Average Medicaid Office Visit Payments in Prescott, AZ: $57.61
Avg. Paid
$57.61
Range
$0.14 – $390.52
Total Claims
401,335
Providers
245
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 Prescott, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jared Head
1003 Willow Creek Rd |
$61.28 | 18,530 | 17,170 |
|
County Of Yavapai
1090 Commerce Dr |
$0.14 | 18,305 | 15,649 |
|
Lourdes R Jacobo
2120 Centerpointe West Dr |
$55.76 | 17,743 | 15,491 |
|
Michelle Kaye Dawson-Harrel
3623 Crossings Dr Ste 206 |
$103.54 | 17,341 | 16,807 |
|
Diana Brady
3623 Crossings Dr Ste 206 |
$45.05 | 10,328 | 8,937 |
|
Mohammad-Ali El-Harakeh
3777 Crossings Dr |
$50.69 | 10,009 | 9,427 |
|
Michael Adrian Frost
712 E Pine Knoll Dr |
$47.37 | 9,510 | 8,172 |
|
Adam Roberts
1947 Commerce Center Cir Ste A |
$102.13 | 8,680 | 8,413 |
|
James Derek Calhoun
1001 Willow Creek Rd Ste 3100 |
$20.87 | 8,464 | 6,661 |
|
Hojat Askari
3124 Willow Creek Rd |
$54.05 | 8,197 | 7,036 |
|
Jeanne M. Gibian
2120 Centerpointe West Dr |
$47.97 | 7,992 | 7,619 |
|
Sheila Kaye Busch
1672 Oaklawn Dr |
$64.76 | 7,785 | 6,805 |
|
Edie Jay Morgan
3105 Clearwater Dr |
$56.17 | 6,919 | 5,559 |
|
Mohammad Golparian
3769 Crossings Dr Ste B |
$63.13 | 6,870 | 5,390 |
|
John Iverson
743 Miller Valley Rd |
$50.83 | 6,549 | 5,681 |
|
Melinda M Martin
907 Ainsworth Dr |
$35.36 | 5,696 | 4,033 |
|
Yavapai Community Hospital Association
1003 Willow Creek Road |
$58.97 | 5,655 | 4,140 |
|
Ha Le Pham
830 Ainsworth Dr |
$40.71 | 5,309 | 5,109 |
|
Christopher Novack
3124 Willow Creek Rd |
$52.83 | 5,192 | 4,392 |
|
Luis Anthony Fernandez
1005 Division St |
$22.23 | 5,181 | 3,518 |
|
Hector Ivan Rodriguez-Luna
802 Ainsworth Dr Ste A |
$53.63 | 5,133 | 4,618 |
|
Matthew J Hinton
2120 Centerpointe W Dr |
$54.04 | 5,039 | 4,834 |
|
Argie Jamaica G Rivera
625 W Hillside Ave |
$66.33 | 5,032 | 4,658 |
|
Puneet Dabas
3773 Crossings Dr Ste C |
$58.88 | 5,023 | 4,751 |
|
Kelly Lee Tracey
3124 Willow Creek Rd |
$2.00 | 4,909 | 3,472 |
|
Ketan Jani
3777 Crossings Dr |
$50.31 | 4,759 | 4,431 |
|
Michelle Copeland
2120 Centerpointe West Dr |
$55.67 | 4,650 | 4,481 |
|
Shelly Faye Klein
1672 Oaklawn Dr. |
$48.95 | 4,569 | 3,915 |
|
Jennifer Evans Tidroski
2120 Centerpointe West Dr |
$63.31 | 4,057 | 3,809 |
|
Eric Baumann
2100 Centerpointe West Dr |
$52.98 | 3,933 | 3,551 |
|
Smiths Food & Drug Centers Inc
3198 Willow Creek Rd |
$390.52 | 3,858 | 3,558 |
|
Shawna Renee Carbonniere
3110 Clearwater Dr Ste B |
$64.55 | 3,824 | 3,631 |
|
Zachary Randolph Leonard
1947 Commerce Center Cir Ste A |
$95.07 | 3,746 | 3,592 |
|
Joseph Paul Maidl
1998 Prescott Lakes Pkwy Apt 250 |
$44.82 | 3,694 | 3,207 |
|
Nicole Martin
1090 Commerce Dr |
$72.78 | 3,681 | 3,146 |
|
Kenneth Gayle Lawlor
3111 Clearwater Dr Ste A |
$64.80 | 3,629 | 3,385 |
|
Brad L. Hayman
3103 Clearwater Dr Ste B |
$19.19 | 3,577 | 2,606 |
|
Stephen Aiello
3633 Crossings Dr |
$124.03 | 3,512 | 3,343 |
|
Joan Meyers
726 Gail Gardner Way |
$4.32 | 3,425 | 3,220 |
|
Shantell Shipp
743 Miller Valley Rd |
$65.63 | 3,423 | 3,187 |
|
John Todd Cox
3112 Clearwater Dr Ste B |
$48.76 | 3,155 | 2,866 |
|
Terry Barns
282 Westgate |
$46.94 | 3,114 | 2,822 |
|
James Archie Ramaglino
3110 Clearwater Dr Ste B |
$47.52 | 3,064 | 2,842 |
|
Allan V. Espinosa Morazan
5430 Landmark Ln |
$48.67 | 2,976 | 2,570 |
|
Heidi Lynn Alton
802 Ainsworth Dr Ste A |
$49.41 | 2,888 | 2,530 |
|
Mukundkumar V Patel
1100 Gail Gardner Way |
$43.73 | 2,826 | 2,518 |
|
Paul B Tilyou
3112 Clearwater Dr |
$74.26 | 2,744 | 2,519 |
|
Whitney Allison Sheen James
1231 Willow Creek Rd Ste B |
$58.46 | 2,542 | 1,879 |
|
Kirsten Flynn
830 Ainsworth Dr |
$45.41 | 2,524 | 2,365 |
|
Wilford Lee Richardson
1223 Willow Creek Rd |
$65.29 | 2,513 | 2,255 |
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 Prescott, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Prescott, AZ is $57.61 per claim, based on 401,335 claims from 245 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 Prescott, AZ?
There are 245 Medicaid providers offering Office Visit related services in Prescott, AZ according to public payment data.
What is the price range for Office Visit in Prescott, AZ?
Medicaid reimbursement for Office Visit in Prescott, AZ ranges from $0.14 to $390.52 per claim, with an average of $57.61. 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 Prescott, AZ
Blood Work & Lab Tests
Avg $2.56
435,774 claims
Emergency Room Visit
Avg $180.08
266,458 claims
Case Management Services
Avg $45.16
231,154 claims
Substance Abuse Treatment
Avg $115.00
199,089 claims
X-Ray
Avg $11.94
134,408 claims
Urinalysis & Urine Tests
Avg $0.69
116,184 claims
Physical Therapy
Avg $45.63
109,837 claims
Behavioral & Mental Health Therapy
Avg $90.61
93,745 claims