Average Medicaid Office Visit Payments in Fountain Hills, AZ: $53.11
Avg. Paid
$53.11
Range
$0.00 – $81.55
Total Claims
10,435
Providers
13
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 Fountain Hills, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pankaj Chopra
16605 E Palisades Blvd |
$59.52 | 6,888 | 5,546 |
|
Michael J Sekosky
11046 N Saguaro Blvd |
$16.75 | 740 | 388 |
|
Jonathan Lee Mcguire
13620 N Saguaro Blvd Ste 100 |
$56.38 | 712 | 617 |
|
Suly Aime Lopez
16716 E Palisades Blvd Ste 101B |
$65.16 | 668 | 512 |
|
Joshua Harrison
13771 N Fountain Hills Blvd # 114-103 |
$23.78 | 436 | 398 |
|
Chukwuemeka N Ezeume
9700 N Saguaro Blvd |
$19.37 | 377 | 198 |
|
Tiffany Calloway Starks
11409 N Crestview Dr |
$53.16 | 200 | 188 |
|
Anne Burriss
16716 E Palisades Blvd Ste 101A |
$62.13 | 153 | 144 |
|
Marc D Sullivan
16838 E Palisades Blvd |
$66.85 | 87 | 76 |
|
Unique Lab Services, Llc
16807 E Palisades Blvd Ste 101 |
$0.00 | 72 | 68 |
|
Janis Jane Saunders
16838 E Palisades Blvd Bldg C |
$32.57 | 56 | 51 |
|
Parminder Singh Sidhu
16838 E Palisades Blvd Ste 153 |
$38.07 | 24 | 24 |
|
Haylen Trotta -Brokars
16838 E Palisades Blvd |
$81.55 | 22 | 19 |
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 Fountain Hills, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Fountain Hills, AZ is $53.11 per claim, based on 10,435 claims from 13 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 Fountain Hills, AZ?
There are 13 Medicaid providers offering Office Visit related services in Fountain Hills, AZ according to public payment data.
What is the price range for Office Visit in Fountain Hills, AZ?
Medicaid reimbursement for Office Visit in Fountain Hills, AZ ranges from $0.00 to $81.55 per claim, with an average of $53.11. 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 Fountain Hills, AZ
Speech Therapy
Avg $20.90
162,231 claims
Physical Therapy
Avg $54.83
119,842 claims
Blood Work & Lab Tests
Avg $0.60
20,798 claims
Emergency Room Visit
Avg $103.52
13,156 claims
Urinalysis & Urine Tests
Avg $0.46
1,434 claims
Chiropractic Care
Avg $32.32
1,399 claims
Eye Exam
Avg $15.52
1,222 claims
X-Ray
Avg $19.02
525 claims