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 |
|---|---|---|---|
|
Hoang Dang Nguyen
2451 E Baseline Rd |
$56.27 | 22,422 | 19,624 |
|
Dimple Amin
1466 W Elliot Rd |
$45.43 | 19,409 | 17,361 |
|
Susan D Stoddard
641 W Warner Rd |
$91.55 | 15,231 | 14,478 |
|
Mark J Gentile
2680 S Val Vista Dr |
$53.39 | 13,278 | 10,927 |
|
Grayson J Guzman
1760 E Pecos Rd Ste 516 |
$37.72 | 12,853 | 8,315 |
|
Dignity Health
3555 S Val Vista Dr |
$95.20 | 12,840 | 11,346 |
|
Shabeena Shaik
3489 S Mercy Rd Ste 101 |
$68.86 | 12,311 | 11,913 |
|
John Calvin Shipp
3331 E Baseline Rd |
$60.97 | 12,161 | 11,185 |
|
Mark Gettleman
1790 E Boston St |
$83.56 | 12,147 | 11,805 |
|
Heather Juniper
890 W Elliot Rd Ste 103 |
$87.56 | 12,077 | 11,403 |
|
Allison K Kaplan
5656 S. Power Road |
$57.33 | 11,470 | 10,054 |
|
Kurt Adam Lundberg
3591 S Mercy Rd Ste 204 |
$51.36 | 11,316 | 10,561 |
|
Aaron Gomez
155 E Warner Rd |
$65.03 | 10,592 | 9,794 |
|
Kent Talmage Lewis
3331 E Baseline Rd |
$48.91 | 10,551 | 9,330 |
|
Linda Lin Lau
5656 S Power Rd |
$52.57 | 10,358 | 9,038 |
|
Phoenicia Leah Rowe
1466 W Elliot Rd |
$42.48 | 10,208 | 9,290 |
|
Ajay Mohan Narwani
1466 W Elliot Rd |
$51.78 | 9,961 | 8,899 |
|
Scott T. Rogers
641 W Warner Rd |
$92.26 | 9,804 | 9,332 |
|
Scott B Hatfield
3331 E Baseline Rd |
$46.71 | 9,605 | 8,455 |
|
Laura Beth Masters
3481 E Bruce Ave |
$84.02 | 8,915 | 8,352 |
|
Sanghamitra Mishra Chowdhury
880 N Colorado St |
$50.14 | 8,587 | 8,123 |
|
Pearl Hyacinth Browne
3303 S Lindsay Rd |
$67.95 | 8,557 | 6,454 |
|
Jewish Family & Children'S Service
880 N Colorado St |
$96.36 | 8,464 | 7,918 |
|
Banner Gateway Medical Center
1900 N Higley Rd |
$86.82 | 8,297 | 7,378 |
|
Tamera A Townsend-Cook
3505 S Mercy Rd |
$99.84 | 8,212 | 7,870 |
|
Amanda D Davis
2946 E. Banner Gateway Drive |
$93.43 | 8,165 | 7,760 |
|
Janet Knapp Cooper
880 N Colorado St |
$45.29 | 8,095 | 7,346 |
|
Blair T Butterfield
1156 S Fern Ct |
$55.84 | 7,818 | 6,710 |
|
David E Hatfield
3331 E Baseline Rd |
$42.69 | 7,724 | 6,804 |
|
Joonhee Lim
3645 S Rome St Ste 201 |
$69.79 | 7,709 | 7,301 |
|
Sachin Narain
3645 S Rome St Ste 216 |
$52.85 | 7,629 | 7,235 |
|
Sam Reed Shimamoto
4915 E Baseline Rd |
$76.83 | 7,391 | 6,909 |
|
Arashdeep Gill
5222 E Baseline Rd |
$5.73 | 7,177 | 6,221 |
|
James T Anderson
890 W Elliot Rd Ste 102 |
$75.00 | 7,151 | 6,823 |
|
Brenden Mcrae
888 S Greenfield Rd Ste 102 |
$75.97 | 7,035 | 6,438 |
|
Lakshmimalini Govindan
3815 S. Val Vista Drive |
$43.66 | 6,844 | 4,564 |
|
Suzanne Nielsen
155 E Warner Rd |
$59.17 | 6,653 | 6,232 |
|
Lora A Mangiafico
2940 E Banner Gateway Dr |
$46.32 | 6,401 | 4,445 |
|
Jamie Lynn Mainville
428 S Gilbert Rd Ste 101 |
$86.19 | 6,162 | 5,860 |
|
Laura S O'Connor
641 W Warner Rd |
$87.69 | 6,016 | 5,756 |
|
Li Li
3420 S Mercy Rd |
$63.89 | 5,868 | 5,624 |
|
Dean Stephen Mousser
4915 E Baseline Rd |
$75.65 | 5,825 | 5,532 |
|
Hannah Bangura
880 N. Colorado Strees |
$45.08 | 5,802 | 5,528 |
|
Kyle Tisi
1489 S. Higley Rd |
$82.79 | 5,712 | 5,538 |
|
Amber Valerie Leonhardt
3271 E Queen Creek Rd Ste 101 |
$38.94 | 5,704 | 5,247 |
|
John-David Greayer Michels
81 W Guadalupe Rd |
$89.37 | 5,687 | 5,351 |
|
Benjamin Ernest Ihms
3477 S Mercy Rd Ste 201 |
$51.73 | 5,676 | 4,977 |
|
Eric Shawn Hazelrigg
1760 E Pecos Rd Ste 235 |
$22.34 | 5,672 | 3,867 |
|
Paul R Steinberg
3477 S Mercy Rd Ste 201 |
$67.88 | 5,518 | 5,268 |
|
David Stanley Sorenson
7400 S Power Rd |
$85.39 | 5,505 | 5,130 |
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