Average Medicaid Office Visit Payments in Blackfoot, ID: $16.72
Avg. Paid
$16.72
Range
$-14.08 – $141.43
Total Claims
108,261
Providers
57
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 Blackfoot, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Guss Grimmett
1441 Parkway Dr |
$5.77 | 15,338 | 13,638 |
|
Matthew J Fackrell
1441 Parkway Dr |
$5.51 | 14,005 | 12,072 |
|
Max Barney
1441 Parkway Dr |
$4.73 | 7,247 | 6,633 |
|
Bmh Inc
98 Poplar St |
$5.71 | 5,850 | 2,211 |
|
Alan E Crandall
98 Poplar St |
$2.92 | 5,508 | 5,312 |
|
Gary W Soucie
1441 Parkway Dr |
$4.75 | 4,845 | 4,431 |
|
Gary Michael Ullery
98 Poplar St Fl 2 |
$1.18 | 4,388 | 4,137 |
|
Sara Marie Letham
33 S Thompson Lane |
$80.98 | 3,603 | 3,561 |
|
Kabrina Kay Leavitt
1028 N Shilling Ave |
$61.90 | 3,220 | 3,110 |
|
Paul Beckett
1441 Parkway Dr |
$4.77 | 2,991 | 2,661 |
|
Brian Carrigan
326 Poplar St |
$1.12 | 2,789 | 2,602 |
|
Bmh Inc.
98 Poplar St |
$-14.08 | 2,525 | 1,994 |
|
Shandra Dee Averett
98 Poplar St |
$0.28 | 2,466 | 1,988 |
|
Heather D Pugmire
98 Poplar St |
$0.39 | 2,275 | 1,748 |
|
Lance Ronald Wehrle
98 Poplar St |
$3.53 | 2,155 | 1,893 |
|
Danielle Hamill
700 E Alice St |
$63.02 | 2,042 | 2,008 |
|
Thomas Ray Cook
1444 Parkway Drive |
$2.99 | 1,969 | 1,918 |
|
Darin Gambles
1495 Parkway Dr |
$45.60 | 1,799 | 1,547 |
|
Ryan Grant Finn
98 Poplar St |
$68.05 | 1,704 | 1,614 |
|
Ryan Blair Killpack
98 Poplar St |
$77.99 | 1,629 | 1,611 |
|
Kirt M Mckinlay
1441 Parkway Dr |
$6.82 | 1,572 | 1,468 |
|
Thomas Call
9 Airport Rd |
$1.67 | 1,539 | 1,478 |
|
John Todd Allen
700 E Alice St |
$93.51 | 1,409 | 795 |
|
Maryann Smout
1350 Parkway Dr |
$2.12 | 1,369 | 1,348 |
|
Kelsey Hackett
1441 Parkway Dr |
$67.80 | 1,288 | 1,275 |
|
Gordon E Dixon
1441 Parkway Dr |
$51.72 | 1,242 | 614 |
|
Brian Robert Johnson
1350 Parkway Dr |
$2.14 | 1,175 | 1,153 |
|
Angelo Michael Capricchione
98 Poplar St |
$24.85 | 1,159 | 1,120 |
|
Steven J Clinger
1441 Parkway Dr |
$7.10 | 981 | 878 |
|
Mvh Bmc Llc
1441 Parkway Dr |
$25.99 | 906 | 674 |
|
Anthony R Berrett
98 Poplar St |
$26.48 | 720 | 702 |
|
Adam Wray
326 Poplar St Ste 101 |
$17.45 | 706 | 690 |
|
Francis Bryce Moser
1441 Parkway Dr |
$7.56 | 694 | 659 |
|
Mark Lupton
700 E Alice St |
$60.44 | 682 | 661 |
|
Kody Ray Gould
1350 Parkway Dr |
$66.35 | 649 | 638 |
|
Travis Ray Evans
98 Poplar St |
$0.66 | 559 | 519 |
|
Kay M Powell
9 Airport Rd |
$71.72 | 490 | 472 |
|
Danielle E Bangerter
1441 Parkway Dr |
$4.00 | 348 | 336 |
|
Shad T Bateman
98 Poplar St |
$0.08 | 343 | 318 |
|
Steven Larson
326 Poplar St |
$0.27 | 294 | 200 |
|
Tiffany Ann Williams
98 Poplar St |
$0.23 | 266 | 264 |
|
Gail Everett Fields
53 Poplar St |
$2.58 | 261 | 233 |
|
Heather Faye Grimmett
1441 Parkway Dr |
$52.47 | 227 | 210 |
|
Tyson A Harris
98 Poplar St |
$52.23 | 179 | 173 |
|
Daniel Joseph Barney
1495 Parkway Dr |
$57.13 | 144 | 132 |
|
Dan Earl Robinson
98 Poplar St |
$5.18 | 122 | 115 |
|
Candiss L Aschenbrenner
1416 Surrey Ct |
$111.47 | 95 | 95 |
|
David Woodbury
326 Poplar St |
$35.29 | 93 | 91 |
|
David J Bilstrom
98 Poplar St |
$141.43 | 80 | 76 |
|
Jdee Ryan Wilson
700 E Alice St |
$89.85 | 77 | 70 |
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 Blackfoot, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Blackfoot, ID is $16.72 per claim, based on 108,261 claims from 57 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 Blackfoot, ID?
There are 57 Medicaid providers offering Office Visit related services in Blackfoot, ID according to public payment data.
What is the price range for Office Visit in Blackfoot, ID?
Medicaid reimbursement for Office Visit in Blackfoot, ID ranges from $-14.08 to $141.43 per claim, with an average of $16.72. 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 Blackfoot, ID
Physical Therapy
Avg $68.57
94,788 claims
Blood Work & Lab Tests
Avg $5.39
79,885 claims
Speech Therapy
Avg $33.88
39,406 claims
Psychiatric Evaluation
Avg $55.80
30,777 claims
Dental Cleaning & Exam
Avg $32.52
23,929 claims
Home Health Visit
Avg $56.94
19,233 claims
Emergency Room Visit
Avg $63.30
17,916 claims
Durable Medical Equipment (DME)
Avg $35.05
16,200 claims