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
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 Pocatello, ID
Physical Therapy
Avg $36.23
328,178 claims
Speech Therapy
Avg $50.68
203,208 claims
Home Health Visit
Avg $46.23
186,686 claims
Blood Work & Lab Tests
Avg $7.93
183,771 claims
Dental Cleaning & Exam
Avg $32.53
150,483 claims
Substance Abuse Treatment
Avg $91.17
141,837 claims
Vaccines & Immunizations
Avg $20.15
120,889 claims
Personal Care Services
Avg $26.87
117,478 claims