |
$58.11 | 10,269 | 9,196 |
|
Mark Gardner
2201 E Edison Rd |
$62.06 | 8,764 | 8,022 |
|
Paul Rodney Furan
2935 Allen Rd |
$49.06 | 7,954 | 7,421 |
|
Karina Borges
2680 Yakima Valley Hwy Ste B |
$19.86 | 7,901 | 7,662 |
|
Tatiana Antoci
803 E Lincoln Ave |
$55.24 | 7,405 | 6,549 |
|
Douglas Edward Wrung
700 S 11Th St |
$54.32 | 7,057 | 6,090 |
|
Paul A Shoemaker
2935 Allen Rd |
$53.45 | 6,632 | 6,363 |
|
Mid-Valley Community Clinic, Pllc
700 S 11Th St |
$25.52 | 6,571 | 5,048 |
|
Irene Castro
2680 Yakima Valley Hwy Ste B |
$13.22 | 6,094 | 5,945 |
|
Manuel Jimenez
1614 E Edison Ave Ste E |
$57.63 | 5,744 | 5,084 |
|
Mary Lou Pine
700 S 11Th St |
$24.12 | 4,680 | 3,889 |
|
Linda Ann Hawley
2705 E Lincoln Ave |
$54.10 | 4,477 | 3,799 |
|
Tyrell P Nielson
2935 Allen Rd |
$53.84 | 4,198 | 3,787 |
|
Kenna R Leis
2934 Covey Ln |
$115.41 | 3,967 | 3,804 |
|
Swofford & Halma Clinic, Inc. P.S.
2303 Reith Way |
$30.22 | 3,756 | 2,906 |
|
Teodor D Butiu
1016 Tacoma Ave |
$61.47 | 3,608 | 3,411 |
|
Bristol Ramos-Leon
2935 Allen Rd |
$65.41 | 3,516 | 3,125 |
|
Daniel Richard Dunbar
617 Scoon Rd |
$34.99 | 3,499 | 3,082 |
|
Mariana Guerrero-Sanchez
700 S, 11Th Street |
$68.33 | 3,256 | 2,902 |
|
Sunnyside Community Hospital Association
803 E Lincoln Ave |
$31.13 | 3,066 | 2,398 |
|
John A Rogers
3920 Outlook Rd |
$69.73 | 2,974 | 2,868 |
|
Derek Samuel Weaver
2935 Allen Rd |
$46.14 | 2,788 | 2,375 |
|
David J. Swofford
2303 Reith Way |
$53.73 | 2,733 | 2,378 |
|
Marivel Sandoval
803 E Lincoln Ave |
$92.71 | 2,489 | 2,348 |
|
Valentin Antoci
2925 Allen Rd |
$50.71 | 2,401 | 2,047 |
|
Miguel Angel Brizuela
803 E Lincoln Ave |
$37.93 | 2,136 | 1,676 |
|
Timara Freeman-Young
2705 E Lincoln Ave |
$74.68 | 1,777 | 1,732 |
|
Manuel Ybanez
1016 Tacoma Ave |
$51.72 | 1,704 | 1,484 |
|
Derek S Weaver Do Pllc
2935 Allen Rd |
$21.44 | 1,694 | 1,317 |
|
Amma Serwaa Ababio
1016 Tacoma Ave |
$45.57 | 1,613 | 1,586 |
|
Judith K Dukes
2935 Allen Rd |
$57.08 | 1,394 | 1,324 |
|
Adrian B Obuch
1812 East Edison Ave |
$53.10 | 1,357 | 1,254 |
|
Lincoln Jon Westfall
803 E Lincoln Ave |
$46.31 | 1,340 | 1,161 |
|
Patrick James Moran
2935 Allen Rd |
$58.45 | 1,236 | 1,175 |
|
Zachary Tan
1812 E Edison Ave |
$55.45 | 1,085 | 959 |
|
Sunnyside Community Hospital Association
1812 E Edison Ave |
$62.25 | 925 | 682 |
|
Corryn Elizabeth Koopmans
2935 Allen Rd |
$57.00 | 905 | 814 |
|
Valentine O Okochi
1812 East Edison Ave |
$64.73 | 880 | 867 |
|
Victoria Michelle Hampton
2303 Reith Way |
$66.33 | 841 | 722 |
|
Robert Richard Wells
1016 Tacoma Ave |
$33.82 | 815 | 684 |
|
Vamsi Krishna Kanneganti
803 E Lincoln Ave |
$14.94 | 748 | 575 |
|
Douglas C Duggan
2926 Covey Ln |
$43.50 | 727 | 631 |
|
Richard J Mynatt
500 S 11Th St |
$37.30 | 719 | 649 |
|
Anne Marguerite Nealen
812 Miller Ave |
$57.06 | 689 | 597 |
|
Ernesto G Dizon
500 S 11Th St |
$46.17 | 513 | 498 |
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 Sunnyside, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sunnyside, WA is $50.83 per claim, based on 259,418 claims from 75 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 Sunnyside, WA?
There are 75 Medicaid providers offering Office Visit related services in Sunnyside, WA according to public payment data.
What is the price range for Office Visit in Sunnyside, WA?
Medicaid reimbursement for Office Visit in Sunnyside, WA ranges from $5.28 to $121.47 per claim, with an average of $50.83. 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 Sunnyside, WA
Blood Work & Lab Tests
Avg $33.18
187,441 claims
Dental Cleaning & Exam
Avg $25.50
165,214 claims
Physical Therapy
Avg $29.22
95,382 claims
Emergency Room Visit
Avg $215.18
73,082 claims
Urinalysis & Urine Tests
Avg $22.39
54,202 claims
Prescription Medications
Avg $7.19
43,119 claims
X-Ray
Avg $130.73
38,524 claims
Dental Filling
Avg $66.78
31,496 claims