Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Fort Defiance, AZ: $56.83

Avg. Paid

$56.83

Range

$0.00 – $673.30

Total Claims

71,620

Providers

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 Fort Defiance, AZ

Provider	Avg. Paid	Claims	Patients
Yangchen Dolkar Corner Of Route N12 And N7	$2.71	8,638	8,500
John Michael Lambert Navajo Route N12 And N7	$3.50	6,142	5,750
Louella M Regis Corner Of Route N12 And N7	$2.90	5,459	4,405
Juan Carlos Del Rio Roure Corner Of Route N12 And N7	$82.38	4,301	3,699
Jennifer Vail Corner Of Route N12 And N7	$217.78	3,238	2,685
Christopher Colin Curtin Corner Of Route N12 And N7	$34.99	3,231	3,026
Beth Vermont Corner Of Route N12 And N7	$2.00	2,928	2,325
Brian Ezar Cooper Corner Of Rt N7 And N12	$79.31	2,762	2,036
Juddson Baldwin Corner Of Route N12 And N7	$110.06	2,531	2,460
Darreika Eva Washington Corner Of Route N12 And N7	$91.66	2,410	2,327
Evan M Ross Corner Of Route N12 And N7	$41.46	2,230	1,985
Hector Pilar Magana Corner Of Route N12 And N7	$75.84	2,133	1,581
Courtney Cathleen Steer-Massaro Corner Of Route N12 And N7	$36.08	1,669	1,306
Ebba K. Ebba Corner Of Route N12 And N7	$31.78	1,553	1,268
Scott Shin Fort Defiance Phs Hospital	$56.10	1,511	1,418
Roanne Jimenez Corner Of Route N12 And N7	$29.56	1,263	1,190
Jose Aruiza Corner Of Routes N12 And N7	$66.49	1,211	1,180
Sarah Rose Wheatley Hartnett Corner Of N12 And N7	$445.52	1,168	1,077
Malcolm Jewell Corner Of Route N12 And N7	$82.99	1,106	1,090
Paul Raymond Del Bianco Corner Of Route N12 And N7	$57.76	1,089	1,075
Kelly Aleen Haines Corner Of Route N12 And N7	$73.17	1,002	822
Esker Arvanetes Ellis Corner Of Route N12 And N7	$45.51	964	916
Pierre Gladner Desrosiers Corner Of Rt N12 And N7	$10.14	878	707
James Thomas Shen Corner Of Route N12 And N7	$23.52	866	830
Mark Maloy Krause Corner Of Route N12 And N7	$11.89	796	711
Ronny Santosa Corner Of Route N12 And N7	$14.16	751	706
Ellen Mary Bando Corner Of Route N12 And N7	$58.09	733	639
Vickie Lynn Cranford-Lonquich Corner Of Route N12 And N7	$14.10	564	545
Mary Hoft Fort Defiance	$30.44	510	444
Hannah Christine Palm Corner Of Route N12 And N7	$69.32	508	455
Judith Elaine Latner Corner Of Route N12 And N7	$2.98	476	236
Melonie I Blancaneaux Tseshootsooi Medical Center	$274.61	411	380
Janet Kaercher Corner Of Route N12 And N7	$12.36	408	392
Marek Marcinkiewicz Corner Of Route N7 & N12	$14.02	396	379
Connie M Ebach Corner Of Route N12 And N7	$375.62	392	332
Dennis L Frew Corner Of Route N12 And N7	$12.75	389	363
Steve Granada Corner Of Route N12 And N7	$57.05	371	353
Victor Luis Herrera Corner Of Rt N12 & N7	$49.44	340	249
Catherine Grace Kelly Corner Of Route N12 And N7	$45.21	337	312
Jennifer England Corner Of Route N12 And N7	$55.86	297	255
Andrea Arroyo Corner Of Route N12 And N7	$118.63	273	244
Rhonda Davis-Begay Corner Of Route N12 And N7	$54.76	241	229
Linda Brown Trudel Corner Of Route N12 And N7	$57.73	240	229
Carol Lynn Brokschmidt Corner Of Rt. N12 And N7	$0.00	227	215
Rachelle R Miles Corner Of Route N12 And N7	$20.39	190	183
Charlotte Thompson Corner Of Route N12 And N7	$22.89	189	176
Tameka M Scott Corner Of Route N12 And N7	$44.52	148	143
Bryant Unruh Corner Of Route N12 And N7	$62.42	147	127
John William Whitaker Corner Of Route N12 And N7	$41.07	139	135
Naomi Jean Young Corner Of Route N12 And N7	$20.16	139	136

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 Fort Defiance, AZ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fort Defiance, AZ is $56.83 per claim, based on 71,620 claims from 79 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 Fort Defiance, AZ?

There are 79 Medicaid providers offering Office Visit related services in Fort Defiance, AZ according to public payment data.

What is the price range for Office Visit in Fort Defiance, AZ?

Medicaid reimbursement for Office Visit in Fort Defiance, AZ ranges from $0.00 to $673.30 per claim, with an average of $56.83. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Fort Defiance, AZ: $56.83

Providers Offering Office Visit in Fort Defiance, AZ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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Emergency Room Visit

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Eye Exam

Urinalysis & Urine Tests

Nursing Facility Care

Blood Work & Lab Tests

Dental Filling