Based on public Medicaid payment data.

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
Brett Mcbride 2805 Valencia Dr	$0.77	12	12
Krystal Ray 3425 Merlin Dr	$70.47	12	12
Pamela Kothari Denson 2001 S Woodruff Ave	$64.28	12	12
Anne L Broadway 2730 Channing Way	$73.59	13	12
Philip William Girling 2267 Teton Plz	$76.48	13	12
Boyd Eric Larson 740 S Woodruff Ave	$47.81	13	13
Eric G Baird 2805 Valencia Dr	$77.44	13	13
Brent H. Greenwald 3155 Channing Way	$146.76	13	13
Nathan Housley 838 S Woodruff Ave	$102.60	14	12
Joshua Summers 3200 Channing Way Ste 206	$48.95	14	13
Nathan Eric Bradfield 2280 E 25Th St	$0.00	14	12
A Shuravloff 3100 Channing Way	$65.57	15	13
Serena Raquel Adams 2990 Cortez Ave	$55.00	15	14
Matthew P Traynor 2100 Providence Way	$83.81	15	15
Austin Baker 3200 Channing Way Ste A105	$146.99	16	16
Morgan Nicole Bowlin 1753 W Broadway St	$102.08	16	16
Ryan Julian 3729 Woodking Dr Ste 1	$0.00	16	13
J'Lene Ward 2001 S Woodruff Ave Ste 15B	$69.05	19	18
Lindsay D. Sewell 2085 Providence Way	$49.30	19	16
Emily Miranda Miller 1550 Elk Creek Dr	$69.06	21	19
Kristie Glen Karroum 3320 S 25Th E	$78.98	21	21
Abraham Schlauderaff 3345 Potomac Way	$95.82	23	23
Craig D Scoville 2220 E 25Th St	$65.52	24	24
Paula Jean Sanderlin 2220 E 25Th St	$56.75	24	24
Jacob William Wendling 3200 Channing Way Ste 205	$94.20	25	25
Ryan Englis 1957 E 17Th St	$53.91	25	25
Scott W. Homer 800 E 17Th St	$106.01	26	26
Bryan Baker 2635 Channing Way	$136.51	26	26
Andrew D Cooper 2635 Channing Way	$104.97	26	26
Laurie M Kuestner 2860 Channing Way Ste 220	$28.77	26	25
Guy Eric Grooms 535 W Sunnyside Rd Ste 2	$43.82	27	26
Joel B. Whiting 3300 Washington Parkway	$58.76	28	25
Amir M Shama 2550 S 25Th E	$2.46	28	28
John D Chambers 2985 Cortez Ave	$50.94	28	28
Brandon Reyes Kelly 3345 Potomac Way	$67.16	29	29
Kendall Craig Willden 2990 S 25Th E	$132.24	29	29
Paul A Gerlach 2985 Cortez Ave	$37.88	30	29
Melissa D Bates 808 Pancheri Dr	$48.14	30	29
Ricky Dwayne Latham 2001 Valenica Drive	$53.71	30	29
Michelle Rae Smith 749 Oxford Dr	$59.89	31	29
Eric A Wingerson 1995 E 17Th St	$56.31	31	26
Madison Murdoch 3345 Potomac Way	$25.23	33	26
Johnathon Chase Wilde 3820 Crestwood Ln	$83.40	33	33
Jessica Packer Smoot 3820 Crestwood Ln	$66.71	35	34
Amanda Goodliffe 3993 E 109 N	$36.63	39	38
Cassidy Ann Seedall 1550 Elk Creek Dr	$102.47	40	39
William Nick Denson 2001 S Woodruff Ave	$63.05	40	37
Leland K Krantz 2001 S Woodruff Ave	$0.00	41	39
Valerie Erickson 2775 Channing Way	$89.14	42	32
Nate Boyle 3100 Channing Way	$35.82	45	39

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.

Average Medicaid Office Visit Payments in Idaho Falls, ID: $61.52

Providers Offering Office Visit in Idaho Falls, ID

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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