Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Albuquerque, NM: $72.81

Avg. Paid

$72.81

Range

$0.00 – $872.73

Total Claims

3,965,435

Providers

2,586

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 Albuquerque, NM

Provider	Avg. Paid	Claims	Patients
First Choice Community Healthcare, Inc. 2001 El Centro Familiar Sw	$3.94	193,796	180,191
First Nations Community Health Source, Inc. 5608 Zuni Rd Se	$100.59	48,634	42,756
Samir Kassicieh 1010 Bridge Blvd Sw Ste A	$63.12	29,994	27,004
Albuquerque Health Care For The Homeless, Inc. 1217 First St. Nw	$145.37	26,617	23,227
Rick Cardenas 6200 Coors Blvd. Nw Ste A-8	$66.78	25,958	18,024
Kimberlee Elizabeth Tafoya 5901 Harper Dr Ne	$34.66	22,727	22,360
Carey M Tucker 8201 Golf Course Rd Nw Ste A3	$103.09	19,989	19,258
Richard J Levine 2600 Yale Blvd Se	$44.08	18,559	10,414
Janis Santistevan 6701 Jefferson St Ne	$67.20	17,456	16,030
Deborah A Grady 5901 Harper Dr Ne	$47.72	17,235	16,941
Gretchen Mueller-Reuben 5901 Harper Dr Ne	$40.54	15,696	14,943
Carmel Murphy Unm Hospital Pediatrics	$0.17	15,648	14,483
Leon E. Deprest 5901 Harper Dr Ne	$78.23	15,098	14,862
Jacqueline Gladwell 1001 Silver Ave Se	$87.67	14,455	14,228
Sarah Elizabeth Lovato 5904 Holly Ave Ne	$82.14	14,231	14,050
Athanasios Kostandinos Manole 1540 Juan Tabo Blvd Ne Ste A	$65.95	13,777	11,792
Margaret M Hoemeke 5400 Gibson Se	$74.18	13,401	13,182
Ekuase Sanusi Msc Pediatrics 1 University Of New Mexico	$97.09	13,284	13,100
Stephanie Anne Scott 5904 Holly Ave Ne	$78.18	12,651	12,454
Christopher A Roveto 4233 Montgomery Ne Ste 120	$79.16	12,426	11,534
Rebecca Spring 5904 Holly Ave Ne	$72.99	12,392	12,147
Kevin Alexander Kless 5901 Harper Dr Ne	$103.93	12,207	8,895
Becky Gonzalez 3911 4Th St Nw Ste B	$104.58	12,126	11,146
Susan Danto 7801 Academy Ne	$76.13	12,080	11,446
Elizabeth Kilgour Hawkes 2001 El Centro Familiar Blvd Sw	$0.39	12,049	8,182
Celestina Owens 1100 Central Ave Se	$49.50	12,023	11,706
Alemayehu Gebissa Biffa 8800 Montgomery Blvd Ne	$87.40	12,021	11,820
Sergio Adalberto Huerta 2211 Lomas Blvd Ne	$63.67	11,978	10,348
Carol Beadle 5901 Harper Dr Ne	$68.37	11,745	11,535
Isidora P Gallagher 1100 Central Ave Se	$79.32	11,576	11,464
Guy David Crocetti 5904 Holly Ave Ne	$66.77	11,325	11,047
Manuela Gallegos 4100 High Resort Blvd Se	$74.70	11,320	11,104
Lisa A Jimenez 9210 Golf Course Rd Nw	$79.14	11,144	10,820
Holly Z Stafford 6701 Jefferson St Ne	$98.43	10,819	10,566
Mary Terese Anenkeng Anangfac 5901 Harper Dr Ne	$89.37	10,819	10,652
Scot Wilging 1800 Unser Blvd Nw Ste 500	$98.33	10,744	10,447
Shawn Christoffer Klocek 9201 Montgomery Blvd Ne	$74.45	10,711	10,438
Melinda Ritchie 5904 Holly Ave Ne	$70.68	10,546	10,316
Uchenna Chukwurah 717 Encino Pl Ne Ste 3	$58.45	10,405	8,532
Joan Prouty Pmg Urgent Care	$43.74	10,213	10,065
Richard A. Wachs 4901 Lang Ave Ne	$110.68	10,110	9,936
Jacqueline L Cromeans 715 Dr Martin Luther King Jr Ave Ne	$81.59	10,108	9,975
Karen Kennicott 5901 Harper Dr Ne	$73.85	9,975	9,576
Paul E Romo Msc 09 5030	$67.00	9,964	8,849
Aaron Bernd Kaufman 5310 Homestead Rd Ne	$113.39	9,931	9,378
Johnnie R Vigil 10700 Menaul Blvd Ne	$86.42	9,916	8,068
Kimberly Marie Streu 1723 Truman St Ne	$76.86	9,741	9,574
John Luna 5901 Harper Dr Ne	$77.61	9,597	9,468
Suzette Baca 2921 Carlisle Blvd Ne	$108.24	9,373	8,275
Monica E Ortega 7007 Jefferson St Ne Ste C	$74.67	9,346	8,639

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 Albuquerque, NM?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Albuquerque, NM is $72.81 per claim, based on 3,965,435 claims from 2586 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 Albuquerque, NM?

There are 2586 Medicaid providers offering Office Visit related services in Albuquerque, NM according to public payment data.

What is the price range for Office Visit in Albuquerque, NM?

Medicaid reimbursement for Office Visit in Albuquerque, NM ranges from $0.00 to $872.73 per claim, with an average of $72.81. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Albuquerque, NM: $72.81

Providers Offering Office Visit in Albuquerque, NM

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Other Procedures in Albuquerque, NM

Home Health Visit

Blood Work & Lab Tests

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Psychiatric Evaluation

Emergency Room Visit

Dental Cleaning & Exam

Physical Therapy

X-Ray