Average Medicaid Office Visit Payments in Sahuarita, AZ: $49.57
Avg. Paid
$49.57
Range
$0.02 – $66.59
Total Claims
36,355
Providers
13
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 Sahuarita, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniela Losey
509 W Camino Curvitas |
$64.60 | 8,073 | 7,259 |
|
Georgina Rotzler
1384 E Walker Springs Pl |
$66.59 | 5,939 | 5,239 |
|
United Community Health Center - Maria Auxiliadora Inc.
2875 E Sahuarita Rd |
$0.02 | 4,063 | 3,465 |
|
John Modrzejewski
15920 S Rancho Sahuarita Blvd Ste 120 |
$50.71 | 3,646 | 3,345 |
|
Rachel Tennessee Hardy
18857 S La Canada Dr |
$63.61 | 3,583 | 3,227 |
|
Kimberly C. Moss
16260 S Rancho Sahuarita Blvd Ste 200 |
$56.59 | 3,203 | 2,996 |
|
Aimee Ramos
221 W Calle La Bolita |
$43.89 | 2,950 | 2,853 |
|
John Spencer
15920 S Rancho Sahuarita Blvd Ste 120 |
$48.47 | 1,753 | 1,534 |
|
United Community Health Center-Maria Auxiliadora, Inc.
18857 S. Lacanada Dr. |
$0.18 | 1,676 | 1,486 |
|
Eliza Panczyk
16260 S Rancho Sahuarita Blvd Ste 220 |
$54.02 | 842 | 765 |
|
Diane Esther Trotter
15920 S Rancho Sahuarita Blvd Ste 120 |
$44.78 | 384 | 356 |
|
Stephanie Lynne Sparkes
16260 S Rancho Sahuarita Blvd Ste 200 |
$53.99 | 180 | 174 |
|
Mark Frank Kowalski
16260 S Rancho Sahuarita Blvd # 220 |
$57.12 | 63 | 63 |
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 Sahuarita, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sahuarita, AZ is $49.57 per claim, based on 36,355 claims from 13 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 Sahuarita, AZ?
There are 13 Medicaid providers offering Office Visit related services in Sahuarita, AZ according to public payment data.
What is the price range for Office Visit in Sahuarita, AZ?
Medicaid reimbursement for Office Visit in Sahuarita, AZ ranges from $0.02 to $66.59 per claim, with an average of $49.57. 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 Sahuarita, AZ
Blood Work & Lab Tests
Avg $2.41
54,549 claims
Emergency Room Visit
Avg $134.30
43,248 claims
Physical Therapy
Avg $38.11
33,463 claims
Urinalysis & Urine Tests
Avg $0.13
14,800 claims
X-Ray
Avg $3.82
8,894 claims
Psychiatric Evaluation
Avg $66.21
8,716 claims
CT Scan (Computed Tomography)
Avg $355.83
8,412 claims
EKG / ECG (Electrocardiogram)
Avg $3.20
7,421 claims