Average Medicaid Office Visit Payments in Idaho Falls, ID: $61.52
Avg. Paid
$61.52
Range
$0.00 – $146.99
Total Claims
566,749
Providers
371
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 Idaho Falls, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Benjamin Garfield Rae
530 S Holmes Ave |
$95.53 | 11,843 | 9,131 |
|
Weldon T Richardson
1341 E 17Th St |
$43.07 | 10,438 | 9,672 |
|
Travis Lee Allen
2375 E Sunnyside Rd |
$47.31 | 10,178 | 8,997 |
|
Randall James Law
2001 S Woodruff Ave Ste 9 |
$90.76 | 9,673 | 5,594 |
|
Jed Burke Willardson
2377 Coronado St |
$51.36 | 9,469 | 8,748 |
|
Joshua Michael Smith
3910 Washington Pkwy |
$81.69 | 9,378 | 9,248 |
|
Matthew R Nelson
2375 E Sunnyside Rd Ste J |
$49.82 | 8,324 | 7,210 |
|
Christy Taylor
1327 E 17Th Street |
$54.50 | 7,743 | 7,002 |
|
Jeffrey John Aughney
3430 Washington Pkwy |
$74.80 | 7,512 | 7,178 |
|
Robert John Pettit
3430 Washington Pkwy |
$68.47 | 7,052 | 6,940 |
|
Michael Thomas Harris
3422 S 15Th E |
$63.74 | 6,844 | 6,218 |
|
Kade Douglas Anderson
2001 S Woodruff Ave Ste 9 |
$63.17 | 6,701 | 6,251 |
|
Tony Dale Quinton
3200 Channing Way Ste 206 |
$28.50 | 6,625 | 2,718 |
|
Kevin Matthew Hanks
1582 Elk Creek Drive |
$67.16 | 6,515 | 6,063 |
|
Peter W Castellanos
2225 Teton Plz Ste B |
$89.75 | 6,411 | 6,370 |
|
Tyler Jordan Pond
150 N Woodruff Ave |
$67.66 | 5,854 | 5,205 |
|
Kelly Jarom Anderson
3430 Washington Pkwy |
$70.61 | 5,734 | 5,585 |
|
Derek Richard Whitmill
1995 E 17Th St |
$52.89 | 5,695 | 5,210 |
|
Eric Peter Olson
3430 Washington Parkway |
$73.79 | 5,558 | 5,472 |
|
Deron J Ricks
3100 Channing Way |
$16.74 | 5,474 | 5,084 |
|
Deborah Hill
3412 S 25Th E |
$75.37 | 5,380 | 4,694 |
|
Colette Egbert
3320 S 25Th E |
$78.26 | 5,301 | 5,216 |
|
Craig J Denny
1601 E 17Th St |
$74.30 | 5,227 | 4,801 |
|
Drue Marie Winder
3320 S 25Th E |
$77.96 | 5,178 | 5,121 |
|
Jared William Rickabaugh
2375 E Sunnyside Rd Ste J |
$61.81 | 5,119 | 4,628 |
|
Keiton Johnson
3425 Potomac Way |
$57.55 | 5,059 | 4,705 |
|
Heather Anne Bagley
3430 Washington Pkwy |
$61.49 | 5,041 | 4,959 |
|
Brad C Erikson
2375 E. Sunnyside Rd, Ste J |
$56.40 | 5,038 | 4,627 |
|
Bradford Nelson Hatch
3430 Washington Pkwy |
$71.23 | 4,938 | 4,770 |
|
Erika Dawn Swope
3430 Washington Pkwy |
$59.45 | 4,883 | 4,791 |
|
David Lyle Hill
3200 Channing Way Ste 304 |
$62.37 | 4,880 | 4,459 |
|
Dallas George Rindfleisch
3155 Channing Way Ste A |
$54.74 | 4,826 | 3,897 |
|
David Winchester
2730 Channing Way |
$61.96 | 4,792 | 4,700 |
|
Kody Kurtis Tew
2088 E 25Th St |
$61.67 | 4,755 | 4,505 |
|
Lisa L. Porter
1480 E Lincoln Rd Ste B |
$91.42 | 4,690 | 4,603 |
|
Melissa Ilene Kelly
3614 Washington Pkwy |
$59.01 | 4,493 | 4,213 |
|
Brad Reid Edwards
3430 Washington Pkwy |
$75.93 | 4,270 | 4,099 |
|
Michael J Barbo
740 S Woodruff Ave |
$71.88 | 4,160 | 3,929 |
|
Daniel William Mclaughlin
2775 Channing Way |
$74.56 | 4,155 | 3,831 |
|
Jeremy Chad Rindlisbacher
740 S Woodruff Ave |
$55.94 | 4,138 | 3,805 |
|
Jonathan Keith Williams
3910 Washington Parkway |
$41.17 | 4,086 | 3,668 |
|
Reed Ivol Ward
3425 Potomac Way |
$51.19 | 4,059 | 3,600 |
|
Jonathan William Rozack
2775 Channing Way |
$61.64 | 4,058 | 3,712 |
|
Matthew Scott Payne
3200 Channing Way Ste 304 |
$58.52 | 3,958 | 3,592 |
|
Tyson Craig Parker
3360 Washington Pkwy Ste 1 |
$53.73 | 3,957 | 3,702 |
|
Karma Youngstrom
2730 Channing Way |
$56.66 | 3,889 | 3,809 |
|
Ruth S Beck
740 S Woodruff Ave |
$51.20 | 3,864 | 3,587 |
|
Brent Angel Ellsworth
2001 S Woodruff Ave Ste 9 |
$45.69 | 3,843 | 3,615 |
|
Brandon Leon Larsen
1301 E 17Th St |
$87.86 | 3,775 | 3,036 |
|
Daric J Russell
3385 Potomac Way |
$85.96 | 3,751 | 3,577 |
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 Idaho Falls, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Idaho Falls, ID is $61.52 per claim, based on 566,749 claims from 371 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 Idaho Falls, ID?
There are 371 Medicaid providers offering Office Visit related services in Idaho Falls, ID according to public payment data.
What is the price range for Office Visit in Idaho Falls, ID?
Medicaid reimbursement for Office Visit in Idaho Falls, ID ranges from $0.00 to $146.99 per claim, with an average of $61.52. 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 Idaho Falls, ID
Blood Work & Lab Tests
Avg $7.24
547,065 claims
Case Management Services
Avg $48.12
426,038 claims
Physical Therapy
Avg $62.36
366,638 claims
Substance Abuse Treatment
Avg $117.95
364,872 claims
Speech Therapy
Avg $47.43
320,858 claims
Home Health Visit
Avg $47.78
296,402 claims
Behavioral & Mental Health Therapy
Avg $91.88
294,557 claims
Psychiatric Evaluation
Avg $58.25
262,949 claims