Average Medicaid Office Visit Payments in Portales, NM: $76.18
Avg. Paid
$76.18
Range
$0.00 – $148.29
Total Claims
180,958
Providers
27
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 Portales, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Roosevelt County Special Hospital District
42121 Us Hwy 70 |
$22.83 | 88,617 | 78,742 |
|
La Casa De Buena Salud Inc.
1515 W Fir |
$148.29 | 68,102 | 60,196 |
|
Matthew Laumbach
42121 Us Highway 70 |
$70.34 | 5,915 | 5,720 |
|
Casey L. Turnbough
405 W 4Th St |
$77.07 | 4,325 | 4,054 |
|
Krishna K Lingala
42121 Us Hwy 70 |
$48.12 | 3,936 | 3,402 |
|
Joel William Sievers
304 S Main Ave |
$84.69 | 3,671 | 3,378 |
|
Johanna Christine Pettrey
1515 W Fir St |
$76.76 | 2,132 | 1,982 |
|
Cristy Janese Walsh
42121 Us Highway 70 |
$57.19 | 1,065 | 1,022 |
|
Erika Garcia
42121 Us Hwy 70 |
$54.59 | 699 | 638 |
|
Jamie Bassell
42121 Us Highway 70 |
$0.77 | 536 | 520 |
|
Roosevelt County Special Hospital District
42121 Us Hwy 70 |
$5.25 | 386 | 371 |
|
Giddel G A Thom
1515 W Fir St |
$148.05 | 220 | 202 |
|
Jonathan Redd
1515 W Fir St |
$136.58 | 216 | 195 |
|
Lindsay Young
42121 Us Highway 70 |
$54.32 | 213 | 190 |
|
Kerri Renee Self
405 W 4Th St |
$145.55 | 196 | 166 |
|
Praveen Chava
42121 Us Hwy 70 |
$47.78 | 148 | 143 |
|
Bhargav Chowdary Paleti
1515 W Fir St |
$124.19 | 126 | 112 |
|
Laura L Lowrey
42121 Us 70 |
$35.69 | 116 | 110 |
|
Vineela Lavu
42121 Us Hwy 70 |
$90.16 | 81 | 70 |
|
Marielle Lagamayo Opena
42121 Us Highway 70 |
$6.00 | 72 | 67 |
|
Neelu Finley
42121 Us Hwy 70 |
$41.20 | 67 | 66 |
|
Teresa Claire Evan
1515 W Fir St |
$0.00 | 36 | 36 |
|
Charlene G Beck
42121 Us Highway 70 |
$116.27 | 22 | 21 |
|
Melisa Sayson Valmoria
304 S Main Ave |
$73.37 | 17 | 13 |
|
Brenda Lee Fuselier
304 S Main Ave |
$114.89 | 16 | 12 |
|
Eva F Toelle
42121 Us Hwy 70 |
$75.02 | 14 | 13 |
|
Guadalupe M Kennedy
1515 W Fir St |
$107.71 | 14 | 14 |
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 Portales, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Portales, NM is $76.18 per claim, based on 180,958 claims from 27 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 Portales, NM?
There are 27 Medicaid providers offering Office Visit related services in Portales, NM according to public payment data.
What is the price range for Office Visit in Portales, NM?
Medicaid reimbursement for Office Visit in Portales, NM ranges from $0.00 to $148.29 per claim, with an average of $76.18. 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 Portales, NM
Blood Work & Lab Tests
Avg $10.83
115,045 claims
Speech Therapy
Avg $27.53
63,340 claims
Vaccines & Immunizations
Avg $5.68
49,458 claims
Physical Therapy
Avg $29.54
35,000 claims
Case Management Services
Avg $161.41
34,730 claims
Psychiatric Evaluation
Avg $80.10
25,632 claims
Emergency Room Visit
Avg $190.14
19,697 claims
Urinalysis & Urine Tests
Avg $8.76
19,525 claims