Average Medicaid Office Visit Payments in Belen, NM: $77.47
Avg. Paid
$77.47
Range
$4.97 – $173.07
Total Claims
50,015
Providers
26
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 Belen, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Adolfo Vivian Sanchez
703 South Christopher Road |
$73.36 | 19,128 | 17,712 |
|
Cheryl Sinclair
609 S. Christopher Rd |
$94.25 | 4,520 | 4,448 |
|
Anabelle Ramos Rosado
609 S Christopher Rd |
$84.06 | 4,228 | 4,004 |
|
Mark Moriarty
609 S Christopher Road |
$76.65 | 3,561 | 3,420 |
|
Melanie Robbins
609 S Christopher Rd |
$82.68 | 3,044 | 2,902 |
|
Jennifer Tafoya Trujillo
101 N 6Th St |
$99.32 | 2,700 | 2,588 |
|
Denai Lynn Forrest
19478 Highway 314 |
$109.61 | 2,253 | 2,052 |
|
Cassandra D. Otero
101 N 6Th St |
$88.50 | 2,013 | 1,903 |
|
Stephanie Richmond
703 South Christopher Road |
$42.67 | 1,832 | 1,735 |
|
Kelly Lopez
320 N Main St |
$64.50 | 1,158 | 1,002 |
|
Richard Madden
609 Christopher Dr |
$40.30 | 1,015 | 973 |
|
First Choice Community Healthcare, Inc.
120 S 9Th St |
$19.47 | 1,012 | 954 |
|
Rose E. Hutchison
609 Christopher Dr |
$56.09 | 840 | 814 |
|
Elizabeth Sesler
609 Christopher Dr |
$57.85 | 814 | 762 |
|
Dusty Lauren Gentry
101 N 6Th St |
$155.94 | 433 | 348 |
|
Carmen Benson
609 S Christopher Rd |
$102.44 | 370 | 362 |
|
Angela Renee Napier
386 Rio Communities Blvd |
$4.97 | 276 | 205 |
|
Rhonda Cox
Pmg Belen |
$53.65 | 164 | 161 |
|
Richard A Moore
609 S Christopher Rd |
$44.18 | 152 | 149 |
|
Michael E. Gurule
711 Christopher Dr |
$46.89 | 85 | 80 |
|
Roderick Woods
711 Christopher Dr |
$76.51 | 84 | 82 |
|
Maryanne Chavez
120 S 9Th St |
$58.18 | 79 | 73 |
|
Kristy R. Ontiveros
420 N Main St |
$132.81 | 77 | 71 |
|
Loutsios K. Ierides
711 Christopher Dr |
$42.63 | 70 | 61 |
|
Amanda R Candelaria
838 W Didier Ave |
$173.07 | 66 | 59 |
|
Holly Burks
120 S 9Th St |
$59.29 | 41 | 40 |
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 Belen, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Belen, NM is $77.47 per claim, based on 50,015 claims from 26 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 Belen, NM?
There are 26 Medicaid providers offering Office Visit related services in Belen, NM according to public payment data.
What is the price range for Office Visit in Belen, NM?
Medicaid reimbursement for Office Visit in Belen, NM ranges from $4.97 to $173.07 per claim, with an average of $77.47. 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 Belen, NM
Substance Abuse Treatment
Avg $61.53
129,023 claims
Psychiatric Evaluation
Avg $99.14
33,752 claims
Speech Therapy
Avg $26.18
32,348 claims
Vaccines & Immunizations
Avg $15.41
29,834 claims
Physical Therapy
Avg $57.80
24,107 claims
EKG / ECG (Electrocardiogram)
Avg $6.50
18,736 claims
Dental Cleaning & Exam
Avg $32.40
9,693 claims
Blood Work & Lab Tests
Avg $12.36
8,571 claims