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 |
|---|---|---|---|
|
Brenda Kay Moore
516 E Nizhoni Blvd |
$17.00 | 12 | 12 |
|
Bert Clair Eliason
516 E. Nizhoni Blvd. |
$15.73 | 12 | 12 |
|
Oladipo A Adeniyi
1801 Redrock Dr |
$35.85 | 12 | 12 |
|
Jennifer Michelle Bass
516 E Nizhoni Blvd |
$13.11 | 13 | 12 |
|
James Murray Hickman
516 Nizhoni Blvd |
$479.00 | 17 | 17 |
|
Mark Deane Hopkins
516 Nizhoni Blvd |
$2.35 | 18 | 17 |
|
Kuang-Ning Huang
516 E Nizhoni Blvd |
$27.99 | 18 | 14 |
|
Edward T Hui
516 E. Nizhoni Blvd |
$8.24 | 25 | 25 |
|
Jennie Wei
516 E. Nizhoni Blvd. |
$17.65 | 27 | 25 |
|
Vernon Anthony Osborn
610 N Fifth St |
$91.72 | 27 | 26 |
|
Yolanda Li
516 E Nizhoni Blvd |
$43.41 | 31 | 24 |
|
Eduardo Maniti Gonzales
516 E Nizhoni Blvd |
$43.81 | 33 | 32 |
|
Bradley John Espeseth
516 E Nizhoni Blvd |
$10.23 | 39 | 37 |
|
Cleora Shunkamolah
516 E Nizhoni Blvd |
$7.43 | 41 | 40 |
|
Donald Joel Lewis-Kraitsik
516 E. Nizhoni Blvd. |
$14.92 | 41 | 39 |
|
Mia Kristen Lozada
516 E. Nizhoni Blvd. |
$54.51 | 44 | 33 |
|
Regina Lacy
516 E Nizhoni Blvd |
$28.24 | 45 | 39 |
|
Kimberly Marie Collins
1900 Redrock Dr |
$74.22 | 55 | 52 |
|
Gary Jesse Vaughn
516 E Nizhoni Blvd |
$6.83 | 58 | 41 |
|
Darius S Yorichi
516 East Nizhoni Blvd. |
$14.17 | 63 | 56 |
|
Angela R Dorsey
516 E Nizhoni Blvd |
$12.76 | 67 | 65 |
|
Denise Walter
516 E Nizhoni Blvd |
$12.92 | 78 | 77 |
|
David C Mckenzie
1808 E Aztec |
$56.55 | 84 | 67 |
|
Judith S. Denina
516 E Nizhoni Blvd |
$44.37 | 97 | 72 |
|
Maria Elena Torres
516 East Nizhoni Blvd. |
$20.05 | 98 | 85 |
|
Haley Thun
516 E Nizhoni Blvd |
$55.72 | 102 | 69 |
|
Maria Ynes Brueckner
516 East Nizhoni Blvd. |
$54.08 | 104 | 89 |
|
Francisca V. Lytle
516 E. Nizhoni Blvd. |
$59.56 | 126 | 108 |
|
Curtis Olson
516 E Nizhoni Blvd |
$89.14 | 128 | 120 |
|
Eden Christian Henry
516 E Nizhoni Blvd |
$0.00 | 147 | 120 |
|
Janet Greenholz
516 Nizhoni Blvd |
$115.72 | 165 | 162 |
|
Kimberly Zunie
516 E Nizhoni Blvd |
$9.86 | 172 | 165 |
|
Bruce David Forman
516 E. Nizhoni Blvd. |
$17.27 | 185 | 178 |
|
Kathryn Ann Morsea
516 Nizhoni Blvd |
$32.02 | 186 | 159 |
|
Julie Marie Murphy
516 E Nizhoni Blvd |
$20.19 | 203 | 188 |
|
Becky Lynn Anton
516 E. Nizhoni Blvd |
$599.10 | 233 | 202 |
|
Julia Thorn
516 E Nizhoni Blvd |
$176.63 | 242 | 167 |
|
James R Lisko
516 E. Nizhoni Blvd. |
$30.55 | 254 | 221 |
|
Barbara Jean Bradley
516 E Nizhoni Blvd |
$76.13 | 298 | 271 |
|
Ashley Weston
516 E Nizhoni Blvd |
$33.94 | 302 | 238 |
|
Elizabeth Harris
516 Nizhoni Blvd |
$70.49 | 323 | 288 |
|
Christopher Robert Vesely Hoover
1900 Red Rock Dr |
$70.12 | 335 | 318 |
|
Elizabeth Ann Ketner
516 E Nizhoni Blvd |
$26.78 | 361 | 317 |
|
Jonathan L. Leggett
303 S First St |
$129.89 | 382 | 293 |
|
Edwin Akwanga
1500 S Second St Ste B |
$125.82 | 382 | 365 |
|
Lynette D Baca-Williams
516 E Nizhoni Blvd |
$45.67 | 429 | 406 |
|
Alma Julia Alford
516 E. Nizhoni Blvd. |
$24.99 | 429 | 383 |
|
Matthew David Mcgraw
816 Boardman Dr |
$40.70 | 430 | 383 |
|
Jonathan Vilasier Iralu
516 E. Nizhoni Blvd. |
$29.93 | 441 | 383 |
|
Margarita Ortiz
1551 S Second St |
$58.06 | 461 | 338 |
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