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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Raton, NM: $59.83

Avg. Paid

$59.83

Range

$0.00 – $96.89

Total Claims

42,330

Providers

20

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 Raton, NM

Provider Avg. Paid Claims Patients
Misbah Darweesh Zmily

190 Hospital Dr

 $61.65 14,817 13,009
Mark H Bayliss

190 Hospital Dr

 $49.37 5,689 5,104
Aileen C Swope

166 Hospital Dr

 $64.35 5,282 4,600
Leonardo E Lopez

203 Hospital Dr

 $40.59 3,256 2,950
Pamela Ammons

166 Hospital Dr

 $68.84 2,779 2,642
Amy Charlene Ford

190 Hospital Dr

 $73.60 2,374 2,144
Marcia Louise Hefker

1400 S 2Nd Street

 $96.31 1,919 1,610
Sara Jessanne Lark

203 Hospital Dr

 $48.71 1,846 1,725
Douglas Craig Smith

203 Hospital Dr

 $52.38 1,707 1,611
Vinay Saini

203 Hospital Dr

 $45.20 937 858
Jessica L Roberts

203 Hospital Dr

 $40.14 538 506
Donald Primer

203 Hospital Dr

 $96.89 435 303
Miners Colfax Medical Center

203 Hospital Dr

 $7.98 259 224
Laurel Escano Laurel

203 Hospital Dr

 $73.51 198 197
John Claude Bagwell

203 Hospital Dr

 $39.63 82 82
David W Fairbanks

203 Hospital Dr

 $59.39 73 68
Louisa Gayle Chavez

203 Hospital Dr

 $45.95 56 52
Christine Lopez

203 Hospoital Dr.

 $50.32 38 36
Tiger Den Wellness Center

1535 Tiger Circle

 $44.46 27 26
Erin Pearcy

203 Hospital Dr

 $0.00 18 16

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 Raton, NM?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Raton, NM is $59.83 per claim, based on 42,330 claims from 20 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 Raton, NM?

There are 20 Medicaid providers offering Office Visit related services in Raton, NM according to public payment data.

What is the price range for Office Visit in Raton, NM?

Medicaid reimbursement for Office Visit in Raton, NM ranges from $0.00 to $96.89 per claim, with an average of $59.83. 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 Raton, NM

Blood Work & Lab Tests

Avg $11.51

49,993 claims

Physical Therapy

Avg $39.56

39,306 claims

Emergency Room Visit

Avg $222.19

17,067 claims

Speech Therapy

Avg $41.62

12,929 claims

Vaccines & Immunizations

Avg $42.29

10,165 claims

Dental Cleaning & Exam

Avg $29.16

8,964 claims

Substance Abuse Treatment

Avg $128.28

8,402 claims

Psychiatric Evaluation

Avg $87.48

7,170 claims