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 |
|---|---|---|---|
|
Kimble C. Poon
80 Mahalani St |
$93.77 | 12 | 12 |
|
Jonathan-James Tadao Eno
85 Maui Lani Pkwy |
$83.98 | 12 | 12 |
|
Andrew Jacob Van Wieren
1881 Nani St |
$271.10 | 13 | 12 |
|
Lorene K Siaw
2180 Main St |
$107.51 | 13 | 12 |
|
Adam C Protain
105 Maui Lani Pkwy Ste 100 |
$51.20 | 13 | 13 |
|
Joseph Hartman
450 Hookahi St |
$75.85 | 13 | 12 |
|
Thomas T. Deleon
80 Mahalani St |
$58.08 | 13 | 12 |
|
Tiffinie R. Mercado
80 Mahalani St |
$107.17 | 14 | 12 |
|
Paul Matthew Lamberti
2180 Main St |
$24.44 | 15 | 15 |
|
Kerry G Crosby
105 Maui Lani Pkwy Ste 100 |
$29.07 | 15 | 12 |
|
Shukri A Osman
105 Maui Lani Parkway, Ste 100 |
$32.61 | 18 | 12 |
|
Jolly Anne Lorenzo Uclaray
221 Mahalani St |
$66.25 | 18 | 12 |
|
Noel J Withers
95 Mahalani St |
$57.98 | 24 | 19 |
|
Zachary Thielen
1830 Wells St Ste 103 |
$222.61 | 25 | 24 |
|
Noel Icasas Termulo
1063 Lower Main St |
$41.41 | 33 | 24 |
|
Kirsten Marie Jensen
105 Maui Lani Pkwy Ste 100 |
$43.27 | 40 | 31 |
|
Insaf Ally
2180 Main St |
$63.60 | 42 | 30 |
|
Maui Pharmacy Solutions Llc
95 Mahalani St # 28-5 |
$0.00 | 45 | 45 |
|
Jason G Kiaffas
221 Mahalani St |
$19.50 | 45 | 39 |
|
Suwan Khamkhun Mcgrath
1370 Kilou St |
$42.61 | 50 | 41 |
|
Nicole M Rudy
80 Mahalani St |
$72.52 | 50 | 48 |
|
Anil Haresh Punjabi
221 Mahalani St |
$46.78 | 57 | 53 |
|
Jivin Gerard Tantisira
450 Hookahi St |
$68.58 | 60 | 53 |
|
Rachel Livingston Thelen
85 Maui Lani Pkwy |
$39.94 | 67 | 52 |
|
Mitchell N Tasaki
1885 Main St Ste 206 |
$53.61 | 76 | 62 |
|
Ryan P. Leary
80 Mahalani St |
$172.32 | 79 | 79 |
|
Dhiraj Kumar Yadav
85 Maui Lani Pkwy |
$24.85 | 80 | 60 |
|
Scott R. Newman
80 Mahalani St |
$175.73 | 81 | 78 |
|
Judy Lavenson
2180 Main St |
$52.50 | 82 | 79 |
|
Mehtap Berkmen
80 Mahalani St |
$94.43 | 83 | 79 |
|
Warren Victor Ayers
85 Maui Lani Pkwy |
$21.79 | 88 | 72 |
|
Mark R. Gibson
80 Mahalani St |
$271.11 | 93 | 92 |
|
James Robert Williams
85 Maui Lani Pkwy |
$33.27 | 101 | 97 |
|
Deeva Berera
55 Maui Lani Pkwy |
$133.62 | 110 | 104 |
|
Kate Hannah Elson
2180 Main St |
$77.13 | 116 | 91 |
|
Mary C. Kingma-Noland
80 Mahalani St |
$95.31 | 116 | 115 |
|
James A. Ferrier
80 Mahalani St |
$200.23 | 118 | 116 |
|
Larry P Ebbert
85 Maui Lani Pkwy |
$9.34 | 120 | 105 |
|
Jennifer Nill
1830 Wells St Ste 103 |
$53.89 | 140 | 106 |
|
Alexei Michailovich Zhadkevich
221 Mahalani St |
$70.71 | 151 | 151 |
|
Tamarin Mccartin
2180 Main St |
$216.30 | 154 | 138 |
|
Steve Edward Clark
1885 Main St Ste 405 |
$59.36 | 162 | 141 |
|
Lance E. Schumacher
80 Mahalani St |
$62.01 | 176 | 67 |
|
Amber L. R. Kawamura
55 Maui Lani Pkwy |
$275.35 | 194 | 191 |
|
Jennifer B Villa
55 Maui Lani Pkwy |
$98.44 | 222 | 198 |
|
Calvin A Selwyn
2180 Main St |
$57.70 | 223 | 192 |
|
Kazue T Johansen
2180 Main St |
$47.19 | 234 | 194 |
|
Tia Pilikian
1830 Wells St Ste 101 |
$32.22 | 235 | 227 |
|
Alicia Roston
1883 Mill St |
$80.98 | 240 | 198 |
|
Kari A. Jones
80 Mahalani St |
$73.56 | 245 | 245 |
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