Average Medicaid Office Visit Payments in Warm Springs, OR: $378.15
Avg. Paid
$378.15
Range
$20.59 – $504.41
Total Claims
32,544
Providers
13
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 Warm Springs, OR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Corinne Elizabeth Smith
1270 Kot Num Rd |
$384.05 | 8,274 | 6,237 |
|
Confederated Tribes Of The Warm Springs Reservation Of Oregon
1115 Wasco Street |
$504.41 | 6,874 | 6,181 |
|
Raneva J Dowty
1270 Kotnum Road |
$366.34 | 5,709 | 4,343 |
|
Thomas James Creelman
1270 Kot-Num Rd |
$325.67 | 3,785 | 2,680 |
|
Rachel Elizabeth Locker
1270 Kot-Num Rd |
$305.64 | 3,316 | 2,313 |
|
Hai Tuan Tran
1270 Kot-Num |
$321.96 | 1,675 | 1,205 |
|
Joanne Wallis
1270 Kot-Num Road |
$431.73 | 1,085 | 864 |
|
Warm Springs Health And Wellness Dhhs Ihs Warm Springs Service Unit
1270 Kot Num Rd |
$236.74 | 1,032 | 617 |
|
Zella Moore
1270 Kot-Num Rd Box C |
$44.39 | 292 | 214 |
|
Francisco Silva
1270 Kot-Num Rd |
$20.59 | 166 | 161 |
|
Stephen Miles Rudd
1270 Kot-Num Rd. |
$79.65 | 151 | 136 |
|
Lynette R Dziuk
1270 Kot Num Rd |
$311.12 | 111 | 84 |
|
Thomas Martin Weiser
1270 Kotnum Road |
$121.88 | 74 | 58 |
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 Warm Springs, OR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Warm Springs, OR is $378.15 per claim, based on 32,544 claims from 13 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 Warm Springs, OR?
There are 13 Medicaid providers offering Office Visit related services in Warm Springs, OR according to public payment data.
What is the price range for Office Visit in Warm Springs, OR?
Medicaid reimbursement for Office Visit in Warm Springs, OR ranges from $20.59 to $504.41 per claim, with an average of $378.15. 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
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
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
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