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Based on public Medicaid payment data.

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
Margaret Schott Kranz

2303 Reith Way

$37.16 13 12
Ovidio Buscaino Demiar

700 S 11Th St

$23.64 16 13
Maricela Ramirez

2303 Reith Way

$40.27 17 15
Nina N Kwi

516 W 4Th Ave

$47.01 29 29
Alan David Goldstein

1801 E Edison Ave

$5.28 33 33
David W. Shoemaker

500 S 11Th St

$46.50 57 56
Jakdej Nikomborirak

1013 E Edison Ave

$29.08 71 57
Mahakit Inklab

1013 E. Edison Ave

$37.40 91 89
Mitul Kanzaria

1016 Tacoma Ave

$23.35 126 96
Christina Marie Zoric

803 E Lincoln Ave

$26.15 143 138
Kaylan Sainath Phillips

617 Scoon Rd

$38.36 144 143
Carey Leeds

803 E Lincoln Ave

$37.67 155 120
Manavjot Singh Sidhu

1016 Tacoma Ave

$20.43 176 152
Ramon Perez

2303 Reith Way

$24.79 192 168
Elizabeth Abigail Grant

2934 Covey Ln

$103.68 224 221
Anna Z Madej

208 N Euclid Rd

$38.09 308 287
Jeffrey Heath Blunden

617 Scoon Rd

$43.46 318 304
Brad A. Ward

1812 East Edison Ave

$41.67 327 314
Patience Faith Karsten

1016 Tacoma Ave

$17.37 353 155
Kelly Dawn Mcfee

1016 Tacoma Ave

$28.25 354 288
Salman Mandhai

1016 Tacoma Ave

$121.47 377 352
Jasdeep S. Dalawari

1016 Tacoma Ave

$32.12 378 292
Callie Rebecca Sullivan

1016 Tacoma Ave

$14.62 441 184
Julie Nicole Butcher

1812 E Edison Ave

$56.49 457 454
Sunnyside Community Hospital Association

2705 E Lincoln Ave

$25.56 513 437
Ernesto G Dizon

500 S 11Th St

$46.17 513 498
Anne Marguerite Nealen

812 Miller Ave

$57.06 689 597
Richard J Mynatt

500 S 11Th St

$37.30 719 649
Douglas C Duggan

2926 Covey Ln

$43.50 727 631
Vamsi Krishna Kanneganti

803 E Lincoln Ave

$14.94 748 575
Robert Richard Wells

1016 Tacoma Ave

$33.82 815 684
Victoria Michelle Hampton

2303 Reith Way

$66.33 841 722
Valentine O Okochi

1812 East Edison Ave

$64.73 880 867
Corryn Elizabeth Koopmans

2935 Allen Rd

$57.00 905 814
Sunnyside Community Hospital Association

1812 E Edison Ave

$62.25 925 682
Zachary Tan

1812 E Edison Ave

$55.45 1,085 959
Patrick James Moran

2935 Allen Rd

$58.45 1,236 1,175
Lincoln Jon Westfall

803 E Lincoln Ave

$46.31 1,340 1,161
Adrian B Obuch

1812 East Edison Ave

$53.10 1,357 1,254
Judith K Dukes

2935 Allen Rd

$57.08 1,394 1,324
Amma Serwaa Ababio

1016 Tacoma Ave

$45.57 1,613 1,586
Derek S Weaver Do Pllc

2935 Allen Rd

$21.44 1,694 1,317
Manuel Ybanez

1016 Tacoma Ave

$51.72 1,704 1,484
Timara Freeman-Young

2705 E Lincoln Ave

$74.68 1,777 1,732
Miguel Angel Brizuela

803 E Lincoln Ave

$37.93 2,136 1,676
Valentin Antoci

2925 Allen Rd

$50.71 2,401 2,047
Marivel Sandoval

803 E Lincoln Ave

$92.71 2,489 2,348
David J. Swofford

2303 Reith Way

$53.73 2,733 2,378
Derek Samuel Weaver

2935 Allen Rd

$46.14 2,788 2,375
John A Rogers

3920 Outlook Rd

$69.73 2,974 2,868

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

Other Procedures in Sunnyside, WA