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 |
|---|---|---|---|
|
Emily T Roth
1209 W Target Range Rd |
$41.18 | 12 | 12 |
|
Marvin A Bowers
1852 N Mastick Way |
$2.85 | 16 | 12 |
|
Jorge Omar Flores Lopez
1852 N Mastick Way |
$0.00 | 17 | 15 |
|
Michael Colvin Hinkson
1852 N Mastick Way |
$0.00 | 106 | 87 |
|
Sonia I Guerrero
1852 N Mastick Way |
$9.57 | 112 | 106 |
|
Francisco Sandoval
1852 N Mastick Way |
$98.66 | 129 | 127 |
|
Sean M. O'Brien
3231 N Grand Ave |
$13.27 | 131 | 122 |
|
Carmelo Alfonzo Echeverria
1852 N Mastick Way |
$0.00 | 223 | 204 |
|
Pinal Hispanic Council
275 N Grand Court Plz |
$92.98 | 225 | 220 |
|
Maria Gwen Gallegos
1209 W Target Range Rd |
$36.52 | 232 | 197 |
|
Leo Gaston Stinnett
1209 W Target Range Rd |
$47.34 | 258 | 212 |
|
Ricardo Reyes
1852 N Mastick Way |
$3.12 | 315 | 248 |
|
Martin Dufour
1852 N Mastick Way |
$2.01 | 319 | 226 |
|
Erica Simon
1852 N Mastick Way |
$9.67 | 383 | 374 |
|
Santiago C. Ramirez Md Pllc
1815 N Mastick Way |
$0.00 | 403 | 317 |
|
Mary Carmen Garcia-Kumirov
1852 N Mastick Way |
$1.05 | 403 | 364 |
|
Guadalupe Ortega
1500 W La Quinta Rd |
$91.03 | 527 | 507 |
|
Taylor Jenkins
1209 W Target Range Rd Ste 100 |
$21.99 | 557 | 450 |
|
Greta Liz Lopez
1835 N Mastick Way |
$4.72 | 652 | 607 |
|
Tanya Henry
1852 N Mastick Way |
$1.87 | 753 | 724 |
|
James E. Flores
1815 N Mastick Way |
$63.99 | 787 | 741 |
|
Mariposa Community Health Center, Inc
3231 N Grand Ave |
$0.00 | 847 | 769 |
|
La Kesha S Francis
1209 W Target Range Rd Ste 100 |
$31.94 | 1,042 | 952 |
|
Marco Bailon Saucedo
490 N Carondelet Dr |
$55.38 | 1,339 | 1,114 |
|
Jose I Duran
1209 W Target Range Rd |
$65.97 | 1,488 | 1,346 |
|
Rosa Garcia
1852 N Mastick Way |
$35.85 | 2,261 | 1,950 |
|
Guy A Crawford
1209 W Target Range Rd |
$42.22 | 2,836 | 2,565 |
|
Lydia H. Rivera
1209 W Target Range Rd |
$37.31 | 4,449 | 3,665 |
|
Jeffrey Thomas Maudlin
1209 W Target Range Rd |
$54.99 | 4,514 | 4,089 |
|
Martha Veronica Borbon
1209 W Target Range Rd |
$43.00 | 5,825 | 4,596 |
|
Bradley R Register
298 W Mariposa Rd Ste 1 |
$101.15 | 9,357 | 9,015 |
|
Oscar I Rojas
1209 W Target Range Rd |
$56.02 | 10,138 | 9,299 |
|
Athar A. Shaikh
480 N Morley Ave |
$36.15 | 10,173 | 8,394 |
|
Kirstin F Grahn
1852 N Mastick Way |
$74.44 | 12,536 | 11,769 |
|
Alfredo Guevara
507 N Western Ave |
$49.54 | 12,878 | 10,686 |
|
Richard Dean Hacker
298 W Mariposa Rd Ste 2 |
$97.08 | 13,657 | 12,916 |
|
Mariposa Community Health Center, Inc
1835 N Mastick Way |
$0.02 | 14,302 | 11,482 |
|
Mariposa Community Health Center, Inc
1209 W Target Range Rd |
$0.12 | 35,842 | 29,587 |
|
Mariposa Community Health Center, Inc
1852 N Mastick Way |
$0.06 | 145,287 | 115,825 |
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