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
Hanna Percy 1595 Bannock Hwy	$87.21	12	12
Vermon S Esplin 444 Hospital Way Ste 710	$29.60	13	12
Willis Parmley 651 Memorial Dr	$30.66	13	12
Cody E Patterson 151 N 4Th Ave	$0.00	13	12
Shaver Holdings Inc 235 S 4Th Ave	$50.00	14	14
Leslie Ann Bean 777 Hospital Way	$18.10	15	13
Nina Kellie Lateefee Abul-Husn 2785 Bannock Hwy	$102.60	15	15
Amie Beth Kenyen 444 Hospital Way Ste 607	$22.09	15	13
Victoria Eleanor Ryan 990 Cesar Chavez Ave	$44.12	15	15
Mark Horrocks 845 W Center St	$18.03	16	16
Gregory M Ford 950 Hospital Way	$82.25	16	15
Carole E Shelley 777 Hospital Way	$77.10	25	24
Benjamin Flandro Call 777 Hospital Way Bldg A	$37.23	25	25
Ranmali Kalyani Walaliyadda 1448 E Center St	$50.01	26	25
Jonathan T Morgan 333 N 18Th Ave	$98.13	27	27
Andrew Bradbury 651 Memorial Dr	$30.57	28	12
Mara Additon 777 Hospital Way Ste 201	$130.60	29	28
Amber Frost 777 Hospital Way	$62.64	38	36
Jason P Richards 2240 E Center St	$25.67	39	39
Bryant Vanleeuwen 777 Hospital Way Ste 215	$87.40	39	38
Jenna Marie Castillo 950 Hospital Way	$47.01	40	38
Sheena Blocker 2850 Olympus Dr	$66.02	41	39
Ryan Bradley Longmore 777 Hospital Way # 101	$87.11	41	40
Kraig C Mcgee 333 N 18Th Ave	$86.02	42	41
Kelsey Marie Denison 1777 E Clark St Ste 330	$14.85	43	38
Cynthia Love Barron 777 Hospital Way Bldg A	$27.07	43	43
Sara Willis 1350 Cedar Lake Rd	$65.97	46	43
Mark Richards 777 Hospital Way	$24.51	47	46
Katherine Ann Anderson 73 Navajo Dr	$0.00	52	48
Eric Jensen 465 Memorial Dr	$18.90	53	49
Elisabeth Gayle Kinghorn 151 N. 4Th Ave Ste B	$47.49	54	52
Randy Paul Vawdrey 495 Yellowstone Ave	$56.69	56	55
Jarrah Alfadhli 777 Hospital Way Ste 101	$51.76	57	57
Michael L Francisco 651 Memorial Dr	$55.99	58	51
Robert Randall Jones 1951 Bench Rd	$63.63	58	51
John Abraham Fenstermaker 1951 Bench Rd	$2.35	64	64
Kealee Arehart 444 Hospital Way Ste 777	$41.06	64	64
James D Petersen 465 Memorial Dr	$0.00	65	63
David E Martin 845 W Center St	$51.04	66	64
Leathie Bickmore 495 Yellowstone Ave	$79.85	67	67
Karson Kert Howard 1555 E Clark St	$42.44	68	62
Margaret Elizabeth Jablonski 2010 Flandro Dr	$82.08	72	62
Chandana Chandra Shekar 777 Hospital Way	$60.63	76	69
Brooke Lee Skinner 110 Vista Dr	$71.17	83	77
Ryan Daniel Wolfley 1950 E Clark St Ste 100	$59.71	84	72
Sherwin D'Souza 2302 E. Terry Street	$69.57	95	95
Jean M Bokelmann Pocatello (Isu) Family Medicine	$21.43	102	99
Mary Elizabeth Gerard 333 N 18Th Ave Ste B4	$49.70	108	102
Natalia Alexandrovna Sorensen 2547 Butte St	$0.11	109	106
Kris M Walker 1951 Bench Rd	$69.27	113	111

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.

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

Providers Offering Office Visit in Pocatello, ID

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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