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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

79

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
Stephanie Sirna

Corner Of Route N12 And N7

$11.63 12 12
Maude E Nielsen

Corner Of Route N12 And N7

$673.30 13 13
Aaron Joseph Price

Corner Of Route N12 And N7

$13.91 14 12
Chuck L Ball

Corner Of Route N12 And N7

$72.47 17 14
Bernadette Giangreco

Corner Of Route N12 And N7

$71.24 23 16
Brian Bells Carino

Corner Of Route N12 And N7

$13.77 24 24
Regina Josephine Asihene

Corner Of Route N12 And N7

$31.85 26 24
Walter Max Adam

Corner Of Route N12 And N7

$21.84 27 26
Martha E Colgan

Corner Of Route N12 And N7

$475.49 35 33
Clint Lee Martineau

Corner Of Route N12 And N7

$43.17 35 30
Gregory Jarrin

Corner Of Route N12 And N7

$18.17 38 38
Alithea Dolores Gabrellas

Corner Of Route N12 And N7

$13.43 39 35
Sabine Irene Mcreynolds

Corner Of Route N12 And N7

$200.65 49 47
The Fort Defiance Indian Hospital Board, Incorporation

Corner Of Route N12 & N7

$231.90 53 49
James Edward Zelichowski

Corner Of Route N12 And N7

$7.57 56 55
John R Henwood

Corner Of Route N12 And N7

$250.31 57 53
Michael Ihsaan

Corner Of Rt N12 And N7

$251.03 58 28
Kathryn Barron

Corner Of Route N12 And N7

$16.24 63 61
Junko Nakai

Corner Of Route 7 And Route 12

$25.62 69 62
Nathan Zacharias

Corner Of Route N12 And N7

$29.56 82 76
Roger Victor Begay

Corner Of Route N12 And N7

$15.91 83 78
Oswaldo Pereira

Corner Of Route N12 And N7

$39.41 87 85
Rowin Sean Begay

Corner Of Route N12 And N7

$26.14 92 83
Benjamin Dodge

Fort Defiance Indian Hospital Board Inc.

$29.78 95 91
Margaret Prior

Corner Of Route N12 And N7

$483.43 101 91
Kelvin Dan

Corner Of Route N12 And N7

$22.42 105 97
Mark Stewart Simpson

Corner Of Route N12 And N7

$74.07 118 105
Jay S Guikema

Corner Of Route N12 And N7

$4.28 126 119
Erin Catherine Gertz

Corner Of Route N12 And N7

$33.71 128 121
Naomi Jean Young

Corner Of Route N12 And N7

$20.16 139 136
John William Whitaker

Corner Of Route N12 And N7

$41.07 139 135
Bryant Unruh

Corner Of Route N12 And N7

$62.42 147 127
Tameka M Scott

Corner Of Route N12 And N7

$44.52 148 143
Charlotte Thompson

Corner Of Route N12 And N7

$22.89 189 176
Rachelle R Miles

Corner Of Route N12 And N7

$20.39 190 183
Carol Lynn Brokschmidt

Corner Of Rt. N12 And N7

$0.00 227 215
Linda Brown Trudel

Corner Of Route N12 And N7

$57.73 240 229
Rhonda Davis-Begay

Corner Of Route N12 And N7

$54.76 241 229
Andrea Arroyo

Corner Of Route N12 And N7

$118.63 273 244
Jennifer England

Corner Of Route N12 And N7

$55.86 297 255
Catherine Grace Kelly

Corner Of Route N12 And N7

$45.21 337 312
Victor Luis Herrera

Corner Of Rt N12 & N7

$49.44 340 249
Steve Granada

Corner Of Route N12 And N7

$57.05 371 353
Dennis L Frew

Corner Of Route N12 And N7

$12.75 389 363
Connie M Ebach

Corner Of Route N12 And N7

$375.62 392 332
Marek Marcinkiewicz

Corner Of Route N7 & N12

$14.02 396 379
Janet Kaercher

Corner Of Route N12 And N7

$12.36 408 392
Melonie I Blancaneaux

Tseshootsooi Medical Center

$274.61 411 380
Judith Elaine Latner

Corner Of Route N12 And N7

$2.98 476 236
Hannah Christine Palm

Corner Of Route N12 And N7

$69.32 508 455

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.

Office Visit in Other Cities

Other Procedures in Fort Defiance, AZ