Based on public Medicaid payment data.

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
Jon Bergset 190 E Bannock St	$66.82	12	12
Cheryl Suhr 10840 W Wasdale Dr	$75.73	12	12
Lydia Marie Moor 300 E Jefferson St Ste 101	$79.37	12	12
Leah Muldoon 425 W Bannock St	$40.21	12	12
Amy S Waselchuk 600 N Robbins Rd	$31.35	12	12
James E Loveless 600 N Robbins Rd	$40.55	12	12
Cody Johnson 190 E Bannock St Fl 10	$36.60	12	12
Christie Jeanne Beattie 3668 N Harbor Ln	$54.64	12	12
David A Hinchman 300 E Jefferson St	$100.54	12	12
Paul Joseph Montalbano 6140 W Curtisian Ave Ste 400	$50.18	12	12
Bret J Rodgers 6077 N Eagle Rd	$55.64	12	12
Katherine Lindsey Ann West 388 E Parkcenter Blvd	$59.98	12	12
Stephen C Smith 100 E Idaho St	$34.02	12	12
Zachary Ronald Grunig 287 W Jefferson St	$27.08	12	12
Rosa Hickman 6051 W Emerald St	$82.30	12	12
Katie Elizabeth Van Lier 10255 W Overland Rd	$67.34	12	12
Landon Kelly Grange 5680 W Gage St	$81.77	12	12
Carrie Newton 1525 S Owyhee St	$69.99	12	12
Jordyn Morici 190 E Bannock St	$111.54	12	12
Eunice S Toepfer 510 N 2Nd St Ste 103	$100.01	12	12
Jessica Marie Riordan 1055 N Curtis Rd	$34.13	12	12
Leslie Leisk Nona 300 E Jefferson St	$14.33	12	12
Colin Alan Lyness 1072 N Liberty St	$136.32	12	12
William Kogler 6140 W Curtisian Ave Ste 200	$116.67	12	12
Sean M. Smart 300 E Jefferson St Ste 101	$35.40	13	12
Shelby Kaitlyn Gibbons 2619 W Fairview Ave Ste 3100	$50.83	13	13
Jessica Rose Mcqueary 100 E Idaho St	$59.47	13	12
Frank Skobel 190 E Bannock St	$52.21	13	12
Lori Ruman 333 N 1St St	$60.56	13	13
Wade M Bateman 12080 W. Mcmillan Rd	$69.33	13	13
Hannah Elisabeth Underdahl 6565 W Emerald St	$0.00	13	12
Heather Rose Tresidder 1075 N Curtis Rd Ste 200	$94.80	13	12
Laura Morton 6140 W Curtisian	$53.81	13	12
Jordan Gunkel 417 S 6Th St	$41.26	13	13
Philip D Jensen 425 W Bannock St	$20.30	13	13
Mary Fisk Mebane 701 E Parkcenter Blvd	$24.48	13	13
Erika A Lewis 300 E Jefferson St	$18.95	13	13
Jessica Lynn Kroll 6051 W Emerald St	$77.19	13	13
Lauren Teresa Hanlon 250 W Bobwhite Ct Ste 275	$70.13	13	12
Ike D Tanabe 6259 W Emerald St	$15.95	13	13
Aaron L Thomason 8675 W Ardene St	$14.45	13	12
Helen Lawler 6140 W Curtisian	$28.71	13	13
Kathleen Leigh Fossen 1075 N Curtis Road	$75.60	13	12
Becky Sue Kroll 3301 N Sawgrass Way	$82.05	14	13
Meghan Jankowski 6259 W Emerald St	$142.23	14	14
Mary Ann Tuthill 6533 W Emerald St	$43.20	14	13
Becky M. Elder 1072 N Liberty St Ste 100	$59.61	14	14
Chelsey R Koehler 444 W Fort St Fl 2	$6.85	14	14
Benjamin Joseph Karsten 100 Warm Springs Ave	$52.59	14	14
Heather Layher 3668 N Harbor Ln	$79.37	14	14

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.

Average Medicaid Office Visit Payments in Boise, ID: $55.91

Providers Offering Office Visit in Boise, ID

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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