Average Medicaid Office Visit Payments in Tripler Amc, HI: $120.15
Avg. Paid
$120.15
Range
$35.33 – $371.15
Total Claims
1,443
Providers
11
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 Tripler Amc, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Caylin Stephanie Mathews
1 Jarrett White Rd |
$35.33 | 569 | 544 |
|
Tiffany Marie Klein
1 Jarrett White Rd |
$127.60 | 331 | 278 |
|
Andrew Joel Kaw
1 Jarrett White Rd |
$371.15 | 205 | 203 |
|
Carmen Heidi Linhares
1 Jarrett White Rd |
$119.89 | 101 | 94 |
|
Krista Joy Haith
1 Jarrett White Rd |
$48.71 | 66 | 65 |
|
Emily J Fritz
1 Jarrett White Rd |
$69.39 | 48 | 47 |
|
Nathan Kwon
1 Jarrett White Rd |
$258.19 | 36 | 36 |
|
Rachel Joy Lim Sy-Layug
1 Jarrett White Rd |
$42.93 | 29 | 26 |
|
Rocco Laudadio
1 Jarrett White Rd |
$170.74 | 25 | 24 |
|
Bruce Chen
1 Jarrett White Road |
$47.05 | 17 | 17 |
|
Juan R Perez
1 Jarrett White Rd |
$43.20 | 16 | 15 |
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 Tripler Amc, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tripler Amc, HI is $120.15 per claim, based on 1,443 claims from 11 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 Tripler Amc, HI?
There are 11 Medicaid providers offering Office Visit related services in Tripler Amc, HI according to public payment data.
What is the price range for Office Visit in Tripler Amc, HI?
Medicaid reimbursement for Office Visit in Tripler Amc, HI ranges from $35.33 to $371.15 per claim, with an average of $120.15. 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
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Tripler Amc, HI
Ultrasound
Avg $75.21
9,453 claims
Emergency Room Visit
Avg $94.63
6,989 claims
Blood Work & Lab Tests
Avg $5.03
2,020 claims
Psychiatric Evaluation
Avg $184.79
1,840 claims
Urinalysis & Urine Tests
Avg $2.83
844 claims
Pathology & Lab Services
Avg $179.12
452 claims
Tooth Extraction
Avg $50.24
432 claims
EKG / ECG (Electrocardiogram)
Avg $30.91
247 claims