Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Anthem, AZ: $78.16

Avg. Paid

$78.16

Range

$16.74 – $124.52

Total Claims

55,772

Providers

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 Anthem, AZ

Provider	Avg. Paid	Claims	Patients
Eryn S Hunter 42726 N Livingstone Way	$124.52	12	12
Krystal Ann Campanaro 3648 W Anthem Way Bldg A-100C	$34.30	13	12
Mind Apple Behavioral Health, Llc 42211 N 41St Dr Ste A157	$81.58	24	18
Erin Elizabeth Shelton 3648 W Anthem Way	$42.77	104	102
Dana Rachel Nichols 41930 N Venture Dr	$53.95	161	157
Paula K Rauschkolb 3654 W Anthem Way Ste B106	$70.03	174	171
Maureen Boyle 808 W Ravina Ln	$87.51	302	290
Veroncia Jeanne Fox 42104 N Venture Dr Ste B102	$26.61	420	380
Alexandra Brooke Bakker 38633 N Red Tail Ln	$64.53	430	421
Karen Nicole Cox 41517 N Mill Creek Way	$43.48	441	433
Ashley Mitchell 3624 W Anthem Way	$73.43	499	487
Todd A Adams 41818 N Venture Dr Ste 150	$81.92	520	502
Dana Sandrik 3624 W Anthem Way Ste C122	$69.85	587	556
Freyda Leticia Velazquez Perez 3648 W Anthem Way	$71.68	589	520
William Fishco 41818 N Venture Dr # D	$36.44	717	620
Jana Hower 39506 N. Daily Mountain Drive	$38.08	796	683
John Pham 3648 W Anthem Way	$53.51	802	735
Lauren Bisswurm 3648 W Anthem Way Ste A100	$62.32	821	788
Katie Michelle Martinez 39821 N Thunder Hills Ln	$92.91	882	877
Melanie Christine Patton 3648 W Anthem Way	$62.27	966	906
Elizabeth Ann Bryant 38214 N Pagoda Ct	$76.28	1,202	670
Jodi Marie Palmer 3648 W Anthem Way	$52.26	1,333	1,212
Kristen Lynn Stout 3648 W Anthem Way Ste A100	$96.57	1,375	1,300
Jillian Brynn Goldney 41810 N Venture Dr Unit D136	$84.34	1,443	1,357
Lindsay Marie Navarro 42104 N Venture Dr Ste D118	$97.15	1,497	1,425
Stephen Walter Williams 3648 W Anthem Way	$59.69	1,677	1,575
Michelle Shaughnessy 41810 N Venture Dr Unit D136	$56.92	1,683	1,650
David Bryan Tanis 42104 N Venture Dr Ste D106	$37.85	1,947	1,692
Shari J Wadman 3825 W Anthem Way Unit 2011	$16.74	2,191	1,237
Valery Ayafor Nkendong 42201 N 41St Dr Ste 160	$38.96	3,115	2,330
David Sung-Yen Yip 3654 W Anthem Way	$57.89	9,677	8,869
Rodney Mark Jackson 3654 W Anthem Way	$115.69	19,372	18,915

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 Anthem, AZ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Anthem, AZ is $78.16 per claim, based on 55,772 claims from 32 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 Anthem, AZ?

There are 32 Medicaid providers offering Office Visit related services in Anthem, AZ according to public payment data.

What is the price range for Office Visit in Anthem, AZ?

Medicaid reimbursement for Office Visit in Anthem, AZ ranges from $16.74 to $124.52 per claim, with an average of $78.16. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Anthem, AZ: $78.16

Providers Offering Office Visit in Anthem, AZ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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