Average Medicaid Office Visit Payments in Los Lunas, NM: $79.99
Avg. Paid
$79.99
Range
$0.47 – $122.69
Total Claims
105,742
Providers
44
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 Lunas, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kathy Rebecca Fresquez-Chavez
328 Main St Ne |
$67.07 | 13,415 | 12,721 |
|
Celia Lynne Andrews
328 Main St Ne |
$82.80 | 11,542 | 11,103 |
|
Rosalind Monica Degeorge
111 Sandoval Rd Sw |
$93.03 | 7,342 | 7,139 |
|
Jocelyn Lara
258 El Cerro Loop |
$105.74 | 7,244 | 7,084 |
|
Joseph R Aragon
127 Sandoval Rd Sw |
$62.26 | 6,787 | 6,364 |
|
Jennifer Griego
311 S. Los Lentes |
$90.91 | 4,535 | 4,396 |
|
Luis Gabriel Marquez
145 Don Pasqual Rd Nw |
$95.41 | 3,738 | 3,652 |
|
Lena Chavez
328 Main St Ne |
$116.36 | 3,281 | 3,133 |
|
Jessica Lynn Wallner
328 Main St Ne |
$99.68 | 3,048 | 2,998 |
|
Tiara T Muhr
111 Sandoval Rd Sw |
$2.04 | 2,998 | 2,711 |
|
First Choice Community Healthcare, Inc.
145 Don Pasqual Nw |
$20.05 | 2,978 | 2,794 |
|
Sharon Marie Mullis
200 Emilio Lopez Rd Nw |
$70.89 | 2,945 | 2,831 |
|
Maria E Hernandez
1400 Main St Nw |
$106.78 | 2,656 | 2,626 |
|
Edward Charles Gabaldon
1044 Main St Ne |
$122.69 | 2,633 | 2,586 |
|
Norah Elizabeth Walsh
111 Sandoval Rd Sw |
$62.00 | 2,630 | 2,390 |
|
Shantal Aime Giron
1202 Main St Ne Ste A |
$98.99 | 2,528 | 2,419 |
|
Jessica L Klammer
328 Main St Ne |
$103.38 | 2,107 | 2,078 |
|
Trina Marie Seifert
1400 Main St Nw Ste M |
$84.45 | 1,986 | 1,837 |
|
Rebecca L Webb
428 Los Lentes Rd Se Ste 3 |
$85.13 | 1,934 | 1,879 |
|
Catherine Teresa Fresquez
145 Don Pasqual Rd Nw |
$60.99 | 1,922 | 1,879 |
|
Jessica Wood
1400 Main St Nw |
$80.19 | 1,878 | 1,839 |
|
Dannial Rene Coston
1202 Main St Ne Ste A |
$107.56 | 1,874 | 1,763 |
|
Catherine Ann Delaney
111 Sandoval Rd Sw |
$59.84 | 1,735 | 1,607 |
|
Ricki L Armstrong
1400 Main St Nw |
$60.99 | 1,578 | 1,539 |
|
Twila Kay Reider
127 Sandoval Rd Sw |
$99.53 | 1,445 | 1,387 |
|
Allyson B Esquibel
200 Emilio Lopez Rd Nw |
$61.44 | 1,292 | 1,258 |
|
Mark Roque Sanchez
200 Emilio Lopez Rd Nw |
$58.04 | 1,288 | 1,196 |
|
Rodrigo Perez-Resendiz
145 Don Pasqual Rd Nw |
$65.85 | 1,058 | 992 |
|
Lilia Garza Hill
200 Emilio Lopez Rd Nw |
$76.24 | 931 | 879 |
|
Gerald Stephen Cotto
2060 Main St Ne Ste D2060 |
$94.69 | 831 | 774 |
|
Elsa Marie Gonzales
200 Emilio Lopez Rd Nw |
$64.18 | 621 | 599 |
|
Lynda Carole Shey
111 Sandoval Rd Sw |
$55.46 | 568 | 547 |
|
Leona Marie Herrell
1900 Hwy 314 Ne |
$106.10 | 564 | 531 |
|
Haley Jaey Grant
1202 Main St Ne |
$87.66 | 419 | 413 |
|
Karissa Ryann Vasquez
200 Emilio Lopez Rd |
$118.51 | 387 | 373 |
|
Jose Roberto Correa
2060 Main St Ne Ste A |
$50.33 | 331 | 330 |
|
Scott Ryan Jeansonne
145 Don Pasqual Rd Nw |
$10.71 | 201 | 173 |
|
Felicia Nieto
1259 Hwy 314 Nw |
$13.03 | 159 | 150 |
|
Melinda Anita Cano-Howes
1603 Main Street, Sw |
$64.33 | 88 | 87 |
|
Karen Sue Jensen Phillips
145 Don Pasqual Rd Nw |
$5.00 | 83 | 76 |
|
Samantha Desiree Sanchez
145 Don Pasqual Rd Nw |
$50.49 | 82 | 82 |
|
Kresta S Antillon
145 Don Pasqual Rd Nw |
$0.47 | 38 | 37 |
|
Damian R Bello
200 Emilio Lopez Rd Nw |
$19.11 | 28 | 28 |
|
Alycia Gallegos
145 Don Pasqual Rd Nw |
$10.00 | 14 | 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 Lunas, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Los Lunas, NM is $79.99 per claim, based on 105,742 claims from 44 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 Lunas, NM?
There are 44 Medicaid providers offering Office Visit related services in Los Lunas, NM according to public payment data.
What is the price range for Office Visit in Los Lunas, NM?
Medicaid reimbursement for Office Visit in Los Lunas, NM ranges from $0.47 to $122.69 per claim, with an average of $79.99. 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 Lunas, NM
Home Health Visit
Avg $70.07
131,524 claims
Non-Emergency Medical Transportation
Avg $31.37
83,257 claims
Psychiatric Evaluation
Avg $99.48
70,587 claims
Personal Care Services
Avg $97.02
65,069 claims
Physical Therapy
Avg $45.15
59,221 claims
Dental Cleaning & Exam
Avg $38.48
36,264 claims
Case Management Services
Avg $202.77
35,088 claims
Speech Therapy
Avg $32.63
30,557 claims