Average Medicaid Office Visit Payments in Mountain Home, ID: $19.90
Avg. Paid
$19.90
Range
$0.20 – $103.21
Total Claims
36,423
Providers
24
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 Mountain Home, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Saad Hijazi
120 Desert Sage Way |
$3.93 | 5,962 | 5,153 |
|
Dawn D Best
120 Desert Sage Way |
$1.94 | 4,763 | 4,476 |
|
Melanie Gilliland
120 Desert Sage Way |
$31.53 | 4,004 | 3,220 |
|
Katherine Gray
120 Desert Sage Way |
$2.38 | 3,860 | 3,355 |
|
Kyle Hollenback
2280 American Legion Blvd |
$4.46 | 3,175 | 2,964 |
|
Delmar Wallace Smith
2000 American Legion Blvd |
$66.01 | 2,114 | 1,908 |
|
Genevieve Marie Leetham
2280 American Legion Blvd |
$0.50 | 1,922 | 1,838 |
|
Timothy James Muhonen
465 Mckenna Dr |
$39.04 | 1,728 | 1,530 |
|
Dirk Kenneth Baskett
840 N 4Th E |
$64.58 | 1,602 | 1,558 |
|
Charlene Clark
120 Desert Sage Way |
$37.20 | 1,265 | 993 |
|
Joseph Wells Hoskin
465 Mckenna Dr |
$43.61 | 1,082 | 1,023 |
|
Dennis Dan Crossley
465 Mckenna Dr |
$8.21 | 873 | 844 |
|
St Lukes Regional Medical Center
895 N 6Th E |
$7.51 | 833 | 724 |
|
Scott Alan Baldridge
365 Mckenna Dr |
$103.21 | 656 | 631 |
|
Wendy Diane Loumeau
120 Desert Sage Way |
$1.76 | 481 | 463 |
|
Robin Amber Nettleton
840 N 4Th E |
$53.29 | 476 | 470 |
|
Scott K M Knudsen
120 Desert Sage Way |
$0.20 | 398 | 378 |
|
Javlyn Dickson Weaver
895 N 6Th E |
$0.74 | 326 | 313 |
|
Layne D. Roberts
2000 American Legion Blvd |
$49.13 | 307 | 266 |
|
Malinda Paige Westendorf
465 Mckenna Dr |
$7.50 | 266 | 262 |
|
Kristin Anne Hildebrandt
465 Mckenna Dr |
$42.21 | 197 | 191 |
|
Derrick A Rowe
805 N 6Th E |
$44.69 | 81 | 77 |
|
Krzysztof Hendryk Ziola
2280 American Legion Blvd. |
$2.76 | 39 | 27 |
|
Karl H. Olson
465 Mckenna Dr |
$5.12 | 13 | 13 |
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 Mountain Home, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mountain Home, ID is $19.90 per claim, based on 36,423 claims from 24 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 Mountain Home, ID?
There are 24 Medicaid providers offering Office Visit related services in Mountain Home, ID according to public payment data.
What is the price range for Office Visit in Mountain Home, ID?
Medicaid reimbursement for Office Visit in Mountain Home, ID ranges from $0.20 to $103.21 per claim, with an average of $19.90. 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 Mountain Home, ID
Speech Therapy
Avg $40.28
66,029 claims
Physical Therapy
Avg $48.51
48,730 claims
Blood Work & Lab Tests
Avg $5.17
32,990 claims
Dental Cleaning & Exam
Avg $24.35
20,870 claims
Urinalysis & Urine Tests
Avg $4.19
7,872 claims
Eye Exam
Avg $40.51
5,629 claims
Ambulance Transport
Avg $124.13
5,324 claims
Dental Filling
Avg $43.57
5,054 claims