Average Medicaid Office Visit Payments in Gilbert, AZ: $60.84
Avg. Paid
$60.84
Range
$0.00 – $318.75
Total Claims
1,211,376
Providers
691
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 Gilbert, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Raul Ernesto Rubio
3420 S Mercy Rd Ste 300 |
$19.80 | 12 | 12 |
|
Virender K Sharma
2680 S Val Vista Dr Ste 116 |
$86.53 | 12 | 12 |
|
Rizwan Jafri
2680 S Val Vista Dr Ste 116 |
$15.51 | 12 | 12 |
|
Ali Ghazanfari
726 N Greenfield Rd |
$137.31 | 12 | 12 |
|
Sumeet Kadakia
3367 S. Mercy Rd |
$78.79 | 12 | 12 |
|
Amber Diane Walker
890 W Elliot Rd Ste 101 |
$80.21 | 12 | 12 |
|
Ananya Das
2680 S Val Vista Dr Ste 116 |
$110.28 | 12 | 12 |
|
Jacob Pfetsch
1534 E Laurel Ave |
$63.69 | 12 | 12 |
|
Sienna Contreras
1675 E Melrose St Ste 101-103 |
$59.33 | 13 | 13 |
|
David Callaway Lopresti
4001 E Baseline Rd Ste 107 |
$13.88 | 13 | 12 |
|
Gale M Barr
2946 E Banner Gateway Dr |
$54.73 | 13 | 13 |
|
Cynthia Jean Anneski
1452 N Higley Rd Ste 101 |
$64.26 | 13 | 12 |
|
Kevin Ryan Ellsworth
3420 S Mercy Rd Ste 205 |
$44.73 | 13 | 13 |
|
Nicole Otero
1900 N Higley Rd |
$23.04 | 13 | 12 |
|
Khalid M Shirif
105 N Pasadena St |
$0.00 | 13 | 13 |
|
Craig Leonard Foster
3570 S Val Vista Dr Ste 104 |
$30.00 | 14 | 14 |
|
Shivakumar Vignesh
2946 E Banner Gateway Dr., Suite 400 |
$97.89 | 14 | 14 |
|
Devin N Patel
2946 E. Banner Gateway Dr. |
$19.53 | 14 | 12 |
|
Joseph H Worischeck
6007 E Baseline Road |
$52.94 | 14 | 12 |
|
Lydia Jacintha Barboza
1065 W Park Ave |
$16.62 | 14 | 12 |
|
Jole-Lanee Guido
2680 S Val Vista Dr |
$102.15 | 14 | 14 |
|
Brandon D. Jones
3477 S Mercy Rd Ste 201 |
$78.77 | 14 | 13 |
|
Salvatore G Lacognata
3941 E Baseline Rd Ste 102 |
$30.24 | 15 | 13 |
|
Evan T Excell
2946 E Banner Gateway Dr |
$107.09 | 15 | 15 |
|
Dana Ashley Helgeson
1384 N Alexis Dr |
$65.91 | 15 | 12 |
|
Christian Joseph Eccles
2940 E Banner Gateway Dr Ste 200-250 |
$32.14 | 15 | 14 |
|
Tony Ramon Clarke
2730 S Val Vista Dr |
$39.68 | 15 | 15 |
|
Sarah Joy Locke
4766 E Queen Creek Rd |
$50.47 | 16 | 16 |
|
Adeyinka Adebayo
3651 E Baseline Rd Ste 230 |
$318.75 | 16 | 16 |
|
Taylor Shin
5401 S Cardinal St |
$61.26 | 16 | 14 |
|
Alyssa Lyn Birmingham
2946 E Banner Gateway Dr |
$64.57 | 16 | 15 |
|
Nathan Davis Richardson
3420 S Mercy Rd |
$55.26 | 18 | 17 |
|
Wendy Sheen
2946 E Banner Gateway Drive |
$73.32 | 19 | 17 |
|
Jamie P Coffey
2451 E Baseline Rd |
$33.82 | 19 | 12 |
|
Jessy Mathew
428 S Gilbert Rd Ste 101 |
$60.86 | 21 | 19 |
|
Margaret Geertsen
2946 E Banner Gateway Dr |
$82.22 | 22 | 16 |
|
Joseph Christ Caracci
4365 E Pecos Rd Ste 138 |
$7.06 | 22 | 16 |
|
Andrew Wong
3477 S Mercy Rd Ste 201 |
$97.42 | 23 | 21 |
|
Nabil Dib
3420 S Mercy Rd Ste 312 |
$68.27 | 25 | 24 |
|
Lindsey Fae Perry
2887 S Market St |
$65.77 | 25 | 25 |
|
Brenna James
2721 S San Tan Village Pkwy Ste 104 |
$76.75 | 25 | 24 |
|
Skyler W Nielsen
726 N Greenfield Rd Ste 101 |
$74.55 | 27 | 27 |
|
William Allan Mcneil
2730 S Val Vista Dr Ste 177 |
$52.34 | 27 | 27 |
|
Earl L Feng
2940 E Banner Gateway Dr Ste 200-250 |
$66.56 | 28 | 28 |
|
Thomas J Slobig
3303 E Baseline Rd |
$53.97 | 28 | 26 |
|
Christopher Charles Vanison
Banner Md Anderson Cancer Center |
$24.66 | 29 | 24 |
|
Omar L Dominique
1760 E Pecos Rd Ste 431 |
$47.05 | 29 | 29 |
|
Isaac Alexander Bowman
2946 E Banner Gateway Dr |
$98.94 | 29 | 25 |
|
Jeanette Kathleen Luke
2721 S San Tan Village Pkwy Ste 104 |
$59.11 | 29 | 27 |
|
Caitlin Emily Mcquarie
2712 E Geronimo St |
$5.44 | 29 | 28 |
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 Gilbert, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gilbert, AZ is $60.84 per claim, based on 1,211,376 claims from 691 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 Gilbert, AZ?
There are 691 Medicaid providers offering Office Visit related services in Gilbert, AZ according to public payment data.
What is the price range for Office Visit in Gilbert, AZ?
Medicaid reimbursement for Office Visit in Gilbert, AZ ranges from $0.00 to $318.75 per claim, with an average of $60.84. 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 Gilbert, AZ
Case Management Services
Avg $34.25
1,555,740 claims
Substance Abuse Treatment
Avg $86.50
633,438 claims
Physical Therapy
Avg $47.60
611,587 claims
Blood Work & Lab Tests
Avg $7.27
541,598 claims
Behavioral & Mental Health Therapy
Avg $142.69
461,484 claims
Speech Therapy
Avg $57.93
316,009 claims
Emergency Room Visit
Avg $152.03
300,376 claims
Non-Emergency Medical Transportation
Avg $16.52
297,372 claims