Average Medicaid Office Visit Payments in Gallup, NM: $94.87
Avg. Paid
$94.87
Range
$0.00 – $599.10
Total Claims
147,355
Providers
95
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 Gallup, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dhhs,Phs,Naihs, Gallup Indian Medical Center
516 E. Nizhoni Blvd. |
$107.02 | 59,415 | 40,048 |
|
Presbyterian Medical Services
610 N 5Th St |
$132.10 | 11,828 | 10,384 |
|
Rehoboth Mckinley Christian Health Care Services, Inc
1900 Red Rock Dr |
$221.28 | 7,800 | 7,248 |
|
William Brant Hesidence
511 E Nizhoni Blvd |
$58.04 | 5,469 | 4,649 |
|
Tammy V Bihm
610 N Fifth St |
$0.04 | 3,406 | 2,492 |
|
Presbyterian Medical Services
2025 E Aztec Ave |
$159.97 | 3,264 | 3,097 |
|
Gerald Robertson
Rehoboth Mckinley Christian Health Care Services |
$50.04 | 3,121 | 2,950 |
|
Aedra D. Andrade
610 N 5Th St |
$56.89 | 2,796 | 2,684 |
|
Janet Neave Arrowsmith
516 Nizhoni Blvd |
$3.14 | 2,745 | 2,424 |
|
Deann Lynn Nelson
1901 Red Rock Dr |
$120.92 | 2,675 | 2,576 |
|
Michelle Stam-Maclaren
2111 College Drive |
$57.47 | 2,273 | 2,184 |
|
Mary Poel
2111 College Dr |
$61.59 | 2,120 | 2,004 |
|
Michael Ray
1900 E Historic Highway 66 Ste 1 |
$80.83 | 2,053 | 1,872 |
|
Neil Christopher Jackson
2022 E Aztec Ave |
$97.69 | 1,949 | 1,763 |
|
Rakesh I Patel
1801 Redrock Dr |
$49.41 | 1,782 | 1,721 |
|
Christopher Gonzaga
2111 College Dr |
$57.91 | 1,636 | 1,521 |
|
Gayle Ann Harrison
2111 College Dr |
$55.08 | 1,572 | 1,477 |
|
John H York
516 E Nizhoni Blvd |
$48.78 | 1,299 | 1,234 |
|
Jeanmaire Rene Offner
516 E. Nizhoni Blvd |
$37.35 | 1,158 | 948 |
|
Anandan Swaminathan
2030 E Aztec Ave |
$30.57 | 1,135 | 1,083 |
|
Letitia L Bradford
1901 Red Rock Dr |
$61.85 | 1,133 | 1,049 |
|
Michelle Dianne Dearmond
2111 College Dr |
$108.03 | 1,133 | 1,049 |
|
Thomas John Herr
1901 Red Rock Dr |
$53.25 | 1,113 | 1,031 |
|
Patrick M. Dalessio
516 East Nizhoni Blvd. |
$67.02 | 1,076 | 1,053 |
|
Caitlynn Summer Barney
516 E Nizhoni Blvd |
$132.37 | 1,053 | 977 |
|
Charles J.S. Guimaraes
1900 Red Rock Dr. |
$53.90 | 1,020 | 967 |
|
Antonia Hernandez
2111 College Dr |
$76.79 | 985 | 921 |
|
Flor J. Caballar Gonzaga
1901 Red Rock Dr |
$90.48 | 979 | 931 |
|
Ayodele Olumide Erinle
1901 Red Rock Dr |
$43.57 | 921 | 874 |
|
Alan W Streigold
516 East Nizhoni Blvd. |
$8.26 | 871 | 591 |
|
Duncan Randolph White
516 E Nizhoni Blvd |
$31.69 | 865 | 741 |
|
Irina Gorshkova
517 E Nizhoni Blvd |
$138.18 | 817 | 791 |
|
Alexander Matthews
516 E. Nizhoni Blvd. |
$71.47 | 809 | 797 |
|
Margot Albert
516 E Nizhoni Blvd |
$0.00 | 802 | 530 |
|
Tamara Ann Laughlin-Gaines
516 E. Nizhoni Blvd |
$27.03 | 784 | 695 |
|
Dean A Yannias
516 E. Nizhoni Blvd. |
$16.75 | 670 | 643 |
|
Erica Marie Marquez
516 E Nizhoni Blvd |
$126.72 | 645 | 609 |
|
Sanaa Baker
2111 College Dr |
$62.60 | 629 | 592 |
|
Linda Van Asselt-King
1900 Redrock Dr |
$52.84 | 587 | 558 |
|
Alexandra Quane Cotter
2022 E Aztec Ave |
$105.87 | 558 | 520 |
|
Devin Glasses
516 E. Nizhoni Blvd. |
$5.52 | 534 | 508 |
|
Gretchen Woods
650 Vanden Bosch Pkwy |
$66.02 | 530 | 497 |
|
William W. Krzymowski
516 E. Nizhoni Blvd. |
$18.97 | 509 | 486 |
|
Sarah Wilson Aycock
516 E. Nizhoni Blvd. |
$33.07 | 486 | 402 |
|
Kimberly Ganster Suk
516 E Nizhoni Blvd |
$29.36 | 475 | 412 |
|
Margarita Ortiz
1551 S Second St |
$58.06 | 461 | 338 |
|
Jonathan Vilasier Iralu
516 E. Nizhoni Blvd. |
$29.93 | 441 | 383 |
|
Matthew David Mcgraw
816 Boardman Dr |
$40.70 | 430 | 383 |
|
Alma Julia Alford
516 E. Nizhoni Blvd. |
$24.99 | 429 | 383 |
|
Lynette D Baca-Williams
516 E Nizhoni Blvd |
$45.67 | 429 | 406 |
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 Gallup, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gallup, NM is $94.87 per claim, based on 147,355 claims from 95 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 Gallup, NM?
There are 95 Medicaid providers offering Office Visit related services in Gallup, NM according to public payment data.
What is the price range for Office Visit in Gallup, NM?
Medicaid reimbursement for Office Visit in Gallup, NM ranges from $0.00 to $599.10 per claim, with an average of $94.87. 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 Gallup, NM
Home Health Visit
Avg $61.91
399,443 claims
Dental Cleaning & Exam
Avg $32.18
167,205 claims
Blood Work & Lab Tests
Avg $9.72
161,374 claims
Non-Emergency Medical Transportation
Avg $138.51
108,108 claims
Physical Therapy
Avg $40.45
107,979 claims
Emergency Room Visit
Avg $166.21
107,683 claims
Dialysis
Avg $72.92
78,202 claims
Ambulance Transport
Avg $462.50
75,587 claims