Average Medicaid Office Visit Payments in Wilsonville, OR: $81.37
Avg. Paid
$81.37
Range
$13.76 – $103.17
Total Claims
12,397
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 Wilsonville, OR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Margaret Burkes
11803 Sw Oslo St |
$103.17 | 3,749 | 2,973 |
|
Pompy Z Goswami
29345 Sw Town Center Loop E |
$94.88 | 2,582 | 2,344 |
|
Amber Purdell
25195 Sw Parkway Ave Ste 210 |
$13.76 | 1,296 | 1,157 |
|
Terry L Davis
29345 Sw Town Center Loop E |
$73.84 | 928 | 864 |
|
Kristie F Ritchey
29781 Sw Town Center Loop W Ste 500 |
$91.79 | 898 | 507 |
|
Penny Denise Leininger
25600 Sw Argyle Ave |
$51.66 | 593 | 541 |
|
Kim Loren Schmaltz
8855 Sw Holly Lane |
$88.42 | 546 | 494 |
|
Laurel Plahuta Ewing
25117 Sw Parkway Ave Ste B |
$95.22 | 521 | 489 |
|
Veronica Tiburcio-Espinoza
29345 Sw Town Center Loop E Ste 110 |
$62.78 | 504 | 444 |
|
Heidi Susanne Dyer
29345 Sw Town Center Loop E |
$80.37 | 272 | 246 |
|
Armasabille Navalon Ermita
29345 Sw Town Center Loop E |
$14.46 | 212 | 204 |
|
Briana M London
29345 Sw Town Center Loop E Ste 110 |
$88.39 | 67 | 64 |
|
Jay Ajit Shah
29345 Sw Town Center Loop E Ste 110 |
$58.14 | 65 | 62 |
|
Leslie Erin Fuller
27501 Sw 95Th Ave Ste 960 |
$67.43 | 64 | 50 |
|
Elizabeth Sazie
Hs-Cccf 24499 Sw Grahams Ferry Rd |
$101.61 | 44 | 42 |
|
Elizabeth C Sedlak
25195 Sw Parkway Ave |
$81.37 | 32 | 25 |
|
Nicole C Tabbal
25030 Sw Parkway Ave Ste 200 |
$99.66 | 12 | 12 |
|
Gabriel P Currie
8840 Sw Citizens Dr |
$69.24 | 12 | 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 Wilsonville, OR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wilsonville, OR is $81.37 per claim, based on 12,397 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 Wilsonville, OR?
There are 18 Medicaid providers offering Office Visit related services in Wilsonville, OR according to public payment data.
What is the price range for Office Visit in Wilsonville, OR?
Medicaid reimbursement for Office Visit in Wilsonville, OR ranges from $13.76 to $103.17 per claim, with an average of $81.37. 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 Wilsonville, OR
Physical Therapy
Avg $72.54
20,476 claims
Durable Medical Equipment (DME)
Avg $39.11
14,848 claims
Nursing Facility Care
Avg $18.46
12,730 claims
Dental Cleaning & Exam
Avg $2.97
10,668 claims
Substance Abuse Treatment
Avg $59.10
7,417 claims
X-Ray
Avg $5.15
6,011 claims
Pathology & Lab Services
Avg $54.78
2,945 claims
Tooth Extraction
Avg $13.24
2,746 claims