Average Medicaid Office Visit Payments in Los Alamos, NM: $101.29
Avg. Paid
$101.29
Range
$0.00 – $588.86
Total Claims
30,190
Providers
43
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 Los Alamos, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Robert S. Mcclees
1460 Trinity Dr |
$97.35 | 5,245 | 4,742 |
|
John Bennett Neal
3917 West Rd |
$75.09 | 3,038 | 2,901 |
|
Augustina A Abbott
3917 West Rd Ste A |
$68.45 | 2,693 | 2,620 |
|
Monica J Snowden
3917 West Rd |
$65.69 | 2,010 | 1,964 |
|
Bard L Rogers
3917 West Rd Ste A |
$125.20 | 1,964 | 1,903 |
|
Lori Anne Fay
3917 West Road |
$69.55 | 1,689 | 1,580 |
|
Jacqueline Anne Krohn
3917 West Rd |
$69.95 | 1,436 | 1,324 |
|
Peter M. Shepard
3917 West Rd |
$79.46 | 1,329 | 1,258 |
|
Culley K Christensen
3917 West Rd |
$78.39 | 1,296 | 1,232 |
|
Shelley P Schoonover
3917 West Rd |
$70.28 | 1,213 | 1,175 |
|
Hannah Karsten
3917 West Rd Ste 200 |
$114.21 | 1,087 | 1,020 |
|
Theresa Ann Bubenzer
3917 West Rd Ste A |
$440.35 | 1,002 | 930 |
|
Laura K Merrigan
3917 West Rd |
$83.51 | 997 | 980 |
|
Patricia Combs
3917 West Rd |
$65.95 | 995 | 971 |
|
Michael W Nichols
3917 West Rd |
$68.15 | 982 | 946 |
|
Mary Ellen Slaughter
3917 West Rd |
$588.86 | 534 | 503 |
|
Elizabeth Abagail Midyette
3917 West Rd Ste A |
$0.00 | 499 | 414 |
|
Lauren Scandura
3917 West Rd Ste 200 |
$118.92 | 424 | 383 |
|
Roberto C. Pardo
3917 West Rd Ste A |
$38.87 | 295 | 294 |
|
Daniel Marancenbaum
3917 West Rd Ste 250 |
$106.69 | 180 | 155 |
|
Ann Carolyn Linnebur
3917 West Rd |
$48.83 | 169 | 150 |
|
Seth M Felice
3917 West Rd Ste 135 |
$25.56 | 165 | 147 |
|
Charlotte Louise Hunter
3917 West Rd Ste A |
$61.06 | 133 | 121 |
|
Timothy J. Johnson
1623 Central Ave |
$53.59 | 120 | 116 |
|
Aparimita Lahiri
118 Central Park Square |
$101.87 | 110 | 107 |
|
Steven Wayne Harris
3917 West Road #250 |
$90.47 | 89 | 85 |
|
Molly Vosburg
3917 West Rd |
$53.88 | 80 | 79 |
|
Richard Weldon Honsinger
3917 West Rd |
$47.75 | 63 | 60 |
|
David A Mesibov
118 Central Park Square |
$42.57 | 41 | 39 |
|
Angela Renee Bratton
1623 Central Ave |
$23.62 | 40 | 40 |
|
Galina Batygina
3917 West Rd |
$84.77 | 38 | 37 |
|
Michelle W Carr
3917 West Rd |
$50.37 | 30 | 28 |
|
James Joseph Ziomek
3917 West Rd |
$52.94 | 28 | 26 |
|
Madhavi Garimella
3917 West Rd |
$40.30 | 27 | 25 |
|
David Andrew Mills
3917 West Rd |
$55.33 | 26 | 25 |
|
Jeanne Monique Beyerle
3917 West Rd Ste 150 |
$26.85 | 25 | 24 |
|
Lori S. Whitley
3917 West Rd |
$44.54 | 15 | 14 |
|
Brian James Haigh
195 East Rd Ste 104 |
$43.48 | 15 | 15 |
|
Pema L Tamang
118 Central Park Sq |
$34.15 | 14 | 13 |
|
Taylor Ann Ortega-Calzadillas
3917 West Rd Ste 150 |
$40.21 | 14 | 13 |
|
Leigh Barham
3917 West Rd Ste A |
$59.23 | 14 | 12 |
|
Elena Soliz Mcatee
3917 West Rd Ste A |
$65.71 | 14 | 12 |
|
Jacob Connelly
3917 West Rd Ste A3917 |
$16.43 | 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 Los Alamos, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Los Alamos, NM is $101.29 per claim, based on 30,190 claims from 43 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 Los Alamos, NM?
There are 43 Medicaid providers offering Office Visit related services in Los Alamos, NM according to public payment data.
What is the price range for Office Visit in Los Alamos, NM?
Medicaid reimbursement for Office Visit in Los Alamos, NM ranges from $0.00 to $588.86 per claim, with an average of $101.29. 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 Los Alamos, NM
Blood Work & Lab Tests
Avg $9.95
24,725 claims
Emergency Room Visit
Avg $134.72
15,333 claims
Urinalysis & Urine Tests
Avg $4.32
7,078 claims
Vaccines & Immunizations
Avg $24.27
6,153 claims
Eye Exam
Avg $43.57
6,111 claims
Physical Therapy
Avg $33.16
5,645 claims
Dental Cleaning & Exam
Avg $29.36
3,252 claims
Ambulance Transport
Avg $37.46
1,327 claims