Average Medicaid Office Visit Payments in Wailuku, HI: $101.65
Avg. Paid
$101.65
Range
$0.00 – $344.37
Total Claims
268,889
Providers
184
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 Wailuku, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Clinic Of Maui, Inc.
1881 Nani Street |
$226.13 | 32,208 | 26,499 |
|
Guy Hirayama
2180 Main St |
$23.25 | 12,088 | 10,695 |
|
George Powell
2180 Main St |
$64.72 | 9,784 | 8,616 |
|
Matthew Ho
2180 Main St |
$22.14 | 7,357 | 6,674 |
|
Roxanne Bhattacharya
2180 Main St |
$36.12 | 7,196 | 6,621 |
|
Ramin Altaha
24 North Church Street |
$67.80 | 5,539 | 4,296 |
|
Casandra Connie Simonson
1881 Nani St |
$265.72 | 5,515 | 4,927 |
|
Kathleen Kearns
1881 Nani St |
$42.11 | 5,265 | 4,892 |
|
Sharilyn Butteling
270 Hookahi St Ste 207 |
$52.45 | 4,710 | 4,004 |
|
Sherelle Lum
2180 Main St |
$28.47 | 4,082 | 3,527 |
|
Douglas Wesley Cook
2180 Main St |
$3.97 | 3,996 | 3,031 |
|
Reshma Lalwani
2180 Main St |
$25.62 | 3,929 | 3,516 |
|
William Mitchell
2180 Main St |
$42.78 | 3,737 | 3,193 |
|
Shiras Claire Manning
221 Mahalani St |
$102.79 | 3,481 | 3,438 |
|
Jodie S. Toward
55 Maui Lani Pkwy |
$181.42 | 3,467 | 3,254 |
|
Riggs Bailey Roberts
1883 Mill St Ste B |
$43.97 | 3,423 | 1,508 |
|
Maui Health System A Kaiser Foundation Hospitals Llc
221 Mahalani St |
$4.40 | 3,211 | 2,781 |
|
Maria A. Matijasevic
55 Maui Lani Pkwy |
$107.42 | 3,183 | 2,873 |
|
William Adler
2180 Main St |
$96.26 | 3,153 | 2,441 |
|
Theresa Erin Duggan
2180 Main St |
$48.46 | 3,134 | 2,847 |
|
Javaid Akhter
55 Maui Lani Pkwy |
$33.41 | 3,033 | 2,935 |
|
Teresa M. San Mateo
55 Maui Lani Pkwy |
$148.82 | 3,014 | 2,959 |
|
Heather Nagasako
2180 Main St |
$27.22 | 3,013 | 2,588 |
|
Paul W. Grandon
55 Maui Lani Pkwy |
$12.30 | 2,938 | 2,513 |
|
Keely Egan Kopp
2180 Main St |
$26.97 | 2,894 | 2,578 |
|
Rosemarie Foronda
2180 Main St |
$48.54 | 2,710 | 2,329 |
|
Luz Medina
99 S Market St |
$33.34 | 2,696 | 2,398 |
|
David M. Bacchus
55 Maui Lani Pkwy |
$147.71 | 2,696 | 2,593 |
|
Amy Nakama
85 Maui Lani Pkwy |
$254.57 | 2,511 | 2,238 |
|
Daniel Garcia
2180 Main St |
$26.59 | 2,484 | 1,945 |
|
Philip Michael Tongg
2180 Main St |
$32.01 | 2,440 | 2,162 |
|
Marc David Rosenthal
2180 Main St |
$57.61 | 2,425 | 2,184 |
|
Laura K. Hassen
55 Maui Lani Pkwy |
$175.94 | 2,413 | 2,316 |
|
Joseph K Kamaka
99 South Market Street |
$47.79 | 2,295 | 2,002 |
|
Gerald Tariao Montano
1881 Nani St |
$255.46 | 2,271 | 2,125 |
|
Michael R Rutledge
221 Mahalani St |
$104.03 | 2,114 | 2,037 |
|
Heather Milovina
1881 Nani St |
$276.25 | 2,105 | 1,810 |
|
Tigist Nigatu Mammo
1881 Nani St |
$290.31 | 2,092 | 1,742 |
|
Dana L Thomason-Greer
2180 Main St |
$28.18 | 2,072 | 1,908 |
|
Karen T. Barretto
55 Maui Lani Pkwy |
$106.84 | 2,004 | 1,936 |
|
Arthur Ruben Sakakihara - Chavarria
2180 Main St |
$218.06 | 2,000 | 1,948 |
|
Gabrielle A O'Sullivan
1881 Nani Street |
$262.25 | 1,969 | 1,800 |
|
Sayaka K Reasoner
270 Hookahi Street |
$68.96 | 1,936 | 1,587 |
|
Devena E Alston-Johnson
221 Mahalani St # 808244-9 |
$39.23 | 1,881 | 1,604 |
|
Aloha House, Inc.
1787 Wili Pa Loop |
$1.24 | 1,863 | 1,036 |
|
Joy A. Dalmon
55 Maui Lani Pkwy |
$172.09 | 1,859 | 1,757 |
|
Jason R. Egloff
55 Maui Lani Pkwy |
$191.66 | 1,855 | 1,826 |
|
Neil K. Chawla
55 Maui Lani Pkwy |
$100.45 | 1,853 | 1,816 |
|
Simon Damian Hill
2180 Main St |
$69.81 | 1,853 | 1,607 |
|
Tamsyn Kellough
2180 Main St |
$30.45 | 1,853 | 1,656 |
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 Wailuku, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wailuku, HI is $101.65 per claim, based on 268,889 claims from 184 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 Wailuku, HI?
There are 184 Medicaid providers offering Office Visit related services in Wailuku, HI according to public payment data.
What is the price range for Office Visit in Wailuku, HI?
Medicaid reimbursement for Office Visit in Wailuku, HI ranges from $0.00 to $344.37 per claim, with an average of $101.65. 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 Wailuku, HI
Blood Work & Lab Tests
Avg $7.87
183,405 claims
Emergency Room Visit
Avg $390.79
120,290 claims
Urinalysis & Urine Tests
Avg $4.57
62,973 claims
Vaccines & Immunizations
Avg $33.01
61,759 claims
Psychiatric Evaluation
Avg $79.55
56,419 claims
Personal Care Services
Avg $69.75
55,916 claims
Prescription Medications
Avg $2.26
36,064 claims
X-Ray
Avg $11.35
35,181 claims