Average Medicaid Office Visit Payments in Rexburg, ID: $51.15
Avg. Paid
$51.15
Range
$0.00 – $195.87
Total Claims
194,221
Providers
91
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 Rexburg, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Cameron Stephenson
393 E 2Nd N |
$30.63 | 11,550 | 10,003 |
|
Mark S. Hammar
37 S 2Nd E Ste 202 |
$40.66 | 9,108 | 8,573 |
|
David L Day
32 W 1St S |
$56.87 | 9,076 | 8,422 |
|
Richard Thomas Jones
32 W 1St S |
$69.17 | 7,434 | 6,846 |
|
Peter J Valora
72 S 1St E Ste 101 |
$57.79 | 7,198 | 6,100 |
|
Bryant Hansen
72 S 1St E Ste 101 |
$1.40 | 6,344 | 5,726 |
|
Brennen Larsen
21 Winn Dr |
$54.51 | 6,190 | 5,622 |
|
Dave Robinson
1236 Bond Ave Ste B |
$59.03 | 5,967 | 5,496 |
|
Jacob Kimball Curtis
72 S 1St E Ste 101 |
$1.28 | 5,760 | 4,496 |
|
Zachery M Brunson
393 E 2Nd N |
$55.92 | 5,754 | 5,490 |
|
Austin C Gillette
21 Winn Dr |
$69.82 | 5,637 | 5,170 |
|
Steven Craig Pierce
450 E Main St |
$56.56 | 5,575 | 5,206 |
|
Gary R Sena
37 S 2Nd E |
$49.26 | 5,482 | 5,141 |
|
Jeffrey Gardner Hopkin
32 W 1St S |
$66.24 | 5,470 | 4,781 |
|
Nichole Ann Jeppesen
10 Madison Professional Park |
$57.56 | 5,365 | 4,738 |
|
Adriann J Wilcox
393 E 2Nd N |
$56.85 | 4,752 | 4,378 |
|
David Porter Batt
393 E 2Nd N |
$62.88 | 4,455 | 4,340 |
|
Rosemary H Brown
33 Madison Professional Park |
$75.71 | 4,041 | 3,643 |
|
Dan Loren Weber
256 N 2Nd E |
$47.36 | 3,992 | 3,779 |
|
Kelly L Dustin
21 Winn Dr |
$66.25 | 3,828 | 3,556 |
|
Bryce Campbell
450 E Main St |
$36.96 | 3,582 | 3,475 |
|
Joshua L Gilgen
21 Winn Dr |
$14.41 | 3,553 | 3,337 |
|
David G Holland
Sch 100 |
$30.79 | 3,389 | 3,318 |
|
Eric Lee Brown
859 S Yellowstone Hwy Ste 304 |
$73.74 | 3,303 | 3,275 |
|
Travis J Weiszhaar
37 S 2Nd E |
$53.26 | 3,211 | 2,989 |
|
Jason Ern Hymas
37 S 2Nd E |
$45.86 | 3,171 | 2,998 |
|
Joseph Watson
393 E 2Nd N |
$63.73 | 3,081 | 2,888 |
|
Angela Peterson
37 S 2Nd E |
$70.21 | 3,071 | 2,900 |
|
Scott Russell Hardy
37 S 2Nd E |
$75.43 | 2,674 | 2,506 |
|
Trent E Shaw
72 E Main St |
$16.78 | 2,586 | 2,524 |
|
Nichole Robson
10 Madison Professional Park |
$63.30 | 2,491 | 2,288 |
|
Joseph Michael Haeberle
272 Mark Ave |
$70.24 | 2,430 | 2,422 |
|
Clay Christian Prince
10 Madison Professional Park |
$69.14 | 2,374 | 2,228 |
|
Arleigh Nash
72 S 1St E Ste 101 |
$0.00 | 2,373 | 2,147 |
|
Tyler Herchell Moore
37 S 2Nd E Ste 101 |
$65.51 | 2,037 | 1,928 |
|
Brian Paul Beesley
37 S 2Nd E |
$78.65 | 1,870 | 1,705 |
|
Corey T Rammell
393 E 2Nd N |
$70.06 | 1,764 | 1,615 |
|
Steven Hansen Lofgran
37 S 2Nd E |
$58.99 | 1,700 | 1,508 |
|
Charles Jeffrey Zollinger
393 E 2Nd N |
$56.16 | 1,472 | 1,310 |
|
Barry John Peterson
256 N 2Nd E |
$85.57 | 1,458 | 1,443 |
|
David F Daniels
72 E Main St |
$9.64 | 1,335 | 1,245 |
|
Brett Gerald Bagley
556 Trejo St |
$76.82 | 1,309 | 1,193 |
|
Chad W Hurd
375 S 5000 W |
$39.99 | 1,306 | 1,249 |
|
Tate Coltan Staker
130 W Main St |
$10.53 | 1,197 | 1,157 |
|
Analee Fish
Byui Student Health Center |
$28.25 | 1,139 | 1,085 |
|
Jeffrey D Hancock
380 Walker Dr |
$105.89 | 1,025 | 945 |
|
Dallin Brim Gambles
380 Walker Dr |
$72.66 | 999 | 830 |
|
Michael M Packer
37 S 2Nd E |
$64.94 | 993 | 952 |
|
Annette Mary Tuft
404 N 2Nd E |
$58.32 | 806 | 761 |
|
Travis Gilbert
1049 Summers Dr |
$55.89 | 780 | 724 |
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 Rexburg, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rexburg, ID is $51.15 per claim, based on 194,221 claims from 91 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 Rexburg, ID?
There are 91 Medicaid providers offering Office Visit related services in Rexburg, ID according to public payment data.
What is the price range for Office Visit in Rexburg, ID?
Medicaid reimbursement for Office Visit in Rexburg, ID ranges from $0.00 to $195.87 per claim, with an average of $51.15. 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 Rexburg, ID
Physical Therapy
Avg $58.68
136,032 claims
Vaccines & Immunizations
Avg $14.06
88,247 claims
Speech Therapy
Avg $29.38
71,358 claims
Home Health Visit
Avg $81.10
71,085 claims
Dental Cleaning & Exam
Avg $30.80
71,050 claims
Blood Work & Lab Tests
Avg $3.38
53,329 claims
Podiatry (Foot Care)
Avg $3.43
51,348 claims
Personal Care Services
Avg $41.36
51,328 claims