Average Medicaid Office Visit Payments in Hayden, ID: $57.34
Avg. Paid
$57.34
Range
$0.00 – $167.23
Total Claims
17,979
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 Hayden, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sarah Adair
1102 W Hayden Ave Ste B |
$67.44 | 3,382 | 3,261 |
|
Rita Lynn Warner
265 W. Prairie Shopping Center |
$43.16 | 3,131 | 2,494 |
|
Shaun K Joshi
1986 W Hayden Ave |
$48.34 | 2,322 | 2,171 |
|
Julianne Jean Cameron
8880 N Hess St Ste 1 |
$7.10 | 2,172 | 1,785 |
|
John L. Torquato
265 W. Prairie Ave. |
$82.25 | 2,015 | 1,803 |
|
Katelin Nicole Arnold
8500 N Atlas Rd |
$77.24 | 675 | 649 |
|
Cindy Barnes
8500 N Atlas Rd |
$56.80 | 672 | 621 |
|
Robin Ray Lindauer
550 W Honeysuckle Ave |
$100.78 | 669 | 638 |
|
Elizabeth Lynn
827 W Prairie Ave Ste 206 |
$100.01 | 635 | 400 |
|
Valerie Joann Rounds
8512 N Wayne Dr |
$70.02 | 586 | 546 |
|
Lana Rochelle Young
265 W Prairie Shopping Ctr |
$7.50 | 509 | 472 |
|
Medicine Man North Pharmacy Inc
8093 N Cornerstone Dr |
$167.23 | 434 | 340 |
|
Johanna Christine Matthews
827 W Prairie Ave |
$57.99 | 284 | 246 |
|
Laura K. Burgeson
1986 W Hayden Ave |
$24.24 | 235 | 205 |
|
Valerie Kei Nelson
8382 N Wayne Dr Ste 204 |
$87.47 | 68 | 68 |
|
Nicole Marie Parquette
9321 N Government Way Ste E |
$34.05 | 67 | 54 |
|
John B Casper
9030 N Hess St Ste 474 |
$79.30 | 35 | 26 |
|
Jennifer G Palmer
8500 N Atlas Rd |
$14.75 | 34 | 30 |
|
Laurisa Ann Webster
8181 N Cornerstone Dr |
$80.99 | 25 | 24 |
|
Henry Michael Kornegay
8927 N Hess St Ste D |
$0.00 | 16 | 16 |
|
Jonathan T Adams
8181 N Cornerstone Dr |
$1.85 | 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 Hayden, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hayden, ID is $57.34 per claim, based on 17,979 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 Hayden, ID?
There are 21 Medicaid providers offering Office Visit related services in Hayden, ID according to public payment data.
What is the price range for Office Visit in Hayden, ID?
Medicaid reimbursement for Office Visit in Hayden, ID ranges from $0.00 to $167.23 per claim, with an average of $57.34. 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 Hayden, ID
Dental Cleaning & Exam
Avg $43.30
46,432 claims
Physical Therapy
Avg $32.35
41,161 claims
Personal Care Services
Avg $69.79
23,068 claims
Home Health Visit
Avg $113.53
20,383 claims
Speech Therapy
Avg $62.18
10,624 claims
Chiropractic Care
Avg $34.18
9,471 claims
Dental Filling
Avg $62.03
6,924 claims
Psychiatric Evaluation
Avg $49.14
4,295 claims