Average Medicaid Office Visit Payments in Lewiston, ID: $56.09
Avg. Paid
$56.09
Range
$0.78 – $112.69
Total Claims
241,299
Providers
147
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 Lewiston, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dorian Lamont Larsen
1630 23Rd Ave Ste 501 |
$76.04 | 19,153 | 13,200 |
|
Robert Todd Parkey
2315 8Th St |
$88.53 | 10,283 | 9,766 |
|
Stephanie Margaret Carpenter
2315 8Th St |
$54.33 | 8,337 | 7,783 |
|
Gerald L Knouf
415 6Th St |
$49.44 | 8,050 | 5,890 |
|
Spencer Godfrey
1203 Idaho St |
$15.59 | 7,898 | 7,130 |
|
Angela Ruth Roth
2315 8Th St |
$87.15 | 7,447 | 7,103 |
|
Darby S Lynch
2315 8Th St |
$89.40 | 6,431 | 6,104 |
|
Gregory P Schultz
2315 8Th St |
$78.43 | 6,407 | 6,081 |
|
Leslie Corrine Rogers
428 6Th Ave |
$51.89 | 6,311 | 5,865 |
|
Theodore K Krisher
2315 8Th St |
$84.71 | 6,166 | 5,842 |
|
Natale Carasali
2315 8Th St |
$81.02 | 5,821 | 5,492 |
|
Zachary S Ripley
2315 8Th St |
$67.39 | 5,573 | 4,872 |
|
Amber Christine Mckinney
1630 23Rd Ave |
$61.52 | 4,460 | 4,314 |
|
Tysen L Weber
2315 8Th St |
$92.36 | 4,253 | 3,979 |
|
Dino Joseph Giolitti
523 1/2 Main St # 7 |
$3.31 | 4,162 | 3,794 |
|
Brandy N Thompson
2315 8Th St |
$67.44 | 4,061 | 3,695 |
|
Thad Giblette
2315 8Th St |
$57.43 | 4,054 | 3,617 |
|
Jerilyn R Bodey
415 6Th St |
$91.59 | 4,012 | 3,839 |
|
Community Health Association Of Spokane
1203 Idaho St |
$3.04 | 3,807 | 3,235 |
|
Neil Bendle Washington
2315 8Th St |
$40.34 | 3,482 | 3,122 |
|
Kim Glenn
415 6Th St |
$83.08 | 3,474 | 3,275 |
|
Katherine L. Morris
336 Warner Dr |
$49.21 | 3,016 | 2,868 |
|
Anita Ringering
336 Warner Dr |
$44.46 | 2,969 | 2,758 |
|
Melanie T Eggleston
2315 8Th St |
$41.44 | 2,840 | 2,481 |
|
Amy Lynette Larson
338 6Th St # 101 |
$8.70 | 2,676 | 2,369 |
|
Christopher V Ricketts
415 6Th St |
$58.68 | 2,638 | 2,577 |
|
Sennett Ames Pierce Sr
330 Warner Dr |
$84.94 | 2,522 | 2,463 |
|
Richard Scott Leon
2315 8Th St |
$5.96 | 2,478 | 2,465 |
|
Celso R Chavez
1522 17Th St |
$38.52 | 2,427 | 2,107 |
|
Theresa M Smith
1522 17Th St |
$42.39 | 2,415 | 2,079 |
|
Chuck R Colas
222 Southway Ave Ste 2A |
$1.24 | 2,413 | 1,282 |
|
Ryan Morris
2315 8Th St |
$71.42 | 2,338 | 2,295 |
|
Danielle Barnes
2315 8Th St |
$60.35 | 2,299 | 2,250 |
|
Jennifer Therese Anderson
1203 Idaho St |
$9.70 | 2,267 | 2,149 |
|
Jessica Renee Six
1522 17Th St |
$48.82 | 2,259 | 2,019 |
|
Carmen R Stolte
2315 8Th St |
$47.69 | 2,257 | 2,134 |
|
Eva Louise Michels
2315 8Th St |
$61.62 | 2,213 | 2,121 |
|
Cheryl A Mallory
2315 8Th St |
$70.94 | 2,204 | 2,131 |
|
Jennifer C Creaser
2841 Juniper Dr |
$52.78 | 2,201 | 2,014 |
|
James F Maguire
2315 8Th St |
$70.12 | 2,189 | 2,061 |
|
Alex Benton Watson
2315 8Th St |
$61.90 | 2,067 | 1,930 |
|
Lembi Che
1203 Idaho St |
$22.39 | 1,990 | 1,799 |
|
Jeffrey Daniel Burry
330 Warner Dr |
$83.87 | 1,926 | 1,893 |
|
Samantha Lynn Musser
415 6Th St |
$16.57 | 1,924 | 1,366 |
|
Barret Schneider
1203 Idaho St |
$6.51 | 1,904 | 1,661 |
|
Tamara Dawn Demean
1331 G St |
$57.94 | 1,894 | 1,692 |
|
Alexa Rhea
2841 Juniper Dr Ste 2 |
$49.62 | 1,858 | 1,670 |
|
Samantha Marie Wheeler
1630 23Rd Ave Ste 501 |
$97.63 | 1,796 | 1,673 |
|
Jean K Thomas
415 6Th St |
$43.37 | 1,718 | 1,660 |
|
Lacey Steinwand
1522 17Th St |
$62.29 | 1,646 | 1,487 |
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 Lewiston, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lewiston, ID is $56.09 per claim, based on 241,299 claims from 147 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 Lewiston, ID?
There are 147 Medicaid providers offering Office Visit related services in Lewiston, ID according to public payment data.
What is the price range for Office Visit in Lewiston, ID?
Medicaid reimbursement for Office Visit in Lewiston, ID ranges from $0.78 to $112.69 per claim, with an average of $56.09. 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 Lewiston, ID
Home Health Visit
Avg $125.71
258,838 claims
Blood Work & Lab Tests
Avg $9.49
144,948 claims
Substance Abuse Treatment
Avg $102.12
86,773 claims
Personal Care Services
Avg $24.13
57,477 claims
Emergency Room Visit
Avg $69.45
55,045 claims
Physical Therapy
Avg $34.35
41,636 claims
Vaccines & Immunizations
Avg $13.39
40,115 claims
Psychiatric Evaluation
Avg $56.10
36,155 claims