Average Medicaid Office Visit Payments in Grants, NM: $140.28
Avg. Paid
$140.28
Range
$33.19 – $156.19
Total Claims
74,843
Providers
15
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 Grants, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Presbyterian Medical Services
1217 Bonita St |
$141.84 | 39,105 | 33,425 |
|
Cibola General Hospital Corporation
1423 E Roosevelt Ave |
$156.19 | 28,948 | 25,691 |
|
Arnold W Valdivia
1208 Bonita St |
$49.92 | 3,348 | 3,084 |
|
Daniel Edward Fenton
801 E Roosevelt Ave |
$128.11 | 827 | 732 |
|
Jonathon Michael Lavalley
1423 E Roosevelt Ave |
$48.63 | 468 | 434 |
|
Ann K Church
833 E Roosevelt Ave |
$52.23 | 461 | 424 |
|
Dorcas Ann Yates
1010 E Roosevelt Ave |
$41.73 | 392 | 178 |
|
Stacey Dimitt
1423 E Roosevelt Ave |
$51.94 | 370 | 341 |
|
Francis Walter Malaj
1423 E Roosevelt Ave |
$86.43 | 314 | 304 |
|
Martha Elia Reyes
1423 E Roosevelt Ave |
$116.52 | 251 | 245 |
|
Karl R Gutierrez
1010 E Roosevelt Ave |
$33.19 | 217 | 184 |
|
Cibola General Hospital Corporation
1016 E Roosevelt Ave |
$142.21 | 52 | 40 |
|
Analisa Villarreal
1423 E Roosevelt Ave |
$47.11 | 41 | 39 |
|
Renee H Wilkins
200 N 1St St Ste B |
$57.02 | 35 | 26 |
|
Arnoldo Alejandro Padilla Vazquez
1217 Bonita St |
$61.68 | 14 | 14 |
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 Grants, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Grants, NM is $140.28 per claim, based on 74,843 claims from 15 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 Grants, NM?
There are 15 Medicaid providers offering Office Visit related services in Grants, NM according to public payment data.
What is the price range for Office Visit in Grants, NM?
Medicaid reimbursement for Office Visit in Grants, NM ranges from $33.19 to $156.19 per claim, with an average of $140.28. 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 Grants, NM
Home Health Visit
Avg $60.10
248,197 claims
Blood Work & Lab Tests
Avg $16.26
84,040 claims
Dental Cleaning & Exam
Avg $29.99
40,779 claims
Emergency Room Visit
Avg $333.23
33,224 claims
Physical Therapy
Avg $64.88
26,087 claims
Psychiatric Evaluation
Avg $132.22
26,027 claims
Vaccines & Immunizations
Avg $17.69
17,655 claims
Urinalysis & Urine Tests
Avg $10.34
17,209 claims