Average Medicaid Office Visit Payments in Gooding, ID: $54.11
Avg. Paid
$54.11
Range
$0.27 – $459.42
Total Claims
17,049
Providers
17
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 Gooding, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Reid Wayne Lofgran
267 N Canyon Dr |
$65.84 | 3,882 | 3,688 |
|
Jason Davis
267 N Canyon Dr |
$1.72 | 2,922 | 2,664 |
|
Alicia Jean Cardona
267 N Canyon Dr |
$1.20 | 2,223 | 2,039 |
|
Sierra Ann Oyler
267 N Canyon Dr |
$67.74 | 1,100 | 1,048 |
|
Matthew Frank Ivie
267 N Canyon Dr |
$64.10 | 964 | 945 |
|
North Canyon Medical Center Inc.
267 North Canyon Drive |
$15.46 | 959 | 427 |
|
Greg C Boettcher
267 N Canyon Dr |
$12.19 | 949 | 855 |
|
Nicole D Odell
267 N Canyon Dr |
$22.88 | 918 | 876 |
|
Dean Allan Nelson
267 N Canyon Dr |
$459.42 | 887 | 767 |
|
Marcy Lin Morrow
134 4Th Ave W |
$70.85 | 819 | 786 |
|
Kade Sorensen
267 N Canyon Dr |
$3.63 | 581 | 526 |
|
Cooper John Field
267 N Canyon Dr |
$0.27 | 378 | 361 |
|
Stephen M Williams
425 Idaho Street |
$1.66 | 235 | 223 |
|
Austin Heath Rasmussen
637 Pine St |
$64.02 | 109 | 103 |
|
Jennifer Marie Olsen
267 N Canyon Dr |
$1.04 | 83 | 79 |
|
Fred P Miller
425 Idaho Street |
$2.12 | 27 | 24 |
|
Timothy Gribbin Tomlinson
267 N Canyon Dr |
$23.21 | 13 | 13 |
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 Gooding, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gooding, ID is $54.11 per claim, based on 17,049 claims from 17 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 Gooding, ID?
There are 17 Medicaid providers offering Office Visit related services in Gooding, ID according to public payment data.
What is the price range for Office Visit in Gooding, ID?
Medicaid reimbursement for Office Visit in Gooding, ID ranges from $0.27 to $459.42 per claim, with an average of $54.11. 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 Gooding, ID
Physical Therapy
Avg $47.39
32,826 claims
Blood Work & Lab Tests
Avg $4.26
23,846 claims
Speech Therapy
Avg $34.80
22,730 claims
Emergency Room Visit
Avg $153.23
15,149 claims
Substance Abuse Treatment
Avg $170.92
12,617 claims
Nursing Facility Care
Avg $20.07
11,432 claims
Psychiatric Evaluation
Avg $66.69
8,806 claims
Home Health Visit
Avg $71.15
6,935 claims