Average Medicaid Office Visit Payments in Orofino, ID: $29.74
Avg. Paid
$29.74
Range
$4.44 – $167.68
Total Claims
19,194
Providers
18
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 Orofino, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Clearwater Valley Hospital & Clinics Inc
301 Cedar St |
$15.31 | 8,919 | 6,800 |
|
Brett T Mumford
301 Cedar St |
$14.62 | 3,092 | 2,840 |
|
Mark Frederick Ackerman
1055 Riverside Ave |
$42.06 | 2,221 | 2,122 |
|
Colleen Patricia Devine Sholar
1055 Riverside Ave |
$47.28 | 965 | 926 |
|
Rebecca Susan Katzman
301 Cedar St |
$53.76 | 778 | 741 |
|
Suzanne Rose Kangas
301 Cedar St |
$99.85 | 724 | 678 |
|
James Z Said
7711 Lower Fords Creek Rd |
$82.33 | 616 | 228 |
|
Karla S Eisele
300 Hospital Dr |
$14.90 | 584 | 453 |
|
Tammy Jo Cochrane
301 Cedar St |
$34.80 | 415 | 380 |
|
Nicole Walls
301 Cedar St |
$50.64 | 263 | 247 |
|
Thomas Wonderlich
301 Cedar St |
$167.68 | 173 | 166 |
|
Ann Lima
301 Cedar St |
$50.29 | 117 | 114 |
|
John Seth Lukens
301 Cedar St |
$40.45 | 86 | 84 |
|
Ally Loveland
301 Cedar St |
$48.20 | 82 | 75 |
|
Clayton James Bunt
301 Cedar St |
$36.26 | 62 | 60 |
|
Phillip H Petersen
301 Cedar St |
$37.71 | 56 | 52 |
|
Camille Aimee Lacroix
1055 Riverside Ave |
$82.53 | 25 | 24 |
|
Clearwater Valley Hospital & Clinics
301 Cedar St |
$4.44 | 16 | 14 |
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 Orofino, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Orofino, ID is $29.74 per claim, based on 19,194 claims from 18 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 Orofino, ID?
There are 18 Medicaid providers offering Office Visit related services in Orofino, ID according to public payment data.
What is the price range for Office Visit in Orofino, ID?
Medicaid reimbursement for Office Visit in Orofino, ID ranges from $4.44 to $167.68 per claim, with an average of $29.74. 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 Orofino, ID
Blood Work & Lab Tests
Avg $6.14
11,973 claims
Substance Abuse Treatment
Avg $101.20
8,151 claims
Speech Therapy
Avg $19.48
7,183 claims
Emergency Room Visit
Avg $59.38
7,004 claims
Psychiatric Evaluation
Avg $58.16
4,645 claims
Physical Therapy
Avg $47.61
4,585 claims
Behavioral & Mental Health Therapy
Avg $63.10
2,472 claims
Urinalysis & Urine Tests
Avg $4.87
2,381 claims