Average Medicaid Office Visit Payments in Jerome, ID: $8.98
Avg. Paid
$8.98
Range
$0.00 – $60.68
Total Claims
29,231
Providers
19
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 Jerome, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yolanda S. Sedano
132 5Th Ave West |
$1.15 | 3,963 | 3,685 |
|
Todd Thorne
218 W Nez Perce |
$0.87 | 3,339 | 3,123 |
|
Jesse J Balls
218 W Nez Perce |
$0.43 | 3,337 | 3,143 |
|
Alice R. Trabert
132 5Th Ave W |
$1.19 | 2,911 | 2,759 |
|
Melissa D Merrill
132 5Th Ave W |
$0.59 | 2,849 | 2,466 |
|
Justin G Smith
132 5Th Ave W |
$3.00 | 2,477 | 2,153 |
|
Toni R Miller
218 W Nez Perce |
$0.41 | 1,509 | 1,396 |
|
Elizabeth Jo Johnson
215 W Yakima Ste 3 |
$60.68 | 1,483 | 1,462 |
|
Matthew Duersch
114 Pioneer Ct |
$2.32 | 1,385 | 1,211 |
|
Clarence Jaron Brunson
132 5Th Ave W Ste 1And2 |
$47.52 | 1,268 | 1,039 |
|
James S Irwin
132 5Th Ave W |
$2.27 | 1,188 | 1,142 |
|
Joshua Ted Hansen
132 5Th Ave W |
$23.93 | 1,139 | 1,092 |
|
Anne B Fullmer
709 N Lincoln Ave |
$49.86 | 1,057 | 981 |
|
Elizabeth Hart Sugden
132 5Th Ave W |
$5.77 | 530 | 501 |
|
Robin Louise Schmidt
132 5Th Ave W Ste 1And2 |
$3.19 | 337 | 321 |
|
Logan Reed Jones
491 Heritage Dr |
$0.38 | 241 | 214 |
|
Jameson Bastow
132 5Th Ave W Ste 2 |
$0.00 | 120 | 109 |
|
Joshua William Kern
132 5Th Ave W |
$2.21 | 56 | 54 |
|
Logan Anderson
132 5Th Ave W Ste 1&2 |
$1.20 | 42 | 40 |
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 Jerome, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Jerome, ID is $8.98 per claim, based on 29,231 claims from 19 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 Jerome, ID?
There are 19 Medicaid providers offering Office Visit related services in Jerome, ID according to public payment data.
What is the price range for Office Visit in Jerome, ID?
Medicaid reimbursement for Office Visit in Jerome, ID ranges from $0.00 to $60.68 per claim, with an average of $8.98. 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 Jerome, ID
Speech Therapy
Avg $26.49
36,323 claims
Physical Therapy
Avg $43.24
31,979 claims
Dental Cleaning & Exam
Avg $40.56
27,790 claims
Vaccines & Immunizations
Avg $2.98
19,270 claims
Behavioral & Mental Health Therapy
Avg $112.38
16,152 claims
Blood Work & Lab Tests
Avg $5.99
13,479 claims
Dental Filling
Avg $91.03
8,793 claims
Psychiatric Evaluation
Avg $81.31
7,557 claims