Average Medicaid Office Visit Payments in Caldwell, ID: $44.71
Avg. Paid
$44.71
Range
$0.00 – $594.96
Total Claims
187,554
Providers
125
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 Caldwell, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jakeb K Searle
315 E Elm Street |
$19.58 | 11,487 | 11,257 |
|
Amanda Lee
1620 S Kimball Ave |
$42.65 | 7,117 | 6,856 |
|
Sandra Lare
2609 S 10Th Ave Ste 102 |
$20.80 | 7,054 | 6,353 |
|
Matthew S Brown
712 Aviation Way |
$26.16 | 6,849 | 6,554 |
|
Merle L. Keller
315 E. Elm Ste 100 |
$68.82 | 6,128 | 5,849 |
|
Harrison Davis Blanton
315 E Elm Street |
$61.28 | 5,762 | 5,284 |
|
Carl William Steinmann
712 Aviation Way |
$50.11 | 5,539 | 5,297 |
|
Crystal Gail Belcourt
1620 S Kimball Ave |
$67.08 | 5,271 | 4,993 |
|
Derek Carl Bronson
1717 Arlington Ave |
$81.26 | 5,056 | 4,830 |
|
David Babbel
712 Aviation Way |
$0.21 | 4,936 | 4,786 |
|
Robert Slade Thacker
712 Aviation Way |
$58.66 | 4,561 | 4,153 |
|
Mark Berger
315 E Elm St # 201 |
$3.59 | 4,506 | 3,414 |
|
Bobby Chawla
3123 Medical Dr |
$76.67 | 4,414 | 3,759 |
|
Travis Lee Page
2523 S 10Th Ave Ste 103 |
$67.32 | 4,192 | 3,604 |
|
Kari M Lopez
512 E Elm St |
$59.45 | 4,116 | 4,060 |
|
Jed H Erickson
1818 S 10Th Ave |
$63.06 | 3,874 | 3,557 |
|
Cameron Gregory Davis
315 E Elm St Ste 100 |
$1.24 | 3,705 | 3,632 |
|
Raul Godina
512 N 21St Ave |
$74.47 | 3,699 | 3,493 |
|
Natasha Miller
315 E Elm |
$20.03 | 3,584 | 3,421 |
|
Donald E Sanford
4815 Cleveland Blvd |
$61.66 | 3,527 | 3,477 |
|
Travis Reed Moulton
1906 Fairview Ave |
$61.20 | 3,370 | 3,113 |
|
Lawrence Estel Banta
1906 Fairview Ave |
$63.34 | 3,293 | 3,030 |
|
Timothy Curtis Borup
712 Aviation Way |
$0.00 | 3,201 | 3,080 |
|
Sarah Ann Henrichs
3110 Cleveland Blvd Bldg A |
$99.34 | 3,030 | 2,314 |
|
Jee Hur
315 E Elm Street |
$8.67 | 2,747 | 2,611 |
|
Rachelle C. Friesen
2123 Melody St |
$1.95 | 2,714 | 2,628 |
|
Adam James Gerber
1906 Fairview Ave Ste 430 |
$48.16 | 2,706 | 2,235 |
|
Jocele Skinner
315 E Elm St Ste 201 |
$35.52 | 2,660 | 2,541 |
|
Josiah Smith
512 E Elm St |
$43.04 | 2,247 | 2,205 |
|
J'Cinda J'Nae Bitters
211 E Logan St Ste 301 |
$67.37 | 2,173 | 2,082 |
|
Jacob Michelsen
2005 Arlington Ave |
$23.88 | 2,132 | 2,046 |
|
Samantha Portenier
315 E Elm St Ste 201 |
$33.86 | 1,959 | 1,902 |
|
John Quentin Smith
1906 Fairview Ave Ste 400 |
$53.26 | 1,889 | 1,811 |
|
Trevor J Crapo
1906 Fairview Ave Ste 430 |
$3.59 | 1,817 | 1,785 |
|
Jacob Sup
2005 Arlington Ave |
$1.46 | 1,755 | 1,661 |
|
Joe Marie Franz Llenos
1906 Fairview Ave Ste 230 |
$50.74 | 1,739 | 1,500 |
|
Brenton David Baldwin
712 Aviation Way |
$42.81 | 1,730 | 1,672 |
|
P. Roman Burk
1818 S 10Th Ave |
$41.50 | 1,619 | 1,223 |
|
Derek B Hamblin
4815 Cleveland Blvd |
$67.03 | 1,586 | 1,574 |
|
Amy Jo Bizik
808 Cleveland Blvd |
$2.20 | 1,475 | 1,289 |
|
Roger Wyatt
315 E Elm St |
$30.81 | 1,433 | 1,389 |
|
Neysa Jayde Robinson
808 Cleveland Blvd |
$11.59 | 1,418 | 1,334 |
|
Adrian Avila
314 Badiola St |
$79.26 | 1,389 | 1,171 |
|
Robert Paul Shanks
315 E Elm St Ste 100 |
$63.87 | 1,252 | 1,212 |
|
Michael Slack
4815 Cleveland Blvd |
$91.56 | 1,241 | 1,180 |
|
Lyndon C Box
1906 Fairview Ave Ste 230 |
$55.01 | 1,214 | 1,138 |
|
Michael S Morris
1620 S Kimball Ave |
$47.73 | 1,211 | 1,128 |
|
Sulabha Chaganaboyana
315 E Elm St # 201 |
$25.60 | 1,174 | 1,088 |
|
Zechariah Wilson
315 E Elm St # 201 |
$91.24 | 1,167 | 1,103 |
|
Blake Mcdonald
1906 Fairview Ave Ste 220 |
$110.09 | 1,128 | 1,056 |
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 Caldwell, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Caldwell, ID is $44.71 per claim, based on 187,554 claims from 125 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 Caldwell, ID?
There are 125 Medicaid providers offering Office Visit related services in Caldwell, ID according to public payment data.
What is the price range for Office Visit in Caldwell, ID?
Medicaid reimbursement for Office Visit in Caldwell, ID ranges from $0.00 to $594.96 per claim, with an average of $44.71. 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 Caldwell, ID
Dental Cleaning & Exam
Avg $47.09
126,901 claims
Speech Therapy
Avg $21.97
103,418 claims
Substance Abuse Treatment
Avg $146.14
101,538 claims
Vaccines & Immunizations
Avg $8.77
83,253 claims
Blood Work & Lab Tests
Avg $6.74
80,967 claims
Behavioral & Mental Health Therapy
Avg $118.00
61,050 claims
Ambulance Transport
Avg $123.57
59,603 claims
Emergency Room Visit
Avg $130.63
58,134 claims