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Based on public Medicaid payment data.

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

Other Procedures in Gallup, NM