Average Medicaid Office Visit Payments in Nogales, AZ: $20.46
Avg. Paid
$20.46
Range
$0.00 – $101.15
Total Claims
295,331
Providers
39
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 Nogales, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mariposa Community Health Center, Inc
1852 N Mastick Way |
$0.06 | 145,287 | 115,825 |
|
Mariposa Community Health Center, Inc
1209 W Target Range Rd |
$0.12 | 35,842 | 29,587 |
|
Mariposa Community Health Center, Inc
1835 N Mastick Way |
$0.02 | 14,302 | 11,482 |
|
Richard Dean Hacker
298 W Mariposa Rd Ste 2 |
$97.08 | 13,657 | 12,916 |
|
Alfredo Guevara
507 N Western Ave |
$49.54 | 12,878 | 10,686 |
|
Kirstin F Grahn
1852 N Mastick Way |
$74.44 | 12,536 | 11,769 |
|
Athar A. Shaikh
480 N Morley Ave |
$36.15 | 10,173 | 8,394 |
|
Oscar I Rojas
1209 W Target Range Rd |
$56.02 | 10,138 | 9,299 |
|
Bradley R Register
298 W Mariposa Rd Ste 1 |
$101.15 | 9,357 | 9,015 |
|
Martha Veronica Borbon
1209 W Target Range Rd |
$43.00 | 5,825 | 4,596 |
|
Jeffrey Thomas Maudlin
1209 W Target Range Rd |
$54.99 | 4,514 | 4,089 |
|
Lydia H. Rivera
1209 W Target Range Rd |
$37.31 | 4,449 | 3,665 |
|
Guy A Crawford
1209 W Target Range Rd |
$42.22 | 2,836 | 2,565 |
|
Rosa Garcia
1852 N Mastick Way |
$35.85 | 2,261 | 1,950 |
|
Jose I Duran
1209 W Target Range Rd |
$65.97 | 1,488 | 1,346 |
|
Marco Bailon Saucedo
490 N Carondelet Dr |
$55.38 | 1,339 | 1,114 |
|
La Kesha S Francis
1209 W Target Range Rd Ste 100 |
$31.94 | 1,042 | 952 |
|
Mariposa Community Health Center, Inc
3231 N Grand Ave |
$0.00 | 847 | 769 |
|
James E. Flores
1815 N Mastick Way |
$63.99 | 787 | 741 |
|
Tanya Henry
1852 N Mastick Way |
$1.87 | 753 | 724 |
|
Greta Liz Lopez
1835 N Mastick Way |
$4.72 | 652 | 607 |
|
Taylor Jenkins
1209 W Target Range Rd Ste 100 |
$21.99 | 557 | 450 |
|
Guadalupe Ortega
1500 W La Quinta Rd |
$91.03 | 527 | 507 |
|
Mary Carmen Garcia-Kumirov
1852 N Mastick Way |
$1.05 | 403 | 364 |
|
Santiago C. Ramirez Md Pllc
1815 N Mastick Way |
$0.00 | 403 | 317 |
|
Erica Simon
1852 N Mastick Way |
$9.67 | 383 | 374 |
|
Martin Dufour
1852 N Mastick Way |
$2.01 | 319 | 226 |
|
Ricardo Reyes
1852 N Mastick Way |
$3.12 | 315 | 248 |
|
Leo Gaston Stinnett
1209 W Target Range Rd |
$47.34 | 258 | 212 |
|
Maria Gwen Gallegos
1209 W Target Range Rd |
$36.52 | 232 | 197 |
|
Pinal Hispanic Council
275 N Grand Court Plz |
$92.98 | 225 | 220 |
|
Carmelo Alfonzo Echeverria
1852 N Mastick Way |
$0.00 | 223 | 204 |
|
Sean M. O'Brien
3231 N Grand Ave |
$13.27 | 131 | 122 |
|
Francisco Sandoval
1852 N Mastick Way |
$98.66 | 129 | 127 |
|
Sonia I Guerrero
1852 N Mastick Way |
$9.57 | 112 | 106 |
|
Michael Colvin Hinkson
1852 N Mastick Way |
$0.00 | 106 | 87 |
|
Jorge Omar Flores Lopez
1852 N Mastick Way |
$0.00 | 17 | 15 |
|
Marvin A Bowers
1852 N Mastick Way |
$2.85 | 16 | 12 |
|
Emily T Roth
1209 W Target Range Rd |
$41.18 | 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 Nogales, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Nogales, AZ is $20.46 per claim, based on 295,331 claims from 39 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 Nogales, AZ?
There are 39 Medicaid providers offering Office Visit related services in Nogales, AZ according to public payment data.
What is the price range for Office Visit in Nogales, AZ?
Medicaid reimbursement for Office Visit in Nogales, AZ ranges from $0.00 to $101.15 per claim, with an average of $20.46. 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 Nogales, AZ
Personal Care Services
Avg $100.02
336,289 claims
Blood Work & Lab Tests
Avg $0.64
203,258 claims
Case Management Services
Avg $43.40
133,363 claims
Emergency Room Visit
Avg $251.21
103,283 claims
Vaccines & Immunizations
Avg $4.23
102,550 claims
Substance Abuse Treatment
Avg $74.19
95,342 claims
Dental Cleaning & Exam
Avg $23.62
78,910 claims
Urinalysis & Urine Tests
Avg $0.48
72,959 claims