Average Medicaid Office Visit Payments in Boise, ID: $55.91
Avg. Paid
$55.91
Range
$-0.63 – $1,037
Total Claims
1,041,822
Providers
998
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 Boise, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sandra A Thompson
633 N 4Th St |
$38.32 | 13,780 | 12,284 |
|
Full Circle Health, Inc.
777 N Raymond St |
$-0.63 | 11,366 | 7,577 |
|
Penny R Buckland
8050 W Rifleman St |
$91.52 | 10,043 | 6,974 |
|
Aaron David Campbell
2141 E Parkcenter Blvd |
$82.85 | 9,222 | 8,738 |
|
Pamela H Archuleta
4696 W Overland Rd |
$35.79 | 8,190 | 7,267 |
|
Thomas M Rambow
8950 W Emerald Ste 168 |
$24.40 | 7,705 | 6,748 |
|
Christopher Munga Gakwa
1276 W River St Ste 100 |
$50.32 | 7,648 | 6,773 |
|
Ryan Everett Lindsay
650 N Cole Rd |
$70.60 | 7,133 | 6,519 |
|
Murry Sturkie
190 E Bannock St |
$91.01 | 6,875 | 5,768 |
|
Janet Strong
5985 W State St |
$43.00 | 6,861 | 5,873 |
|
Leah Kathleen Cobb
2619 W Fairview Ave |
$67.00 | 6,846 | 5,904 |
|
Daniel P Flynn
100 E Idaho St |
$100.15 | 6,813 | 6,787 |
|
Cali J Bradberry
4750 N Five Mile Rd |
$51.61 | 6,727 | 6,128 |
|
Margaret K Mortimer
777 N Raymond St |
$0.21 | 6,700 | 6,171 |
|
Thomas H. Rand
100 E Idaho St |
$87.02 | 6,423 | 6,263 |
|
Larry D Showalter
600 N Robbins Rd |
$67.45 | 6,187 | 6,069 |
|
Rachel N. Levitch
300 W Myrtle St |
$2.49 | 6,110 | 5,544 |
|
Sarah Trued
1276 W River St Ste 100 |
$51.48 | 6,048 | 5,310 |
|
Harold Guy Moore
1880 W Judith Lane |
$93.09 | 5,950 | 5,669 |
|
Rebekah Elizabeth Guy
115 W Main St Ste 201 |
$62.32 | 5,924 | 5,583 |
|
Frederick K Emge
100 E Idaho St |
$94.67 | 5,701 | 5,571 |
|
Louis A Roser
1880 Judith Lane |
$96.87 | 5,559 | 5,356 |
|
Ryan Johnson
7960 W Rifleman St |
$98.56 | 5,540 | 5,439 |
|
Lindsey Allene Stenshoel
1276 W River St Ste 100 |
$35.07 | 5,533 | 4,624 |
|
Douglas B Mcmahon
12080 W Mcmillan Rd |
$63.77 | 5,162 | 4,560 |
|
Jaeger A Ashton
305 E Jefferson St |
$64.62 | 4,974 | 4,892 |
|
James Aroet Whitaker
1760 N Mitchell St |
$47.59 | 4,934 | 4,085 |
|
Robert T Wechsler
1499 W. Hays St. |
$57.67 | 4,922 | 4,756 |
|
Kimberly Spears
1902 Judith Ln |
$51.33 | 4,797 | 4,250 |
|
Heidi Anne Posey
6126 W State St Ofc 104 |
$73.78 | 4,645 | 3,783 |
|
Jeffrey Karl Edwards
777 N Raymond St |
$2.70 | 4,645 | 4,362 |
|
Tanya Marie Allmaras
11197 W Fairview Ave |
$62.80 | 4,636 | 4,499 |
|
Jill Moughamian
4700 N Cloverdale Rd Ste 103 |
$12.24 | 4,617 | 4,376 |
|
Samantha Rae Lange
1072 N Liberty St Ste 203 |
$58.77 | 4,560 | 4,443 |
|
Sharon Bennett
8100 W Emerald St |
$58.47 | 4,533 | 4,203 |
|
Eric Culbertson
6165 W Emerald St |
$31.82 | 4,476 | 4,091 |
|
Patrick Denning
6259 W Emerald St |
$52.16 | 4,331 | 4,004 |
|
Toni Sparks
1111 S Orchard St Ste 155 |
$42.44 | 4,257 | 3,959 |
|
Jacob G Robison
100 E Idaho St |
$103.09 | 4,147 | 4,113 |
|
Caleb Sires
10583 W Lake Hazel Rd |
$61.15 | 4,096 | 4,017 |
|
Jason F Robison
600 N Robbins Road |
$78.03 | 4,060 | 4,013 |
|
Olivia Ann Galvez
777 N Raymond St |
$4.89 | 3,917 | 3,591 |
|
Sarah M Hollopeter
1880 W Judith Lane |
$103.25 | 3,898 | 3,722 |
|
Kristina J Harrington
5985 W State St |
$92.87 | 3,896 | 3,409 |
|
Scott Noble Schwendiman
6533 W Emerald St |
$72.01 | 3,881 | 3,636 |
|
Louissa Carolyn Gordon
121 E Fort St |
$14.76 | 3,849 | 3,472 |
|
Jason M Ellison
1072 N Liberty St |
$108.87 | 3,837 | 3,754 |
|
Allison Brooke Bastian
777 N Raymond St |
$2.80 | 3,796 | 3,550 |
|
Alex Brent Wills
950 W Bannock St Ste 1100 |
$99.39 | 3,773 | 2,946 |
|
Erin R Bohn
10583 W Lake Hazel Rd |
$56.95 | 3,751 | 3,708 |
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 Boise, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Boise, ID is $55.91 per claim, based on 1,041,822 claims from 998 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 Boise, ID?
There are 998 Medicaid providers offering Office Visit related services in Boise, ID according to public payment data.
What is the price range for Office Visit in Boise, ID?
Medicaid reimbursement for Office Visit in Boise, ID ranges from $-0.63 to $1,037 per claim, with an average of $55.91. 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 Boise, ID
Personal Care Services
Avg $93.52
948,290 claims
Blood Work & Lab Tests
Avg $8.71
642,444 claims
Physical Therapy
Avg $47.76
568,436 claims
Substance Abuse Treatment
Avg $109.07
562,733 claims
Home Health Visit
Avg $60.75
474,047 claims
X-Ray
Avg $7.32
357,021 claims
Speech Therapy
Avg $42.79
355,092 claims
Behavioral & Mental Health Therapy
Avg $92.14
323,837 claims