Based on public Medicaid payment data.

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
Phoenix Children'S Hospital 1919 E Thomas Rd	$26.10	557,150	526,494
Mountain Park Health Center 635 E. Baseline Rd.	$0.02	218,308	186,193
Maricopa County Special Health Care District 2601 E Roosevelt St	$17.99	216,164	195,757
Maricopa County Special Health Care District 2525 E Roosevelt St	$0.37	213,864	149,813
Mountain Park Health Center 6601 W Thomas Rd	$0.02	202,878	171,714
Mountain Park Health Center 3830 E Van Buren St	$0.03	112,772	92,736
Circle The City 333 W Indian School Rd	$0.13	99,627	19,444
Honorhealth 250 E Dunlap Ave	$12.34	93,082	79,811
Douglas L Cunningham 4350 N 19Th Ave	$56.38	91,092	73,304
Maricopa County Special Health Care District 33 W Tamarisk St	$0.30	90,672	61,965
Adelante Healthcare, Inc 9610 N Metro Parkway West	$0.03	88,478	75,605
Linda Sinat Som 1847 W Heatherbrae Dr	$64.12	85,980	69,406
District Medical Group, Inc 3141 N 3Rd Ave	$78.48	75,054	67,814
Maricopa County Special Health Care District 7808 W Thomas Rd	$0.26	72,370	51,671
Maricopa County Special Health Care District 1101 N Central Ave Ste 204	$0.10	69,220	50,230
Maricopa County Special Health Care District 2025 W Northern Ave	$0.19	69,128	49,341
Maricopa County Special Health Care District 5650 S 35Th Ave	$0.39	65,177	45,470
Craig Angelo Wiggins 9305 W Thomas Rd Ste 305	$53.44	61,758	57,601
Circle The City 3522 N 3Rd Ave	$0.08	58,409	43,014
Sheena Banerjee 2510 W Dunlap Ave	$84.49	58,197	54,720
Baoan Gia Le 4527 N 27Th Ave	$57.26	53,131	42,661
Lucas S Canton 4615 S Central Ave	$74.56	51,873	43,537
Neighborhood Outreach Access To Health 9015 N 3Rd St	$1.82	50,218	41,207
Ricardo G. Celaya 1533 E Willetta St	$43.53	48,828	42,543
Neighborhood Outreach Access To Health 16251 N Cave Creek Rd	$0.42	46,936	37,735
Bernardo O Tan 9305 W Thomas Rd	$57.41	46,624	42,784
Banner - University Medical Center Phoenix 1111 E Mcdowell Rd	$55.97	45,620	36,140
Circle The City 210 S 12Th Ave	$0.12	45,231	4,977
James Beach 7725 N 43Rd Ave	$46.54	43,659	38,144
Lee P Laris 5056 N Central Ave	$41.35	43,112	37,911
Circle The City 220 S 12Th Ave	$0.08	42,932	28,137
Kamaljeet Sachdeva 635 East Baseline Road	$58.30	41,842	35,373
Mountain Park Health Center 303 E Baseline Rd	$0.20	39,740	27,609
Neighborhood Outreach Access To Health 4131 N 24Th St Ste B102	$4.75	39,396	33,338
Maritza Ivette Irizarry 5040 N 15Th Ave	$67.41	38,639	30,542
Joseph M Gutierrez 8022 N 27Th Ave	$59.30	38,605	32,576
Native Health 4041 N Central Ave Bldg C	$0.05	38,586	33,336
Robert Lipot Gallai 2330 N 75Th Ave	$56.29	38,239	27,544
Devin Nathaniel Minior 1300 N 12Th St	$71.28	37,739	35,360
Pauline M Goss 5040 N 15Th Ave Ste 104	$63.30	37,600	32,639
Carlos Javier Lopez 521 W Thomas Rd	$65.32	36,978	32,843
Perminder Dutt Vaid 6524 W Indian School Rd	$48.79	36,750	31,101
Yves Daria Dumaplin 20040 N 19Th Ave Ste. C	$60.20	36,551	31,566
Neighborhood Outreach Access To Health 20440 N 27Th Ave	$0.51	36,265	30,569
Hetal C Shah 4700 N 51St Ave Ste 5	$18.94	35,940	24,645
Rajesh Thiraviam Pillai 1635 W Glendale Ave	$63.22	35,616	28,255
Dignity Health 350 W Thomas Rd	$12.25	35,589	26,910
Brian Scott Rizzo 16841 N 31St Ave Bldg 2	$63.64	35,388	32,976
Terros, Inc. 3864 N 27Th Ave	$0.16	35,252	30,995
Denova Collaborative Health, Llc 3033 N Central Ave	$92.91	34,048	29,792

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.

Average Medicaid Office Visit Payments in Phoenix, AZ: $47.53

Providers Offering Office Visit in Phoenix, AZ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Houston, TX

Las Vegas, NV

Columbus, OH

Other Procedures in Phoenix, AZ

Blood Work & Lab Tests

Case Management Services

Substance Abuse Treatment

Personal Care Services

Non-Emergency Medical Transportation

Urinalysis & Urine Tests

Behavioral & Mental Health Therapy

Emergency Room Visit