Average Medicaid Office Visit Payments in Waipahu, HI: $64.92
Avg. Paid
$64.92
Range
$0.00 – $284.80
Total Claims
195,696
Providers
97
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 Waipahu, HI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Magdy A Mettias
94-300 Farrington Hwy # E-06 |
$45.92 | 25,008 | 17,719 |
|
Sorbella Maulit Guillermo
94-300 Farrington Hwy |
$23.90 | 21,703 | 18,219 |
|
Benilda Castillo Luz
94-307 Farrington Hwy |
$18.54 | 16,647 | 14,768 |
|
Maria Caridad Ilar-Revilla
94-866 Moloalo St # 1B |
$20.44 | 10,393 | 9,608 |
|
Charlie Yadao Sonido
94-837 Waipahu St |
$25.30 | 9,236 | 8,167 |
|
Benedicto R Galindo
94-366 Pupupani St. #118 |
$22.80 | 9,150 | 7,376 |
|
Jose Tantoco Almeida
94-673 Kupuohi St |
$72.62 | 7,788 | 7,050 |
|
Perlita Bolosan Lampitoc
94-235 Hanawai Cir |
$16.74 | 6,209 | 5,612 |
|
Harry Manligas Acuna
94-307 Farrington Hwy |
$44.01 | 4,585 | 3,828 |
|
Waianae District Comprehensive Health And Hospital Board, Incorporated
94-428 Mokuola St |
$228.78 | 3,929 | 3,404 |
|
Nestor Isidro Concepcion Del Rosario
94-939 Kahuailani St |
$25.85 | 3,632 | 3,010 |
|
Agrifina C. Quiane
94-216 Farrington Hwy # B2-109 |
$53.55 | 3,408 | 2,786 |
|
Jon Shinichi Fujita
94-216 Farrington Hwy Ste 322 |
$43.70 | 3,324 | 2,955 |
|
James C. W. Yee
94-1480 Moaniani St |
$174.33 | 3,289 | 3,125 |
|
Malia Keiko Howard
94-428 Mokuola St |
$254.92 | 3,183 | 2,558 |
|
Alissa T. Hino
94-1480 Moaniani St |
$155.58 | 3,014 | 2,917 |
|
Joanna Yun
94-1480 Moaniani St |
$98.60 | 3,013 | 2,859 |
|
Leon P Garcia
94 307 Farrington Hwy |
$13.23 | 2,889 | 2,529 |
|
Alia A. Mulcahy
94-1480 Moaniani St |
$174.76 | 2,856 | 2,772 |
|
Robyn Y. Hasegawa
94-1480 Moaniani St |
$178.71 | 2,678 | 2,516 |
|
Gloria Eden Guerrero Domingo
94-239 Waipahu Depot St Ste 110 |
$10.69 | 2,605 | 2,156 |
|
Christine M. K. Rudolf
94-1480 Moaniani St |
$185.14 | 2,568 | 2,484 |
|
Brindy Ramirez Paet
94-673 Kupuohi St Ste C201 |
$81.89 | 2,390 | 2,146 |
|
Christina K. Lee
94-1480 Moaniani St |
$237.64 | 2,188 | 1,961 |
|
Judith F. Hernaez
94-873 Farrington Hwy Ste 103 |
$13.25 | 1,991 | 1,082 |
|
Komal Singh Soin
94-1480 Moaniani St |
$27.84 | 1,789 | 1,664 |
|
Cecilia Leila Alomia Green
94-229 Waipahu Depot St Ste 101 |
$51.52 | 1,735 | 1,602 |
|
Troy E. Higdon
94-1480 Moaniani St |
$0.00 | 1,731 | 1,694 |
|
John Stanley Wichmann-Walczak
94-837 Waipahu St |
$28.18 | 1,730 | 1,552 |
|
Noelani C Hobbs
94-216 Pupukahi St |
$20.34 | 1,683 | 1,468 |
|
Alvin Garcia Vales
94-216 Farrington Hwy Ste B2-208 |
$54.05 | 1,677 | 1,498 |
|
Brent H. Matsumoto
94-1480 Moaniani St |
$207.77 | 1,647 | 1,574 |
|
Marsha J. Marumoto
94-1480 Moaniani St |
$261.86 | 1,571 | 1,456 |
|
Michael Aaronoff
94-235 Hanawai Cir |
$243.31 | 1,564 | 1,260 |
|
Bobbie Lehuanani Elisala
94-216 Farrington Hwy |
$249.30 | 1,561 | 1,432 |
|
Cindy C. Collo
94-1480 Moaniani St |
$234.69 | 1,444 | 1,401 |
|
5 Minute Pharmacy Llc
94-216 Farrington Hwy Ste B1-102 |
$0.09 | 1,440 | 1,074 |
|
Denis T.C. Chan
94-748 Hikimoe St Ste B |
$47.26 | 1,439 | 871 |
|
Eryn M. Wicklow
94-1480 Moaniani St |
$87.25 | 1,407 | 1,359 |
|
Valerie Banjawan Tan
94-229 Waipahu Depot St Ste 101 |
$49.76 | 1,161 | 1,032 |
|
Paula Nichaelle Exconde Aquino
94-837 Waipahu St |
$22.20 | 1,127 | 995 |
|
Jonathan H. Shun
94-1480 Moaniani St |
$18.78 | 1,074 | 981 |
|
Rosalo Molina Paeste
94-307 Farrington Hwy |
$9.78 | 1,066 | 992 |
|
Nenita P. Bala-Albano
94-366 Pupupani St Ste 118 |
$45.42 | 1,059 | 863 |
|
Benjamin Victor Gozun
94-216 Farrington Hwy |
$23.19 | 1,025 | 892 |
|
Tricia Lin Kam Song
94-1480 Moaniani St |
$93.01 | 720 | 524 |
|
Corazon C Hobbs-Oshiro
94-216 Pupukahi St |
$15.38 | 669 | 582 |
|
Esteffany Guevara Medina Rutledge
94-1480 Moaniani St |
$61.36 | 619 | 567 |
|
Jay Dinong Valdez
94-1480 Moaniani St |
$61.26 | 600 | 253 |
|
Christopher K. Lind
94-1480 Moaniani St |
$192.25 | 589 | 563 |
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 Waipahu, HI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Waipahu, HI is $64.92 per claim, based on 195,696 claims from 97 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 Waipahu, HI?
There are 97 Medicaid providers offering Office Visit related services in Waipahu, HI according to public payment data.
What is the price range for Office Visit in Waipahu, HI?
Medicaid reimbursement for Office Visit in Waipahu, HI ranges from $0.00 to $284.80 per claim, with an average of $64.92. 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 Waipahu, HI
Personal Care Services
Avg $342.89
88,708 claims
Non-Emergency Medical Transportation
Avg $22.43
66,267 claims
Physical Therapy
Avg $37.93
57,591 claims
Vaccines & Immunizations
Avg $43.30
51,962 claims
Dental Cleaning & Exam
Avg $30.74
44,515 claims
Eye Exam
Avg $40.35
42,047 claims
Blood Work & Lab Tests
Avg $3.94
27,661 claims
Case Management Services
Avg $303.27
18,797 claims