Average Medicaid Office Visit Payments in Anthony, NM: $88.38
Avg. Paid
$88.38
Range
$31.70 – $176.00
Total Claims
122,776
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 Anthony, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
La Clinica De Familia, Incorporated
100 Shrode Rd |
$174.38 | 12 | 12 |
|
Lydia Macklin
855 Anthony Dr |
$105.94 | 30 | 25 |
|
Joanne B Clark
855 Anthony Dr |
$39.05 | 74 | 70 |
|
Elizabeth Nixon
855 Anthony Dr |
$133.61 | 120 | 113 |
|
Jose Leos Flores
855 Anthony Dr |
$82.02 | 162 | 138 |
|
Alejandra Pina Martinez
401 Anthony Dr Ste D |
$31.70 | 228 | 211 |
|
Jane Swanson
855 Anthony Dr |
$128.07 | 280 | 247 |
|
Eva Pavia Aguilar
855 Anthony Dr |
$93.76 | 767 | 739 |
|
Kathleen Ann Minton
224 Anthony Dr |
$110.45 | 1,369 | 1,267 |
|
La Clinica De Familia, Incorporated
6301 Nm Highway 28 |
$176.00 | 2,083 | 1,806 |
|
Valerie W Acosta
224 Anthony Dr |
$92.42 | 2,670 | 2,247 |
|
Fernando Javier Guillen
826 Anthony Dr. |
$78.61 | 3,139 | 2,715 |
|
La Clinica De Familia, Incorporated
826 Anthony Dr. |
$168.25 | 5,642 | 5,327 |
|
Adel Kadous
600 Anthony Dr |
$82.29 | 8,242 | 7,251 |
|
Misty Dawn Mora
1265 Anthony Dr. |
$69.65 | 10,666 | 10,180 |
|
Jose Luis De Anda
1265 Anthony Dr |
$40.99 | 22,138 | 19,883 |
|
Hector Ignacio Ocaranza
1265 Anthony Dr. |
$64.60 | 30,246 | 28,253 |
|
La Clinica De Familia, Incorporated
855 Anthony Dr |
$127.62 | 34,908 | 30,306 |
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 Anthony, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Anthony, NM is $88.38 per claim, based on 122,776 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 Anthony, NM?
There are 18 Medicaid providers offering Office Visit related services in Anthony, NM according to public payment data.
What is the price range for Office Visit in Anthony, NM?
Medicaid reimbursement for Office Visit in Anthony, NM ranges from $31.70 to $176.00 per claim, with an average of $88.38. 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 Anthony, NM
Home Health Visit
Avg $60.85
642,273 claims
Vaccines & Immunizations
Avg $13.38
89,669 claims
Personal Care Services
Avg $75.25
50,201 claims
Psychiatric Evaluation
Avg $123.98
47,138 claims
Speech Therapy
Avg $63.37
36,661 claims
Dental Cleaning & Exam
Avg $42.77
29,503 claims
Case Management Services
Avg $215.74
16,506 claims
Blood Work & Lab Tests
Avg $8.86
13,888 claims