Average Medicaid Office Visit Payments in Flagstaff, AZ: $49.29
Avg. Paid
$49.29
Range
$0.00 – $312.18
Total Claims
429,684
Providers
327
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 Flagstaff, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
North Country Healthcare, Inc.
2920 N. 4Th Street |
$0.02 | 47,101 | 40,254 |
|
North Country Healthcare, Inc.
1501 S Yale St |
$0.05 | 11,443 | 9,617 |
|
Patrick Price
107 E Oak Ave |
$65.32 | 11,260 | 10,023 |
|
Alexander Hu
399 S Malpais Ln |
$72.86 | 8,264 | 8,046 |
|
Derek Mcgrath Browne
107 E Oak Ave |
$2.16 | 7,801 | 7,386 |
|
Chad Robert Taylor
2001 N 4Th St |
$68.95 | 7,261 | 6,613 |
|
Matthew Henry Pielecha
1515 E Cedar Ave Ste A-3 |
$102.05 | 6,516 | 6,208 |
|
Jessica Floyd Thibodeaux
1200 N Beaver St |
$18.71 | 5,482 | 4,439 |
|
Gavin Ferguson
1515 E Cedar Ave Ste 2B3B4E12 |
$45.07 | 5,410 | 5,037 |
|
Jared Bennett
3100 N West St Ste 300 |
$103.85 | 5,130 | 4,840 |
|
Peter Mathern
77 W Forest Ave |
$48.19 | 5,050 | 4,423 |
|
Walt Hutton
2187 N Vickey St |
$18.70 | 4,731 | 4,325 |
|
John Michael Motl
1200 N Beaver St |
$73.34 | 4,590 | 4,215 |
|
Tamarah Fratianni
1340 N Rim Dr |
$53.71 | 4,557 | 4,322 |
|
Jessica M Mills
2187 N Vickey St |
$50.61 | 4,451 | 4,220 |
|
Amy L Deleva
77 W Forest Ave |
$62.69 | 4,408 | 4,223 |
|
North Country Healthcare, Inc.
1120 West University Avenue |
$0.03 | 4,373 | 3,852 |
|
Khadga Limbu
2920 N 4Th St |
$94.38 | 4,214 | 4,061 |
|
Joseph Peter Tris
2187 N Vickey St |
$34.06 | 4,126 | 3,781 |
|
Flagstaff Medical Center
1200 N. Beaver St. |
$39.38 | 4,054 | 3,711 |
|
John A Ledington
1485 N Turquoise Dr |
$62.11 | 3,949 | 3,776 |
|
Sandra Taylor Kellett
1215 N Beaver St |
$68.45 | 3,937 | 3,630 |
|
Robert Joseph Brownsberger
705 N Leroux St |
$53.41 | 3,933 | 3,554 |
|
Ruth Blair
1515 E Cedar Ave Ste D-2 |
$59.04 | 3,836 | 3,565 |
|
Kelly Michele Czarnecki
1490 N Turquoise Dr |
$47.43 | 3,672 | 3,549 |
|
Ron L Tuckman
77 W Forest Ave |
$58.01 | 3,555 | 3,415 |
|
Bourck D Cashmore
1840 N Jasper Dr Ste 2 |
$55.71 | 3,460 | 3,288 |
|
Therese Ann Holguin
1490 N Turquoise Dr |
$46.48 | 3,394 | 3,322 |
|
Alexander Davis Lund
77 W Forest Ave Ste 107 |
$90.00 | 3,377 | 3,318 |
|
Jeffrey P Rockow
1330 N Rim Dr |
$108.83 | 3,349 | 3,287 |
|
Barbara L. Bosch
77 W Forest Ave |
$59.12 | 3,338 | 3,229 |
|
Rachel Bonvillain Josefchuk
1515 E Cedar Ave Ste B-4 |
$69.88 | 3,335 | 3,176 |
|
Julie Marie Polzin
107 E Oak Ave |
$63.10 | 3,232 | 3,142 |
|
Taye Nelson
824 S San Francisco St |
$53.76 | 3,228 | 3,087 |
|
Angelique Ferrer Varela
3801 N Paradise Rd |
$0.01 | 3,213 | 1,484 |
|
Mary Iles
77 W Forest Ave |
$56.90 | 3,182 | 3,057 |
|
Colin R Hickenlooper
823 N San Francisco St Ste A |
$47.15 | 3,159 | 2,772 |
|
Lauren Diane Hayward
77 W Forest Ave |
$61.38 | 3,136 | 3,014 |
|
Phillip Casey Dubravcic
906 W University Ave Ste 150 |
$27.58 | 3,128 | 2,875 |
|
John Paul Graziano
2920 N 4Th St |
$13.98 | 3,054 | 2,099 |
|
Northern Arizona Healthcare Corporation
5130 N Us Highway 89 |
$92.87 | 2,942 | 2,733 |
|
Leonardo Santibanez
2920 N 4Th St |
$58.63 | 2,929 | 2,726 |
|
Native Americans For Community Action, Inc
1500 E Cedar Ave |
$0.37 | 2,806 | 2,365 |
|
Chad William Norris
1485 N Turquoise Dr |
$63.97 | 2,795 | 2,565 |
|
Eamonn M Mahoney
1485 N Turquoise Dr |
$65.34 | 2,765 | 2,640 |
|
Daniel Hoehle Downs
1300 N Rim Dr |
$82.19 | 2,738 | 2,679 |
|
Meredith Grace Merkley
2920 N 4Th St |
$66.91 | 2,717 | 1,790 |
|
Megan Skeet
1501 S Yale St Ste 252 |
$59.15 | 2,546 | 2,430 |
|
Richard R Valdes
2700 S Woodlands Vlg Blvd Ste 700 |
$80.06 | 2,505 | 2,430 |
|
Craig Michael Peters
1215 N Beaver St |
$57.30 | 2,503 | 2,367 |
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 Flagstaff, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Flagstaff, AZ is $49.29 per claim, based on 429,684 claims from 327 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 Flagstaff, AZ?
There are 327 Medicaid providers offering Office Visit related services in Flagstaff, AZ according to public payment data.
What is the price range for Office Visit in Flagstaff, AZ?
Medicaid reimbursement for Office Visit in Flagstaff, AZ ranges from $0.00 to $312.18 per claim, with an average of $49.29. 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 Flagstaff, AZ
Blood Work & Lab Tests
Avg $15.86
771,611 claims
Case Management Services
Avg $24.05
423,897 claims
Substance Abuse Treatment
Avg $108.70
227,260 claims
Emergency Room Visit
Avg $212.77
190,695 claims
Physical Therapy
Avg $34.77
176,605 claims
X-Ray
Avg $7.83
143,339 claims
Speech Therapy
Avg $54.44
136,933 claims
Ambulance Transport
Avg $658.36
127,521 claims