Average Medicaid Office Visit Payments in Tonasket, WA: $35.33
Avg. Paid
$35.33
Range
$16.18 – $68.45
Total Claims
32,582
Providers
26
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 Tonasket, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
George Lupas
118 S Whitcomb Ave |
$18.36 | 9,573 | 8,244 |
|
Wenatchee Valley Hospital
17 S Western Ave |
$30.29 | 2,728 | 2,371 |
|
Erin A Vander Stoep
105 S Whitcomb |
$39.68 | 2,691 | 2,566 |
|
Richard Massey
17 S Western Ave |
$57.87 | 2,577 | 2,416 |
|
Krystina Boyko
17 S Western Ave |
$37.40 | 2,492 | 2,341 |
|
Family Health Centers
106 S Whitcomb Ave |
$18.17 | 1,949 | 1,733 |
|
Paul Anthony Lacey
17 S Western Ave |
$65.11 | 1,380 | 1,300 |
|
Mark Turpin
17 S Western Ave |
$52.96 | 1,242 | 1,147 |
|
William V Elbert
17 S Western Ave |
$39.41 | 1,123 | 973 |
|
Craig Christopher
17 S Western Ave |
$68.45 | 950 | 875 |
|
Helen Walker
106 S Whitcomb Ave |
$35.24 | 907 | 859 |
|
Victoria J Cryer
17 S Western Ave |
$42.08 | 871 | 760 |
|
Mariann Williams
118 S Whitcomb Ave |
$59.93 | 833 | 734 |
|
James P Jex
118 S Whitcomb Ave |
$43.78 | 797 | 748 |
|
Grant A Dawson
118 S Whitcomb Ave |
$37.81 | 673 | 558 |
|
Central Washington Health Services Association
17 S Western Ave |
$28.54 | 421 | 370 |
|
Toni Sheree Waller
118 N. Whitcomb Ave |
$56.38 | 368 | 332 |
|
Teresa Ellen Myers
17 S Western Ave |
$43.00 | 305 | 270 |
|
Sarah Marie Long
106 S Whitcomb Ave |
$32.15 | 202 | 180 |
|
Jacqueline M Chambers
106 S Whitcomb Ave |
$21.79 | 145 | 143 |
|
Laurel Anne Naman
106 S Whitcomb Ave |
$26.14 | 105 | 100 |
|
Okanogan County Public Hospital Dist No 4
118 S Whitcomb Ave |
$17.14 | 98 | 73 |
|
Okanogan County Public Hospital Dist No 4
203 S Western Ave |
$16.18 | 82 | 66 |
|
Sheri Kallsen
203 S Western Ave |
$41.20 | 43 | 35 |
|
Hesam Joshaghani
118 S Whitcomb Ave |
$52.99 | 15 | 14 |
|
Satbir Kaur Dhillon
203 S Western Ave |
$47.47 | 12 | 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 Tonasket, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tonasket, WA is $35.33 per claim, based on 32,582 claims from 26 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 Tonasket, WA?
There are 26 Medicaid providers offering Office Visit related services in Tonasket, WA according to public payment data.
What is the price range for Office Visit in Tonasket, WA?
Medicaid reimbursement for Office Visit in Tonasket, WA ranges from $16.18 to $68.45 per claim, with an average of $35.33. 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 Tonasket, WA
Blood Work & Lab Tests
Avg $17.60
39,383 claims
Emergency Room Visit
Avg $344.01
26,957 claims
Physical Therapy
Avg $113.05
18,486 claims
X-Ray
Avg $59.11
7,379 claims
Urinalysis & Urine Tests
Avg $9.04
6,944 claims
EKG / ECG (Electrocardiogram)
Avg $44.23
4,761 claims
CT Scan (Computed Tomography)
Avg $310.32
2,375 claims
Vaccines & Immunizations
Avg $10.50
2,110 claims