Average Medicaid Office Visit Payments in Edgewood, NM: $79.69
Avg. Paid
$79.69
Range
$17.90 – $134.88
Total Claims
46,173
Providers
23
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 Edgewood, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Douglas Ivan Ludington
104 Quail Trail |
$100.56 | 13,012 | 11,232 |
|
Margaret Barbour Von Hendricks
1851 Old Hwy 66 |
$71.90 | 7,036 | 6,848 |
|
Joshua Jones
1851 Old Us 66 |
$96.17 | 4,060 | 3,910 |
|
Vivienne Prinz
104 Quail Trl |
$40.70 | 3,477 | 3,302 |
|
First Choice Community Healthcare, Inc.
7 Municipal Way |
$17.90 | 3,109 | 2,827 |
|
Yourah Hwang
1851 Old Us 66 |
$107.74 | 3,070 | 2,653 |
|
Jodi A. Dettman
104 Quail Trl Unit B |
$78.88 | 2,859 | 2,606 |
|
Lisa Rachelle Torres
8 Medical Center Rd |
$56.44 | 2,305 | 2,180 |
|
Carla Rudolph
1851 Old Us 66 |
$92.94 | 2,051 | 1,886 |
|
Thu Thanh Nguyen
104 Quail Trail |
$37.97 | 756 | 748 |
|
Brian R Ingram
1851 Old Hwy 66 |
$66.40 | 568 | 535 |
|
Judy H. Lui
1950-C Old Route 66 |
$85.39 | 547 | 523 |
|
Alyssa Briana Mirabal
1851 Old Us 66 |
$134.88 | 536 | 515 |
|
Cierra Dorado
104 Quail Trl |
$83.16 | 474 | 428 |
|
Julian F Rowe
1950C Old Us 66 |
$76.41 | 417 | 388 |
|
Sanford Lee Yankow
1851 Old Us 66 |
$65.99 | 382 | 353 |
|
Kaleigh Roberts
104 Quail Trail |
$84.21 | 338 | 312 |
|
Effie E Medford
104 Quail Trl Unit B |
$65.36 | 270 | 240 |
|
Lindsay Sue Cerrone
104 Quail Trl Apt B |
$98.02 | 221 | 211 |
|
Mary Ann Crow
104 Quail Trl |
$68.35 | 216 | 203 |
|
Carmen Caterina Marcolina
104 Quail Trl Ste B |
$82.67 | 213 | 200 |
|
Ryan Grange
1851 Old Highway 66 Unit 1 |
$68.28 | 154 | 149 |
|
Thomas Black
104 Quail Trail |
$79.69 | 102 | 92 |
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 Edgewood, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Edgewood, NM is $79.69 per claim, based on 46,173 claims from 23 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 Edgewood, NM?
There are 23 Medicaid providers offering Office Visit related services in Edgewood, NM according to public payment data.
What is the price range for Office Visit in Edgewood, NM?
Medicaid reimbursement for Office Visit in Edgewood, NM ranges from $17.90 to $134.88 per claim, with an average of $79.69. 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 Edgewood, NM
Physical Therapy
Avg $61.62
70,253 claims
Speech Therapy
Avg $58.42
22,238 claims
Dental Cleaning & Exam
Avg $29.24
9,722 claims
Psychiatric Evaluation
Avg $58.59
6,963 claims
Dental Filling
Avg $64.00
2,327 claims
Urinalysis & Urine Tests
Avg $2.78
1,988 claims
Nursing Facility Care
Avg $51.74
1,523 claims
Vaccines & Immunizations
Avg $29.30
1,504 claims