Average Medicaid Office Visit Payments in Toppenish, WA: $24.67
Avg. Paid
$24.67
Range
$0.00 – $257.53
Total Claims
158,228
Providers
53
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 Toppenish, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yakima Valley Farm Workers Clinic
603 W 4Th Ave |
$7.68 | 33,518 | 29,535 |
|
Angela Lee Bosma
502 W 4Th Ave |
$47.90 | 8,760 | 7,908 |
|
Martin Flores
401 Buster Rd |
$49.95 | 6,983 | 6,649 |
|
Petr Cigner
510 W 1St Ave |
$14.51 | 6,592 | 6,338 |
|
Kaitlyn Mendiola
510 W 1St Ave |
$11.58 | 5,768 | 5,618 |
|
Yakima Valley Farm Workers Clinic
518 W 1St Ave |
$7.41 | 5,289 | 4,619 |
|
Mengyi Zha
510 W 1St Ave |
$22.97 | 5,029 | 4,757 |
|
Diego Upegui
510 W 1St Ave |
$12.13 | 4,985 | 4,782 |
|
Jessica Marie Ahern
510 W 1St Ave |
$16.08 | 4,850 | 4,723 |
|
Roxanne Graham
510 W 1St Ave |
$15.49 | 4,533 | 4,261 |
|
Vlastimil Calayan
510 W 1St Ave |
$25.98 | 4,248 | 3,985 |
|
Sarah Garrison
510 W 1St Ave |
$20.18 | 4,155 | 3,933 |
|
Holly Winterhalder-Bales
401 Buster Rd |
$45.55 | 4,130 | 3,756 |
|
Reuben Rudy Ramoz
401 Buster Rd |
$37.65 | 4,042 | 3,704 |
|
Danial Hocson
401 Buster Rd |
$33.85 | 3,949 | 3,671 |
|
Aaron Daniel Anderson
510 W 1St Ave |
$25.78 | 3,598 | 3,330 |
|
Rachel Sarah Worley
518 W 1St Ave |
$72.47 | 3,512 | 3,339 |
|
Rory C Sumners
401 Buster Rd |
$34.78 | 3,475 | 3,068 |
|
Donn Kruse
401 Buster Rd |
$37.26 | 3,226 | 2,833 |
|
Rex Quaempts
401 Buster Rd |
$64.87 | 3,226 | 2,892 |
|
Michelle Womack
401 Buster Rd |
$22.54 | 3,218 | 2,963 |
|
Emma Wutschel Jarrett
510 W 1St Ave |
$11.59 | 3,000 | 2,829 |
|
Jayme Thompson
510 W 1St Ave |
$21.06 | 2,776 | 2,567 |
|
Houser Tyler Duncan
510 W 1St Ave |
$13.21 | 2,677 | 2,552 |
|
Clara E Monheit
510 W 1St Ave |
$25.40 | 2,381 | 2,224 |
|
Kyle Heisey
510 W 1St Ave |
$14.61 | 2,195 | 2,090 |
|
Carlos M Dibble
510 W 1St Ave |
$41.58 | 2,000 | 1,537 |
|
Mark Farley
510 W 1St Ave |
$14.26 | 1,956 | 1,917 |
|
Erica Moyer
510 W 1St Ave |
$15.13 | 1,857 | 1,750 |
|
Patricia Hernandez
510 W 1St Ave |
$24.65 | 1,686 | 1,506 |
|
Shc Medical Center Toppenish
502 W 4Th Ave |
$72.17 | 1,466 | 711 |
|
Gustavo Rodriguez
510 W 1St Ave Unit 934 |
$51.08 | 1,389 | 1,228 |
|
Pamela Langley Driver
510 W 1St Ave |
$46.79 | 1,237 | 1,090 |
|
Annie Chisholm
510 W 1St Ave |
$15.55 | 1,226 | 1,178 |
|
Mandeep Kaur Brar
510 W 1St Ave |
$8.06 | 1,215 | 1,089 |
|
Destiny Tierra Noel
510 W 1St Ave |
$18.45 | 990 | 941 |
|
Stephanie Hansen
510 W 1St Ave |
$23.94 | 672 | 646 |
|
Minh Duy Dao
510 W 1St Ave |
$33.06 | 599 | 538 |
|
Lori Arviso Alvord
516 W 4Th Ave |
$69.81 | 390 | 367 |
|
Marilyn Berko
510 W 1St Ave |
$47.96 | 242 | 235 |
|
Vesna Jamborcic
510 W 1St Ave |
$31.64 | 221 | 199 |
|
Christine Elise Snyder
510 W 1St Ave |
$102.25 | 176 | 137 |
|
Petar Jamborcic
510 W 1St Ave |
$21.64 | 170 | 159 |
|
Michelle Gorey
502 W 4Th Ave |
$26.49 | 150 | 135 |
|
Maria Thibault
518 W 1St Ave |
$42.67 | 127 | 125 |
|
Prem Raj Sagar
510 W 1St Ave |
$16.25 | 120 | 117 |
|
Katrina Lynn Conrad
510 W 1St Ave |
$46.44 | 104 | 94 |
|
Erin Colleen Donahue
510 W 1St Ave |
$257.53 | 32 | 25 |
|
Yakama Indian Health Center
401 Buster Rd |
$0.00 | 26 | 26 |
|
Scott L Wiegand
401 Buster Rd |
$15.73 | 19 | 19 |
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 Toppenish, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Toppenish, WA is $24.67 per claim, based on 158,228 claims from 53 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 Toppenish, WA?
There are 53 Medicaid providers offering Office Visit related services in Toppenish, WA according to public payment data.
What is the price range for Office Visit in Toppenish, WA?
Medicaid reimbursement for Office Visit in Toppenish, WA ranges from $0.00 to $257.53 per claim, with an average of $24.67. 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 Toppenish, WA
Blood Work & Lab Tests
Avg $3.95
121,875 claims
Emergency Room Visit
Avg $98.02
81,771 claims
Dental Cleaning & Exam
Avg $26.87
60,233 claims
Vaccines & Immunizations
Avg $11.01
58,250 claims
Urinalysis & Urine Tests
Avg $1.24
44,491 claims
Case Management Services
Avg $56.81
37,295 claims
Psychiatric Evaluation
Avg $48.12
21,703 claims
X-Ray
Avg $8.63
18,309 claims