Average Medicaid Office Visit Payments in Emmett, ID: $32.89
Avg. Paid
$32.89
Range
$0.00 – $87.26
Total Claims
23,388
Providers
28
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 Emmett, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Zachary N Bastian
1024 E Locust St |
$60.73 | 13 | 12 |
|
Paden Gonzales
207 E 12Th St |
$0.00 | 17 | 17 |
|
Christopher Kimball
316 S Washington Ave |
$71.08 | 32 | 28 |
|
Walter Knox Memorial Hospital
1102 E Locust St |
$81.43 | 35 | 29 |
|
Melissa Mahcalani Paller
2007 S Plaza |
$66.51 | 65 | 59 |
|
Kathleen Ann Mack
1006 Vanderdasson Rd |
$51.01 | 76 | 62 |
|
Debra Anne Phillips
1202 E Locust St |
$2.26 | 91 | 88 |
|
Amber Mechelle Berger
207 E 12Th St |
$54.10 | 120 | 100 |
|
Jonathan Bret Barrus
2020 S Johns Ave Ste B |
$72.32 | 245 | 239 |
|
Trever J. Martin
1024 E Locust St |
$45.49 | 282 | 248 |
|
Kirk D Prodzinski
207 E 12Th St |
$68.31 | 381 | 350 |
|
Lisa Isaksen
1202 E Locust St |
$2.76 | 395 | 376 |
|
Darcy Renee Cook
426 Hwy 16 |
$87.26 | 525 | 462 |
|
Jerod L Hines
1202 E Locust St |
$48.62 | 557 | 496 |
|
Shannon D. Schantz
207 E 12Th St |
$0.17 | 650 | 601 |
|
Kendon Delbert Seamons
1108 S Washington Ave |
$68.54 | 670 | 655 |
|
James F. Thomson
1102 E Locust St |
$10.02 | 719 | 641 |
|
Korin Collins
1102 E Locust St |
$3.58 | 761 | 736 |
|
Jennifer Petrie
2001 E Quail Run Rd |
$67.23 | 773 | 704 |
|
Andrea Walsh
2020 S Johns Ave Ste B |
$51.14 | 935 | 879 |
|
Megan Martinson
207 E 12Th St |
$0.25 | 1,192 | 1,113 |
|
Robin D Sebastian
1102 E Locust St |
$2.18 | 1,463 | 1,296 |
|
Desiree Darlene Reid
1102 E Locust St |
$48.27 | 1,597 | 1,530 |
|
Walter Knox Memorial Hospital
1202 E Locust St |
$10.82 | 1,597 | 928 |
|
Ryan Atwood
207 E 12Th St |
$3.26 | 1,805 | 1,594 |
|
David M. Shuey
1102 E Locust St |
$3.40 | 1,866 | 1,637 |
|
Ty C Weber
1102 E Locust St |
$19.93 | 2,049 | 1,846 |
|
Tina A Mcguffey
426 Highway 16 |
$69.49 | 4,477 | 4,254 |
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 Emmett, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Emmett, ID is $32.89 per claim, based on 23,388 claims from 28 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 Emmett, ID?
There are 28 Medicaid providers offering Office Visit related services in Emmett, ID according to public payment data.
What is the price range for Office Visit in Emmett, ID?
Medicaid reimbursement for Office Visit in Emmett, ID ranges from $0.00 to $87.26 per claim, with an average of $32.89. 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 Emmett, ID
Substance Abuse Treatment
Avg $46.10
64,584 claims
Case Management Services
Avg $40.82
33,646 claims
Speech Therapy
Avg $9.43
20,140 claims
Physical Therapy
Avg $48.47
19,052 claims
Blood Work & Lab Tests
Avg $5.61
16,240 claims
Psychiatric Evaluation
Avg $67.35
9,639 claims
Emergency Room Visit
Avg $167.66
8,918 claims
Eye Exam
Avg $81.09
8,816 claims