Average Medicaid Office Visit Payments in Phoenix, AZ: $47.53
Avg. Paid
$47.53
Range
$0.00 – $654.00
Total Claims
13,269,420
Providers
4,233
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 Phoenix, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Patricia Lissette Rodriguez
20940 N Tatum Blvd Ste 300 |
$28.18 | 12 | 12 |
|
Judy Marie Pinsonneault
4212 N 16Th St |
$58.95 | 12 | 12 |
|
Heriberto Martinez
1919 E Thomas Rd |
$53.75 | 12 | 12 |
|
Andia Alexis Boci
77 E Thomas Rd Ste 215 |
$48.21 | 12 | 12 |
|
Kristen Ann Jensen
2777 E Camelback Rd Ste 200 |
$35.63 | 12 | 12 |
|
Teana Kabacinski
6601 W Thomas Rd |
$50.98 | 12 | 12 |
|
Enesima Eziwoke Briggs
4212 N 16Th St |
$20.55 | 12 | 12 |
|
Terry D Fife
240 W Thomas Rd Ste 301 |
$56.05 | 12 | 12 |
|
Brandi Nicole Biddle
6601 W Thomas Rd |
$41.62 | 12 | 12 |
|
Kooper Harrison Underwood
9250 N 3Rd St Ste 1003 |
$70.94 | 12 | 12 |
|
Kade Soren Mcquivey
5777 E Mayo Blvd |
$117.40 | 12 | 12 |
|
Donna Michelle Garey
1919 E Thomas Rd |
$67.86 | 12 | 12 |
|
Grant Stafford Buchanan
2609 E Roosevelt St |
$42.42 | 12 | 12 |
|
Jason Apfel
500 W Thomas Rd Ste 800 |
$70.41 | 12 | 12 |
|
Nitin Paul Dhiman
21001 N Tatum Blvd |
$20.42 | 12 | 12 |
|
Stephen E Brown
1331 N 7Th St Ste 275 |
$57.86 | 12 | 12 |
|
Dianne Sales
3033 N 44Th St Ste 100 |
$69.64 | 12 | 12 |
|
Layne Andrew Rousseau
2601 E Roosevelt St |
$35.35 | 12 | 12 |
|
Howard Alan Grossman
52 E Monterey Way |
$72.65 | 12 | 12 |
|
Lindsay Grissett Curran
3811 E Bell Rd Ste 300 |
$70.78 | 12 | 12 |
|
Touchstone Behavioral Health
15820 N 35Th Ave Ste 14 |
$60.55 | 12 | 12 |
|
Carla Lockhart
1111 E Mcdowell Rd |
$46.73 | 12 | 12 |
|
Tina Teresa Torres
1919 E Thomas Rd |
$69.72 | 12 | 12 |
|
Elizabeth Aguilera
500 W Thomas Rd Ste 600 |
$71.65 | 12 | 12 |
|
Amy Lee Moore
500 W Thomas Rd Ste 500 |
$43.13 | 12 | 12 |
|
Vikram Prasad
500 W Thomas Rd Ste 850 |
$63.66 | 12 | 12 |
|
Lauren M Richards
500 W Thomas Rd Ste 850 |
$31.54 | 12 | 12 |
|
Rosemarie Metzger
1441 N 12Th St Fl 2 |
$108.04 | 12 | 12 |
|
Zoe Linda Mcmillen
1300 N 12Th St |
$50.09 | 12 | 12 |
|
Kaleena Patel
1919 E Thomas Rd |
$75.41 | 12 | 12 |
|
Kurt W Sprunger
3805 E Bell Rd Ste 5300 |
$121.06 | 12 | 12 |
|
Carolyn Ann Hofmeister
1300 N 12Th St Ste 508 |
$54.72 | 12 | 12 |
|
Anna D Burke
240 W Thomas Rd # 301 |
$27.16 | 12 | 12 |
|
Ian Allen Mcleod
15810 S 45Th St |
$53.16 | 12 | 12 |
|
Samuel Mark Harmsen
2222 E Highland Ave |
$95.54 | 12 | 12 |
|
Alea Cox
4137 N 108Th Ave |
$51.61 | 12 | 12 |
|
Honorhealth Urgent Care, Llc
1515 E Bethany Home Road |
$9.30 | 12 | 12 |
|
James Clark
5333 N 7Th St Ste B112 |
$111.89 | 12 | 12 |
|
Angela Marie Brittain
2777 E Camelback Rd Ste 200 |
$37.21 | 12 | 12 |
|
Raymond Joseph Zimmerman
500 W Thomas Rd |
$39.51 | 12 | 12 |
|
Jaci A. Timmons
1919 E Thomas Rd |
$19.83 | 12 | 12 |
|
Richard W Wilson
16611 S 40Th St |
$113.41 | 12 | 12 |
|
Madhav Chopra
1111 E Mcdowell Rd |
$38.30 | 12 | 12 |
|
Claire Marie Evans
18444 N 25Th Ave Ste 210 |
$52.88 | 12 | 12 |
|
Keith Quirino
925 E Mcdowell Rd |
$0.00 | 12 | 12 |
|
Dorothy A Trimmer
7600 N 15Th St Ste 190 |
$54.86 | 12 | 12 |
|
Betsy Lynn Desjarlais
3605 E Thomas Rd |
$12.91 | 12 | 12 |
|
Justin Randal Mickey
2500 E Van Buren St |
$126.97 | 13 | 12 |
|
Luna Amelingmeier
6544 W Thomas Rd Ste 11 |
$26.34 | 13 | 12 |
|
Ryan Wiggins
21001 N Tatum Blvd Ste 74-1570 |
$13.56 | 13 | 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 Phoenix, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Phoenix, AZ is $47.53 per claim, based on 13,269,420 claims from 4233 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 Phoenix, AZ?
There are 4233 Medicaid providers offering Office Visit related services in Phoenix, AZ according to public payment data.
What is the price range for Office Visit in Phoenix, AZ?
Medicaid reimbursement for Office Visit in Phoenix, AZ ranges from $0.00 to $654.00 per claim, with an average of $47.53. 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
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Columbus, OH
Avg $62.00
8,388,006 claims · 3806 providers
Other Procedures in Phoenix, AZ
Blood Work & Lab Tests
Avg $4.07
28,642,228 claims
Case Management Services
Avg $37.73
14,607,817 claims
Substance Abuse Treatment
Avg $94.34
10,076,493 claims
Personal Care Services
Avg $130.72
9,443,796 claims
Non-Emergency Medical Transportation
Avg $10.65
6,526,097 claims
Urinalysis & Urine Tests
Avg $1.58
4,901,181 claims
Behavioral & Mental Health Therapy
Avg $123.66
4,416,857 claims
Emergency Room Visit
Avg $203.26
4,304,161 claims