Average Medicaid Office Visit Payments in Espanola, NM: $107.80
Avg. Paid
$107.80
Range
$1.84 – $463.47
Total Claims
190,628
Providers
55
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 Espanola, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
El Centro Family Health
538 N Paseo De Onate |
$136.80 | 66,002 | 54,585 |
|
El Centro Family Health
2010 Industrial Park Rd |
$129.23 | 19,037 | 16,592 |
|
Carey Michael Reed
206 S Coronado Ave |
$38.42 | 10,402 | 7,401 |
|
Presbyterian Medical Services
835 Spruce St |
$152.97 | 9,259 | 6,540 |
|
Kristal Anguiano
2010 Industrial Park Rd. |
$119.02 | 8,645 | 8,423 |
|
El Centro Family Health
711 Bond St. |
$109.57 | 6,899 | 5,984 |
|
Salvadeeswaran Lakshmi-Narayanan
1010 Spruce St |
$65.04 | 6,843 | 6,655 |
|
Olivia Kimble
1010 Spruce St |
$84.77 | 6,177 | 5,948 |
|
Rana Wynne Russell
528 N Coronado Ave |
$95.65 | 5,183 | 5,026 |
|
Erika Jean Lucero
620 N Coronado Ave |
$91.24 | 4,966 | 4,848 |
|
Elizabeth Anne Donaldson
1010 Spruce St. |
$73.05 | 4,826 | 4,660 |
|
Mustapha Kamel Abouda
1302 E Calle De Merced |
$55.59 | 3,786 | 3,357 |
|
Jessica Lynn Alcon-Romero
1010 Spruce St |
$65.33 | 3,424 | 3,194 |
|
Barbara Troy
2010 Industrial Park Rd |
$161.41 | 3,308 | 2,688 |
|
Linda M. Garcia-Lucero
1010 Spruce St |
$68.85 | 3,050 | 2,917 |
|
Amelia Brooks Kreienkamp
1010 Spruce St |
$86.44 | 3,000 | 2,860 |
|
Stacey Lambeth
1010 Spruce St Fl 2 |
$65.61 | 2,686 | 2,602 |
|
Matthew W Mckinley
1010 Spuce St |
$45.10 | 2,137 | 2,065 |
|
Kimberly Allen
1010 Spruce St |
$69.50 | 1,761 | 1,733 |
|
Vidya Subramanian
1010 Spruce St |
$77.58 | 1,720 | 1,630 |
|
Michael D Wagner
1010 Spruce St 3Rd Fl Area 5 |
$41.87 | 1,532 | 1,452 |
|
Chelsea D Kirby
1010 Spruce St |
$62.83 | 1,470 | 1,399 |
|
Davita Adanuvor
807 Calle Chamisal |
$77.84 | 1,418 | 1,250 |
|
Biatris Barrera
1010 Spruce Street |
$54.66 | 1,213 | 1,170 |
|
Carrie Elizabeth Jones
1010 Spruce St |
$49.61 | 1,162 | 1,061 |
|
Meditelecare Of New Mexico, Llc
206 S Coronado Ave |
$12.90 | 1,127 | 835 |
|
Onyinyechukwu Igbokwe
1010 Spruce St 2Nd Fl Area 2 |
$131.95 | 1,098 | 1,040 |
|
Steven D Jones
1010 Spruce St |
$37.01 | 995 | 933 |
|
Nicholas R Dawson
1010 Spruce St 3Rd Fl Area 1 |
$65.70 | 927 | 904 |
|
Keith Bryan Haynie
206 S Coronado Ave |
$33.43 | 920 | 634 |
|
Rebecca Ann Archuleta
1010 Spruce St Fl 3 |
$63.79 | 915 | 887 |
|
Alexander Thomas Vining
1010 Spruce St |
$73.19 | 591 | 557 |
|
Bailey Pearson
1010 Spruce St |
$128.16 | 553 | 536 |
|
Rajan K Mirchandani
1010 Spruce St |
$37.31 | 527 | 517 |
|
David Michael King
1010 Spruce St |
$70.06 | 511 | 423 |
|
Tanya Gallegos
1010 Spruce St |
$59.32 | 493 | 466 |
|
El Centro Family Health
1111 El Llano Rd |
$177.44 | 263 | 241 |
|
Catherine L. Veilleux
509 W Pueblo Dr |
$60.28 | 249 | 207 |
|
Herbert V Rachelson
Espanola Multi-Specialty Clinic |
$43.83 | 210 | 201 |
|
Blair Kent Hough
1010 Spruce St |
$101.47 | 208 | 204 |
|
Silvia C Khalsa
1010 Spruce St |
$85.37 | 189 | 180 |
|
Dechen Wangmo Tsewang
Rr5 Box 446 |
$376.63 | 142 | 135 |
|
Santa Clara Health Center
State Road 30 Los Alamos Highway |
$420.49 | 128 | 112 |
|
William M Ryan
1010 Spruce St |
$33.89 | 121 | 112 |
|
Kathy Lynn Wirz
1010 Spruce St |
$61.41 | 107 | 106 |
|
Stephen Lynn Mason
1200 N Paseo De Onate |
$173.84 | 97 | 95 |
|
El Centro Family Health
1260 Industrial Park Rd |
$173.65 | 88 | 84 |
|
Heidi H. Rogers
2010 Industrial Park Rd |
$99.25 | 70 | 64 |
|
Amanda Morgan Freeman
1010 Spruce St 2Nd Fl Area 3 |
$71.47 | 48 | 47 |
|
Rebecca Jane Wallig
1010 Spruce St |
$105.81 | 36 | 36 |
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 Espanola, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Espanola, NM is $107.80 per claim, based on 190,628 claims from 55 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 Espanola, NM?
There are 55 Medicaid providers offering Office Visit related services in Espanola, NM according to public payment data.
What is the price range for Office Visit in Espanola, NM?
Medicaid reimbursement for Office Visit in Espanola, NM ranges from $1.84 to $463.47 per claim, with an average of $107.80. 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 Espanola, NM
Blood Work & Lab Tests
Avg $14.14
142,368 claims
Emergency Room Visit
Avg $151.28
129,106 claims
Substance Abuse Treatment
Avg $170.43
124,888 claims
Home Health Visit
Avg $74.52
85,291 claims
Psychiatric Evaluation
Avg $94.68
51,096 claims
Physical Therapy
Avg $43.42
47,381 claims
Urinalysis & Urine Tests
Avg $6.55
37,849 claims
X-Ray
Avg $66.85
27,014 claims