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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Pocatello, ID: $53.27

Avg. Paid

$53.27

Range

$0.00 – $290.25

Total Claims

354,345

Providers

235

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 Pocatello, ID

Provider Avg. Paid Claims Patients
Jon Daniel Malan

1001 N 7Th Ave Ste 135

$25.14 16,017 10,825
Tyler Hepworth

777 Hospital Way

$47.39 13,989 12,956
Brittany Marie Czerna

1950 E Clark St Ste 110

$93.67 11,736 9,564
Titus Kener

1200 Hospital Way

$72.44 10,147 9,143
Todd Cranor

1950 E Clark St Ste 110

$72.25 9,183 8,731
David J Larsen

1151 Hospital Way Bldg F

$68.52 7,543 7,287
Matthew A Stelzer

1151 Hospital Way Bldg F

$65.85 7,195 7,022
Shaun Stephen Summerill

1151 Hospital Way

$71.71 7,145 6,814
Don E Mcinturff

1151 Hospital Way

$64.54 7,028 6,700
Cindy Elizabeth Parsons

1151 Hospital Way

$74.04 7,024 6,737
Nicholas A Hale

495 Yellowstone Ave

$67.39 6,866 6,587
Skyler Shane Shippen

465 Memorial Dr

$80.68 6,782 6,494
Paul Bieniasz

1000 N 8Th Ave

$4.30 6,575 5,911
Laura M Duty

1151 Hospital Way

$68.18 6,526 6,334
Logan D Higbee

1000 N 8Th Ave

$11.91 6,447 5,907
Matthew Ayers Murdoch

1151 Hospital Way

$66.78 6,421 6,223
David M Denton

1151 Hospital Way

$68.78 6,194 5,989
Gentry C Yost

1151 Hospital Way

$65.46 6,118 5,918
Adam Packer

777 Hospital Way

$62.36 5,990 5,802
Brian C Fulks

1151 Hospital Way

$71.40 5,957 5,769
Rachel Ellen Peay-Goodman

396 Yellowstone Ave

$58.96 5,412 4,876
Joseph Neil Ragan

465 Memorial Dr

$3.82 5,303 4,522
Zuzana Fletcher

1000 N 8Th Ave

$7.98 4,989 4,426
Melissa Kjos

465 Memorial Dr

$10.63 4,156 3,700
Ananda Walaliyadda

1448 E Center St

$95.26 4,003 3,900
Ruth Siobhan Dekker

777 Hospital Way

$44.19 3,984 3,875
Tyler Forrest Mayo

465 Memorial Dr

$76.13 3,948 3,712
Nancy E. Armstrong

1479 Bench Rd

$39.21 3,742 3,420
Erin Louise Millward

465 Memorial Dr

$4.78 3,660 3,223
Richard Willis Runyan

150 Vista Dr

$71.23 3,565 3,369
Gregory Daniel Kostur

500 S 11Th Ave Ste 204

$0.40 3,523 3,037
Scott P Conover

465 Memorial Dr

$1.68 3,079 2,608
Bradley Brent Lowder

2850 Olympus Dr

$37.84 2,941 2,515
Dakota Wilson

1950 E Clark St

$81.99 2,934 2,803
Luis Fernandez

2850 Olympus Dr.

$47.94 2,925 2,697
Health West, Inc.

465 Memorial Dr

$0.13 2,811 2,127
Jason Knighton

2928 Michelle St

$36.06 2,776 2,669
Brent Christensen

1777 E Clark St

$44.77 2,776 2,503
Alison Marie Mcinturff

1151 Hospital Way Bldg F

$65.99 2,775 2,728
Chance Davis Christensen

465 Memorial Dr

$4.93 2,655 2,359
Benjamin Blair

2240 E Center St

$50.55 2,524 2,097
Kyle L Clifford

2006 Birdie Thompson Drive

$65.43 2,504 2,333
Jordan Clay Chapman

777 Hospital Way Ofc Bldg

$68.22 2,411 2,192
Richard M Maynard

110 Vista Dr

$75.59 2,381 2,157
Zachariah Lee Rollins

500 S 11Th Ave Ste 400

$52.06 2,321 2,153
Cameron Lewis Nelson

1553 E Center St

$64.25 2,292 2,239
Jacob R Foster

110 Vista Dr

$41.62 2,102 1,976
Megan L. Macbutch

1951 Bench Rd Ste B

$51.42 2,099 1,959
Bradley Mark Burton

2006 Birdie Thompson Drive

$65.79 2,086 1,976
Morgan Yost

777 Hospital Way

$84.47 2,069 1,974

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 Pocatello, ID?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pocatello, ID is $53.27 per claim, based on 354,345 claims from 235 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 Pocatello, ID?

There are 235 Medicaid providers offering Office Visit related services in Pocatello, ID according to public payment data.

What is the price range for Office Visit in Pocatello, ID?

Medicaid reimbursement for Office Visit in Pocatello, ID ranges from $0.00 to $290.25 per claim, with an average of $53.27. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Pocatello, ID