Average Medicaid Office Visit Payments in Hailey, ID: $39.91
Avg. Paid
$39.91
Range
$2.56 – $232.68
Total Claims
13,761
Providers
21
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 Hailey, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Joseph Pendleton
1450 Aviation Dr Ste 100 |
$84.67 | 13 | 12 |
|
Abigail C Allman
1450 Aviation Dr Ste 100 |
$66.06 | 38 | 38 |
|
Kimberly Tenold
1450 Aviation Dr Ste 203 |
$69.12 | 45 | 43 |
|
David L. Budge
507 S Main St |
$232.68 | 77 | 76 |
|
Carol A Wade
21 E Maple St |
$51.51 | 123 | 114 |
|
Kathryn A Woods
1450 Aviation Dr |
$72.37 | 132 | 117 |
|
Caitlin Hopeman
1450 Aviation Dr Ste 100 |
$86.19 | 175 | 163 |
|
Richard F. Paris
1450 Aviation Dr |
$28.50 | 196 | 179 |
|
Amy C Drumm
1450 Aviation Dr |
$56.83 | 232 | 218 |
|
Stefanie Jean Magee
141 Citation Way Unit 2 |
$43.41 | 346 | 341 |
|
Julie A Lyons
1450 Aviation Dr |
$69.22 | 475 | 434 |
|
Cortney A Vandenburgh
1450 Aviation Dr |
$63.26 | 494 | 473 |
|
Lucinda Leigh Morse
1450 Aviation Dr |
$62.88 | 615 | 586 |
|
Alisa Barnes
1450 Aviation Dr Ste 100 |
$57.01 | 708 | 657 |
|
Ann Enderle
1450 Aviation Dr Ste 100 |
$54.16 | 785 | 784 |
|
Emily G Karassik
1450 Aviation Dr |
$48.27 | 796 | 767 |
|
Katherine Wingate Quayle
1450 Aviation Dr Ste 202 |
$63.04 | 814 | 773 |
|
Cynda L Tomlinson
507 S Main St |
$90.77 | 1,204 | 1,185 |
|
Kylee Richmond
507 S Main St |
$42.84 | 1,262 | 1,150 |
|
Peter B Ferrara
1450 Aviation Dr Ste 100 |
$2.56 | 2,568 | 2,421 |
|
Timothy J Stoddard
1450 Aviation Dr |
$5.42 | 2,663 | 2,266 |
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 Hailey, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hailey, ID is $39.91 per claim, based on 13,761 claims from 21 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 Hailey, ID?
There are 21 Medicaid providers offering Office Visit related services in Hailey, ID according to public payment data.
What is the price range for Office Visit in Hailey, ID?
Medicaid reimbursement for Office Visit in Hailey, ID ranges from $2.56 to $232.68 per claim, with an average of $39.91. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Hailey, ID
Vaccines & Immunizations
Avg $11.65
5,427 claims
Speech Therapy
Avg $57.91
1,260 claims
Substance Abuse Treatment
Avg $215.88
753 claims
Chiropractic Care
Avg $44.95
473 claims
Psychiatric Evaluation
Avg $51.34
93 claims
Emergency Room Visit
Avg $121.26
82 claims
Behavioral & Mental Health Therapy
Avg $836.32
57 claims
Urinalysis & Urine Tests
Avg $0.00
18 claims