Average Medicaid Office Visit Payments in Las Vegas, NM: $86.37
Avg. Paid
$86.37
Range
$0.00 – $189.53
Total Claims
119,980
Providers
49
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 Las Vegas, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
El Centro Family Health
1235 8Th St |
$132.01 | 36,900 | 29,052 |
|
Maryann Katharyn Osuchowski
1301 8Th St |
$80.10 | 10,743 | 9,488 |
|
G. Michael Lopez
105 Mills Ave Ste 300 |
$51.79 | 6,348 | 5,626 |
|
Jeffrey Scott Webb
501 7Th St |
$54.99 | 5,726 | 5,086 |
|
Alexander Ramirez
1608 7Th St Ste B |
$49.84 | 5,629 | 4,970 |
|
Thomas W. Strain
1235 8Th St |
$0.00 | 5,464 | 4,291 |
|
Caley Nicole Denevers
611 National Ave |
$90.06 | 5,288 | 4,665 |
|
Julien Adicho
1608 7Th St Ste B |
$51.86 | 4,293 | 3,921 |
|
Lindsy Laura Kragt Allen
1608 7Th St |
$63.98 | 3,850 | 3,283 |
|
Jesus Tafoya
2515 Ridge Runner Rd |
$51.81 | 3,369 | 3,185 |
|
Jennifer Ellen Chittum
501 7Th St |
$72.09 | 3,324 | 3,177 |
|
Jasmin U Breitung
721 5Th St |
$56.73 | 2,926 | 2,683 |
|
Frank V. Gallegos
3031 Hot Springs Blvd |
$56.97 | 2,568 | 2,395 |
|
San Miguel Hospital Corporation
108 Legion Dr Ste A |
$98.13 | 2,249 | 1,960 |
|
Mital Sumankumar Patel
105 Mills Ave Ste 200 |
$68.32 | 1,874 | 1,807 |
|
El Centro Family Health
1024 South Pacific |
$172.64 | 1,742 | 1,328 |
|
Melanie Heather Chavez
105 Mills Ave Ste 200 |
$118.84 | 1,679 | 1,522 |
|
Nancy Jane Wright
501 Seventh Street |
$54.69 | 1,590 | 1,511 |
|
Jenny B Nation
611 National Ave |
$102.87 | 1,518 | 1,283 |
|
El Centro Family Health
901 Baca |
$166.15 | 1,340 | 1,108 |
|
Rita Troy Mccallan
700 Friedman Ave |
$21.37 | 1,225 | 1,183 |
|
Raymond F. Ortiz
2515 Ridge Runner Rd |
$64.04 | 1,196 | 1,066 |
|
Ruben Nunez
1608 7Th St Ste B |
$80.99 | 1,161 | 1,064 |
|
El Centro Family Health
1236 5Th St |
$189.53 | 967 | 854 |
|
Teddi Swidinsky
108 Legion Dr Ste B |
$60.59 | 930 | 868 |
|
Tania D Pence
105 Mills Ave Ste 200 |
$71.81 | 850 | 818 |
|
Anna Marie Heusner
1900 Hot Springs Blvd |
$50.19 | 834 | 679 |
|
Harsh Amin
1608 7Th St Ste B |
$31.17 | 685 | 593 |
|
Kimberly Monica Sena
700 Friedman Ave |
$40.66 | 640 | 612 |
|
David Gustavo Parajon
1235 8Th St |
$34.06 | 613 | 575 |
|
Veronica Umerah
700 Friedman Ave |
$32.55 | 562 | 542 |
|
Helen Rosella Chrena
700 Friedman Ave |
$35.62 | 531 | 495 |
|
Joyce Meserve
3695 Hot Springs Blvd |
$24.98 | 418 | 398 |
|
Franklin Miller
1900 Hot Springs Blvd |
$47.29 | 260 | 217 |
|
Erin Christine Byrne
248 Mills Ave |
$50.59 | 224 | 208 |
|
Wendy Davis
105 Mills Ave Ste 200 |
$64.91 | 93 | 85 |
|
Flavio F. Salazar
1235 8Th St |
$118.18 | 62 | 51 |
|
Eric Depopas
1608 7Th St Ste B |
$69.33 | 49 | 46 |
|
El Centro Family Health
475 Legion Dr. |
$180.18 | 47 | 42 |
|
Dena Lewis
104 Legion Dr |
$44.20 | 44 | 41 |
|
Humberto D Martinez
105 Mills Ave Ste 200 |
$71.53 | 43 | 42 |
|
Alice Mae Brown
1235 8Th St |
$38.47 | 26 | 24 |
|
Manuel Gonzalez-Cuervo
3695 Hot Springs Blvd |
$0.00 | 16 | 12 |
|
Rose Marie Mcdonald
901 Baca Street |
$177.14 | 16 | 14 |
|
Ann Bosley Ruge
1235 Eighth St. |
$179.62 | 15 | 14 |
|
Jane P Montano
1024 South Pacific Street |
$69.88 | 14 | 14 |
|
Allan Tilden Herman
104 Legion Dr |
$142.16 | 14 | 14 |
|
Laura Robinson
1235 8Th St |
$69.36 | 13 | 12 |
|
Danyelle Romero
9 Pine Ridge Dr |
$147.28 | 12 | 12 |
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 Las Vegas, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Las Vegas, NM is $86.37 per claim, based on 119,980 claims from 49 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 Las Vegas, NM?
There are 49 Medicaid providers offering Office Visit related services in Las Vegas, NM according to public payment data.
What is the price range for Office Visit in Las Vegas, NM?
Medicaid reimbursement for Office Visit in Las Vegas, NM ranges from $0.00 to $189.53 per claim, with an average of $86.37. 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 Las Vegas, NM
Home Health Visit
Avg $67.09
478,353 claims
Psychiatric Evaluation
Avg $90.08
126,238 claims
Non-Emergency Medical Transportation
Avg $83.76
92,399 claims
Physical Therapy
Avg $43.44
91,868 claims
Personal Care Services
Avg $64.39
69,285 claims
Blood Work & Lab Tests
Avg $13.33
63,013 claims
Case Management Services
Avg $215.32
43,992 claims
Emergency Room Visit
Avg $169.61
39,277 claims