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
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