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
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 Fort Defiance, AZ
Emergency Room Visit
Avg $69.81
52,670 claims
Dental Cleaning & Exam
Avg $28.96
24,939 claims
Vaccines & Immunizations
Avg $9.97
13,764 claims
Eye Exam
Avg $53.98
13,759 claims
Urinalysis & Urine Tests
Avg $0.89
13,516 claims
Nursing Facility Care
Avg $7.16
13,005 claims
Blood Work & Lab Tests
Avg $11.56
9,225 claims
Dental Filling
Avg $50.35
4,915 claims