Average Medicaid Office Visit Payments in Yelm, WA: $52.22
Avg. Paid
$52.22
Range
$31.62 – $293.64
Total Claims
46,064
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 Yelm, WA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Brian Harvey
202 Cullens St Nw |
$44.32 | 9,992 | 9,470 |
|
Daniel W Kowals
202 Cullens St Nw |
$60.52 | 9,482 | 9,069 |
|
Teresa Irene Garrison
202 Cullens St Nw |
$55.86 | 7,041 | 6,800 |
|
Raymond Schultz
201 Tahoma Blvd Unit 102 |
$35.17 | 3,724 | 3,313 |
|
Chelsea Dawn Unruh
201 Tahoma Blvd Unit 102 |
$56.27 | 2,708 | 2,447 |
|
Cheri M Dorhauer
201 Tahoma Blvd |
$45.77 | 2,181 | 2,053 |
|
Sea Mar Community Health Centers
202 Cullens St Nw |
$33.11 | 1,882 | 1,758 |
|
Robyn K Davies
201 Tahoma Blvd |
$47.07 | 1,759 | 1,664 |
|
Fil Beth Gatmaitan Davis
202 Cullens St Nw |
$46.24 | 1,554 | 1,470 |
|
Erin Patrice Flynn
201 Tahoma Blvd Unit 102 |
$48.92 | 1,311 | 1,224 |
|
Tamara C Bunn
201 Tahoma Blvd |
$57.81 | 1,297 | 1,227 |
|
Cynthia Anne Wilson
201 Tahoma Blvd |
$44.89 | 1,278 | 1,216 |
|
William J Penn
201 Tahoma Blvd |
$43.29 | 882 | 822 |
|
Sharon Drummond-Melancon
202 Cullens St Nw |
$293.64 | 436 | 435 |
|
Catherine C Talbot
201 Tahoma Blvd Unit 102 |
$61.45 | 336 | 311 |
|
Sheridan Lee Eckart-Budinich
201 Tahoma Blvd |
$65.34 | 134 | 130 |
|
Kathleen J May
201 Tahoma Blvd |
$31.62 | 38 | 34 |
|
Angela J Ames
201 Tahoma Blvd Unit 102 |
$63.09 | 29 | 26 |
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 Yelm, WA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Yelm, WA is $52.22 per claim, based on 46,064 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 Yelm, WA?
There are 18 Medicaid providers offering Office Visit related services in Yelm, WA according to public payment data.
What is the price range for Office Visit in Yelm, WA?
Medicaid reimbursement for Office Visit in Yelm, WA ranges from $31.62 to $293.64 per claim, with an average of $52.22. 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 Yelm, WA
Physical Therapy
Avg $29.91
14,936 claims
Dental Cleaning & Exam
Avg $28.45
7,361 claims
Vaccines & Immunizations
Avg $10.06
6,556 claims
Speech Therapy
Avg $10.66
5,129 claims
Ambulance Transport
Avg $59.53
4,689 claims
Blood Work & Lab Tests
Avg $6.08
3,646 claims
Substance Abuse Treatment
Avg $16.98
3,152 claims
Psychiatric Evaluation
Avg $114.72
2,586 claims