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 |
|---|---|---|---|
|
Shuo Wang
Msc09 5030 1 University Of New Mexico |
$183.39 | 12 | 12 |
|
Sandra Denise Hobson
3807 Atrisco Dr Nw Ste A |
$33.30 | 12 | 12 |
|
Rebecca Jean Babinski
2100 Louisiana Blvd Ne Ste 410 |
$47.31 | 12 | 12 |
|
Adrienne Gillespie
4705 Montgomery Blvd Ne Ste 301 |
$73.67 | 12 | 12 |
|
Jamie Gomez
8200 Constitution Pl Ne Ste A |
$80.89 | 12 | 12 |
|
Lance T Wilson
3128 Don Quixote Dr Nw |
$65.66 | 12 | 12 |
|
Bethelhem Mezgebe Gebreamanuel
2600 Marble Ave Ne |
$0.00 | 12 | 12 |
|
Jennifer Stewart Schneider
7007 Wyoming Blvd Ne Ste F1 |
$48.16 | 12 | 12 |
|
Kevin Jacob Mcgeorge
1 University Of New Mexico |
$83.73 | 12 | 12 |
|
Edgar A Solis Cordero
1401 William St Se |
$0.00 | 12 | 12 |
|
Sarah Fay Erb
300 Oak St Ne |
$0.00 | 12 | 12 |
|
Mihaela Bujoi
502 Elm Street Ne |
$51.64 | 12 | 12 |
|
Andrew Mason
7788 Jefferson St Ne |
$19.94 | 12 | 12 |
|
Janet E Simon
8300 Carmel Ave Ne |
$50.54 | 12 | 12 |
|
Jenny Pilkey
8300 Constitution Ave Ne |
$52.97 | 12 | 12 |
|
New Mexico Rheumatology, Llc
8200 Louisiana Blvd Ne |
$77.94 | 12 | 12 |
|
Bridgette Jennifer Zirwas
2211 Lomas Blvd Ne |
$62.22 | 12 | 12 |
|
Benjamin Lee Wagenman
1100 Central Ave Se |
$52.42 | 12 | 12 |
|
Janine Mancusi
1100 Lead Ave Se |
$143.22 | 12 | 12 |
|
Darian L. Williams
1100 Central Ave Se |
$156.33 | 12 | 12 |
|
Jacqueline Amber Hughes
4801 Mcmahon Blvd Nw Ste 101 |
$95.16 | 12 | 12 |
|
Namjong Sean Lee
1501 San Pedro Dr Se |
$0.00 | 12 | 12 |
|
Victoria Garcia
201 Cedar St Se Ste 304 |
$60.24 | 12 | 12 |
|
Natasha S Kolb
Pmg Emergency Medicine |
$92.77 | 12 | 12 |
|
Naiara Sbroggio Barbosa
2211 Lomas Blvd Ne |
$57.38 | 12 | 12 |
|
Amar B Joshi
2211 Lomas Blvd Ne |
$50.20 | 12 | 12 |
|
Jodi Rachelle Mayfield
933 Bradbury Dr Se Ste 2222 |
$79.30 | 12 | 12 |
|
Satyan Kirit Shah
2211 Lomas Blvd Ne |
$25.45 | 12 | 12 |
|
Melissa Sisk
2211 Lomas Blvd Ne |
$72.14 | 12 | 12 |
|
Pavel John Nockel
8300 Constitution Ave Ne |
$60.10 | 12 | 12 |
|
Rebecca L Chavez
1501 San Pedro Dr Se |
$108.83 | 12 | 12 |
|
Jon R Mustonen
5400 Gibson Blvd Se |
$100.79 | 12 | 12 |
|
Mary Therese Cunnane
4640 Jefferson Ln Ne |
$59.22 | 12 | 12 |
|
Matthew Valeriano
Msc 10 6000 |
$46.66 | 12 | 12 |
|
Lori Saiz
201 Cedar St Se |
$33.47 | 12 | 12 |
|
Melissa H Kennedy
8100 Constitution Pl Ne Ste 400 |
$79.78 | 12 | 12 |
|
Cheryle Elaine Bakewell
4808 Mcmahon Blvd Nw |
$12.36 | 12 | 12 |
|
Samantha M Madrid
5909 Alice Ave Ne |
$151.78 | 12 | 12 |
|
Irasema Llewellyn
1100 Central Ave Se |
$24.84 | 12 | 12 |
|
Sheila Rose Eshraghi
1 University Of New Mexico, Msc10 5615 |
$65.20 | 12 | 12 |
|
Kevin E Hudenko
Pmg General Surgery |
$120.73 | 12 | 12 |
|
Umesh Sharad Metkar
1 University Of New Mexico |
$54.01 | 12 | 12 |
|
Brandi Owen
8800 Montgomery Blvd Ne |
$32.65 | 12 | 12 |
|
Rebecca L Wittenburg
300 Oak St Ne |
$59.16 | 12 | 12 |
|
Benson Daitz
505 Elm St Ne |
$18.51 | 12 | 12 |
|
Michael K Bay
7788 Jefferson St Ne |
$75.33 | 12 | 12 |
|
David Freeman
10511 Golf Course Rd Nw Ste 103 |
$28.54 | 12 | 12 |
|
Tarun Girotra
2211 Lomas Blvd Ne |
$38.53 | 12 | 12 |
|
John Lissoway
1 University Of New Mexico |
$65.50 | 12 | 12 |
|
Daniel Devitt Barnett
Msc 10 5550 1 University Of New Mexico |
$73.85 | 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 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.
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 Albuquerque, NM
Home Health Visit
Avg $77.97
7,316,567 claims
Blood Work & Lab Tests
Avg $15.20
6,028,360 claims
Substance Abuse Treatment
Avg $34.24
5,929,577 claims
Psychiatric Evaluation
Avg $90.10
2,021,597 claims
Emergency Room Visit
Avg $154.16
1,757,889 claims
Dental Cleaning & Exam
Avg $30.77
1,525,323 claims
Physical Therapy
Avg $47.20
1,452,324 claims
X-Ray
Avg $26.76
1,424,299 claims