Average Medicaid Office Visit Payments in Coeur D Alene, ID: $58.73
Avg. Paid
$58.73
Range
$0.00 – $185.33
Total Claims
366,360
Providers
296
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 Coeur D Alene, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Staci J Walner
3918 N Schreiber Way |
$99.83 | 17,562 | 13,153 |
|
Megan Reed
919 W Canfield Ave |
$17.04 | 10,178 | 8,443 |
|
Jana M Qualls
913 W Canfield Ave |
$49.93 | 9,100 | 8,663 |
|
Brett Michael Waite
3815 N Schreiber Way Unit 102 |
$185.33 | 8,844 | 7,989 |
|
Lauren Taylor Hall
409 E Coeur D Alene Ave |
$33.34 | 8,372 | 6,684 |
|
Dirne Health Centers, Inc.
1090 W Park Place |
$0.25 | 8,022 | 6,096 |
|
Jonathan Robert Jerkins
700 W Ironwood Dr Ste 155 |
$77.08 | 6,705 | 6,511 |
|
Leonard D Guth
700 W Ironwood Dr |
$85.39 | 6,682 | 6,534 |
|
Robert Everett Leeth
909 W Canfield Ave |
$63.82 | 6,533 | 6,042 |
|
Beth Ann Martin
1090 W Park Pl |
$72.58 | 6,512 | 6,306 |
|
Debra Colleen Mykkanen
700 W Ironwood Dr |
$65.18 | 6,501 | 6,193 |
|
Cheri Kathleen Savage
700 W Ironwood Dr |
$80.50 | 6,500 | 6,339 |
|
Duane Eldon Craddock
700 W Ironwood Dr |
$79.06 | 6,253 | 6,095 |
|
Olivia Rose Blume
2426 N Merritt Creek Loop Ste A |
$88.45 | 6,069 | 5,676 |
|
Kellie Kathryn Breaux
700 W Ironwood Dr |
$84.77 | 6,002 | 5,695 |
|
Michael David Whiting
913 W Canfield Ave |
$59.57 | 5,917 | 5,508 |
|
Jordan E Taylor
1090 W Park Pl |
$69.78 | 5,487 | 5,126 |
|
Jacqueline Lee Wagner
1713 E Sherman Ave |
$56.32 | 5,359 | 3,529 |
|
Jonathan Edward Lippman
700 W Ironwood Dr Ste 120 |
$53.03 | 5,329 | 4,866 |
|
Jeanna Padilla
7600 N Mineral Dr Ste 110 |
$64.28 | 4,854 | 4,504 |
|
Regina Marie Kendra
1686 W Riverstone Dr |
$49.19 | 4,528 | 4,201 |
|
Teri Renee Rouse
6190 N Sunshine St Ste E |
$69.89 | 4,406 | 4,080 |
|
Desiree Barclift
1090 W Park Pl |
$50.25 | 4,309 | 4,165 |
|
Brian J. Hickok
980 W Ironwood Dr |
$70.05 | 4,175 | 4,000 |
|
Nicola L Mclachlan
Lakeside Pediatric & Adolescent Medicine |
$61.58 | 4,149 | 3,945 |
|
Mark Christopher Martindale
1717 Lincoln Way Ste 108 |
$79.90 | 4,109 | 3,780 |
|
Regan R Brown
700 W Ironwood Dr Ste 275 |
$57.01 | 3,947 | 3,671 |
|
Regina Miller Prindle
3700 W Seltice Way |
$17.90 | 3,702 | 3,403 |
|
Melissa C Burns-Price
1090 W Park Pl |
$5.06 | 3,657 | 3,410 |
|
Jason Wright
700 W Ironwood Dr Ste 158 |
$23.92 | 3,605 | 3,427 |
|
Daniel Matthew Henbest
1090 W Park Place |
$15.30 | 3,456 | 3,277 |
|
Brian Kevin Taft
1130 W Prairie Ave |
$48.55 | 3,309 | 3,057 |
|
Anthony Bryan Rehil-Crest
1090 W Park Pl |
$11.55 | 3,308 | 2,929 |
|
Terence Earl Neff
700 W Ironwood Dr |
$74.15 | 3,287 | 3,160 |
|
Mary Jo Shaw
700 W Ironwood Dr |
$71.94 | 3,236 | 3,169 |
|
Laura J. Haney
1090 W Park Pl |
$8.67 | 3,235 | 2,932 |
|
Erika M Mikles
1090 W Park Pl |
$6.22 | 3,181 | 2,881 |
|
Christy L Riley
980 W Ironwood Dr |
$77.69 | 2,994 | 2,925 |
|
Laura Christine Adams
2199 W Ironwood Center Dr |
$78.92 | 2,956 | 2,101 |
|
Jill Marie White
3700 W Seltice Way |
$50.92 | 2,907 | 2,803 |
|
Denise Christine Love
1686 W Riverstone Dr |
$38.21 | 2,827 | 2,632 |
|
Kristin Michelle Paul
914 W Ironwood Dr Ste 101 |
$7.41 | 2,768 | 2,635 |
|
Amanda L Fiola
700 W Ironwood Dr Ste 375 |
$81.09 | 2,759 | 2,191 |
|
Daniel Edward Cannon
700 W Ironwood Dr Ste 278 |
$66.85 | 2,745 | 2,618 |
|
Colleen R Fleming
1090 W Park Pl |
$40.70 | 2,729 | 2,434 |
|
Jean Marie Prince
980 W Ironwood Dr |
$71.29 | 2,615 | 2,531 |
|
Meredith Liebl Mcalpine
700 W Ironwood Dr Ste 120 |
$86.57 | 2,578 | 2,556 |
|
Vadim P Pustynovich
700 W Ironwood Dr Ste 120 |
$71.26 | 2,562 | 2,535 |
|
Heidi A Herold
315 W Dalton Ave Ste B |
$5.40 | 2,394 | 2,134 |
|
Ronda Westcott
980 W Ironwood Dr |
$73.24 | 2,383 | 2,317 |
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 Coeur D Alene, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Coeur D Alene, ID is $58.73 per claim, based on 366,360 claims from 296 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 Coeur D Alene, ID?
There are 296 Medicaid providers offering Office Visit related services in Coeur D Alene, ID according to public payment data.
What is the price range for Office Visit in Coeur D Alene, ID?
Medicaid reimbursement for Office Visit in Coeur D Alene, ID ranges from $0.00 to $185.33 per claim, with an average of $58.73. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Coeur D Alene, ID
Personal Care Services
Avg $27.36
448,456 claims
Home Health Visit
Avg $58.29
433,196 claims
Substance Abuse Treatment
Avg $145.14
267,819 claims
Blood Work & Lab Tests
Avg $9.55
154,007 claims
Case Management Services
Avg $37.74
153,951 claims
Physical Therapy
Avg $55.31
134,040 claims
Emergency Room Visit
Avg $75.69
102,696 claims
Psychiatric Evaluation
Avg $56.45
95,176 claims