Based on public Medicaid payment data.

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
Branden Michael Florence 206 E Elm St	$77.94	12	12
Craig R Jamison 206 E Elm St	$48.30	13	13
Ashley Croft 2609 S 10Th Ave	$50.29	13	12
Nicholas William Gonzales 1906 Fairview Ave Ste 100	$91.77	13	13
William Thomas Black 420 E Elm St	$64.81	13	13
Brittany Highsmith Mulrony 1702 S Kimball Ave	$60.09	15	13
Murali N Bathina 315 E Elm Street	$40.68	15	15
Jami B Jenkins 13307 Miami Ln	$79.36	15	15
Medical Clinic Pharmacy Inc 315 E Elm St	$55.49	16	14
Perry A. Jansen 13307 Miami Ln	$21.38	16	16
Karen Elizabeth Carloy 315 Elm Street	$40.01	22	19
Eugene Kaplan 315 E Elm St Ste 310	$45.04	25	24
Ryan W. Hardy 315 E Elm St Ste 350	$74.94	27	27
Cadence Brunzlick 1906 Fairview Ave	$68.55	28	28
James C Field 315 E Elm St	$25.75	41	40
James Masayoshi Miyazaki 315 E Elm	$20.25	43	43
Nathan Tillotson 315 E Elm St Ste 310	$594.96	45	35
Linnae Frisby 1906 Fairview Ave Ste 230	$90.63	45	42
Trevor Spence 206 E Elm St	$64.10	46	44
Michael L Roach 712 Aviation Way	$35.88	50	49
Ashley Fae White 1717 Arlington Ave	$81.12	53	43
Krystle Ann Cogswell 315 E Elm St Ste 201	$1.32	58	57
Alfred F Brem 1906 Fairview Ave Ste 220	$36.06	58	52
George Arthur Nicola 206 E Elm St	$34.88	59	53
Bryce Wikfors 206 E Elm St	$40.12	75	69
Michael J Robinson 315 Elm Street	$51.09	78	66
Jordyn Ashlie Oliver 2609 S 10Th Ave	$0.00	81	77
West Valley Medical Center, Inc. 1717 Arlington Ave	$0.76	81	62
Jessica Elaine Fu 315 Elm Street	$65.59	82	81
James Russell Bewley 420 E Elm Street	$45.84	95	83
Phoebe Ackart Uricchio 2609 S 10Th Ave	$3.59	96	94
Chrysanthe Kepas Eastman 13307 Miami Ln	$81.61	96	96
Lynette Joy Ages 1818 S 10Th Ave Ste 200	$47.93	102	94
Paul Jones 1906 Fairview Ave Ste 350	$86.57	140	130
Hodaka Paul Abe 206 E Elm St	$49.77	160	156
Garrett Sweet 2523 S 10Th Ave Ste 103	$66.43	201	188
Joel Agado Hernandez 1906 Fairview Ave Ste 100	$54.47	201	188
Colt Kennington 1906 Fairview Ave Ste 220	$124.17	206	196
Cynthia Jane Floyd 15076 Plum Rd	$61.74	216	194
Donald K Stritzke 1620 S Kimball Ave	$36.57	228	218
Thomas Wayne Tryon 206 E Elm St	$93.23	231	221
Micah Sean Mills 1702 S Kimball Ave	$61.47	237	215
Janel K. Murray 315 E Elm St	$46.89	252	248
Todd M Otstot 206 E Elm St	$47.80	272	261
Brandon Hanley 1906 Fairview Ave Ste 350	$96.20	300	281
Community Health Clinics, Inc. 808 Cleveland Blvd	$0.00	306	267
Joshua Paul Goyden 1906 Fairview Ave Ste 350	$81.28	316	307
Andrew Ryan 1717 Arlington Ave	$59.43	318	313
William Tyler Steers 4605 Enterprise Way Ste 105	$66.20	319	251
Wade Harris 211 E Logan St	$51.38	339	333

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.

Average Medicaid Office Visit Payments in Caldwell, ID: $44.71

Providers Offering Office Visit in Caldwell, ID

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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