Average Medicaid Office Visit Payments in Wahiawa, HI: $86.71
Avg. Paid
$86.71
Range
$0.00 – $257.19
Total Claims
32,990
Providers
18
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 Wahiawa, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Arnold Seid
960 Center St Ste 7 |
$23.10 | 10,131 | 8,614 |
|
The Wahiawa Center For Community Health
302 California Avenue |
$192.66 | 6,030 | 4,645 |
|
Jason Tai Pang Lam
302 California Ave |
$7.07 | 3,976 | 3,281 |
|
Raquel Jenn Leun Chan-Ikeda
302 California Ave Ste 209 |
$22.23 | 2,185 | 1,752 |
|
Marko Vasic
302 California Ave Ste 106 |
$241.64 | 2,150 | 1,917 |
|
Josephine Dela Torre Waite
916 Kilani Ave |
$17.87 | 1,960 | 1,359 |
|
Archnaben Patel
3399 Glennan St |
$58.27 | 1,866 | 1,782 |
|
Amy Wry Jenkins
302 California Ave |
$257.19 | 1,653 | 1,478 |
|
Melissa M Sutherland
302 California Ave Ste 106 |
$190.87 | 1,402 | 1,179 |
|
Hope Treatment Services
360 California Avenue |
$0.00 | 842 | 600 |
|
Kelly Michele Cerutti
925 California Avenue |
$37.73 | 455 | 420 |
|
San Francisco Kim Nguyen
681 Leilehua Rd Bldgs 680 |
$41.73 | 124 | 124 |
|
Maryam Khayami Goca
128 Lehua St |
$0.00 | 70 | 67 |
|
Deborah Candace Love
302 California Ave Ste 208 |
$55.84 | 56 | 42 |
|
Anne Escobar
925 California Ave |
$70.04 | 35 | 26 |
|
Steven S Rhee
606 Kilani Ave |
$49.85 | 27 | 25 |
|
Monica Perpignan
634 Kilani Ave |
$120.27 | 15 | 14 |
|
Cassie Ann Espresion Claveria
925 California Ave |
$72.54 | 13 | 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 Wahiawa, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wahiawa, HI is $86.71 per claim, based on 32,990 claims from 18 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 Wahiawa, HI?
There are 18 Medicaid providers offering Office Visit related services in Wahiawa, HI according to public payment data.
What is the price range for Office Visit in Wahiawa, HI?
Medicaid reimbursement for Office Visit in Wahiawa, HI ranges from $0.00 to $257.19 per claim, with an average of $86.71. 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 Wahiawa, HI
Blood Work & Lab Tests
Avg $0.10
50,354 claims
Emergency Room Visit
Avg $360.09
40,657 claims
Dental Cleaning & Exam
Avg $28.63
19,721 claims
Psychiatric Evaluation
Avg $95.57
12,969 claims
X-Ray
Avg $6.02
11,915 claims
Urinalysis & Urine Tests
Avg $0.04
11,861 claims
EKG / ECG (Electrocardiogram)
Avg $0.65
9,031 claims
Eye Exam
Avg $28.23
8,435 claims