Average Medicaid Office Visit Payments in Rupert, ID: $12.63
Avg. Paid
$12.63
Range
$0.00 – $75.44
Total Claims
20,388
Providers
21
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 Rupert, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tanya Reid Crystal
1308 8Th St |
$38.71 | 25 | 25 |
|
Aleksandr Doroshkin
1308 8Th St Ste 1 |
$0.49 | 72 | 67 |
|
Christopher Mark Burns
1308 8Th St Ste 1 |
$0.00 | 114 | 112 |
|
Brad L Wynn
1308 8Th St Ste 1 |
$2.62 | 114 | 111 |
|
Hayden Wheatley
402 6Th St |
$0.00 | 163 | 146 |
|
Minidoka Memorial Hospital
1308 8Th St |
$7.45 | 216 | 186 |
|
Lanny F Campbell
1308 8Th St Ste 1 |
$0.00 | 228 | 206 |
|
Mark Dahle
1308 8Th St Ste 1 |
$0.00 | 284 | 223 |
|
Shawna M Mccaffrey
1308 8Th St |
$0.46 | 383 | 367 |
|
Ryan Callahan
1218 9Th St Ste 10 |
$70.63 | 471 | 464 |
|
Darin L Wright
1218 9Th St Ste 10 |
$50.68 | 653 | 622 |
|
Casie Taylor
1218 9Th St Ste 10 |
$0.72 | 842 | 789 |
|
Victoria Rose Vega
402 6Th St |
$21.71 | 859 | 809 |
|
Kerry W Saurey
1218 9Th St |
$58.98 | 888 | 747 |
|
Donald J Konrad
1224 8Th St |
$75.44 | 1,170 | 1,141 |
|
Dawn Ariel Jennings
402 6Th St |
$2.66 | 1,234 | 1,158 |
|
Aaron Catmull
1308 8Th St Ste 1 |
$2.83 | 1,392 | 1,326 |
|
Jeffrey Scott Swenson
1308 8Th St Ste 1 |
$2.18 | 2,416 | 2,205 |
|
Brian R Muir
1308 8Th St Ste 1 |
$0.87 | 2,476 | 2,332 |
|
Cameron Mchan
1308 8Th St Ste 1 |
$1.89 | 2,560 | 2,394 |
|
Jared Brent Keller
402 6Th St |
$2.27 | 3,828 | 3,577 |
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 Rupert, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rupert, ID is $12.63 per claim, based on 20,388 claims from 21 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 Rupert, ID?
There are 21 Medicaid providers offering Office Visit related services in Rupert, ID according to public payment data.
What is the price range for Office Visit in Rupert, ID?
Medicaid reimbursement for Office Visit in Rupert, ID ranges from $0.00 to $75.44 per claim, with an average of $12.63. 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 Rupert, ID
Substance Abuse Treatment
Avg $194.40
41,406 claims
Behavioral & Mental Health Therapy
Avg $112.47
22,668 claims
Blood Work & Lab Tests
Avg $4.89
15,571 claims
Speech Therapy
Avg $14.04
14,415 claims
Emergency Room Visit
Avg $66.09
10,712 claims
Home Health Visit
Avg $35.50
5,561 claims
Eye Exam
Avg $102.42
3,989 claims
Physical Therapy
Avg $33.59
3,920 claims