Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Sandpoint, ID: $52.30

Avg. Paid

$52.30

Range

$0.00 – $116.02

Total Claims

68,034

Providers

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 Sandpoint, ID

Provider	Avg. Paid	Claims	Patients
Andrew Benjamin Vizcarra 810 Sixth Ave	$46.61	6,586	5,359
Beaver E Eller 520 N 3Rd Ave	$65.75	4,772	4,493
George V Deland 810 N. Sixth Avenue	$2.90	4,451	4,152
Tammy Lynn Undiemi 810 Sixth Ave	$81.62	4,441	4,287
Tara Leigh Weeks Vizcarra 810 Sixth Ave	$54.15	3,857	3,623
Laurie Foutty 520 N 3Rd Ave	$67.56	3,662	3,620
Lynette N Mccanna 423 N 3Rd Ave Ste 210	$45.16	3,619	3,298
Dean Bernard Kubacz 423 N Third Ave	$85.78	3,580	3,262
Mark Edward Hernandez 302 S 1St Ave	$78.59	2,564	2,289
Tessa Marie Reinke 414 Church St Ste 120	$43.27	2,556	2,285
Timothy Ray Bonine 1309 Ponderosa Dr	$68.07	2,236	2,031
Robert Edward Rust 1301 N Division Ave	$55.01	2,162	1,913
Zachary Paul Halversen 606 N 3Rd Avenue	$78.98	1,677	1,535
Katie M Sweeney-Amorebieta 1555 Ontario St	$61.40	1,577	1,425
Ann L Cox 810 N. Sixth Avenue	$3.01	1,564	1,425
Erin Bass 810 N. Sixth Avenue	$3.53	1,509	1,439
Daniel Jack Meulenberg 606 N 3Rd Ave Ste 101	$69.08	1,438	1,341
Kathryn Colleen Robertson 302 S 1St Ave	$49.47	1,306	1,148
Laura Jean Lata 810 N. Sixth Avenue	$3.49	1,192	1,128
Matthew Hansen 1327 W Superior St Ste 101	$71.61	901	853
Christina Marie Rust 302 S 1St Ave	$84.79	836	753
Shannon Marie Seckel 420 N 2Nd Ave Ste 100	$0.00	799	778
Karina Alexi Bethje 520 N 3Rd Ave	$65.03	793	770
Jeffrey Sorin Ispirescu 1327 Superior St	$60.69	769	710
Bonner General Hospital Inc. 520 N 3Rd Ave	$5.91	721	449
Scott Ronald Dunn 606 N Third Ave	$70.96	701	655
Alina Niculaescu 606 N 3Rd Ave	$45.02	689	642
Benjamin Keggi 423 N 3Rd Ave Ste 210	$84.22	621	545
Angella Rae Morlen 810 Sixth Ave	$80.54	593	557
Nicole Elizabeth Russell 810 North 6Th Ave.	$9.41	563	531
Sarah Rains 810 Sixth Ave	$74.34	521	487
Megan Gentry 810 Sixth Ave	$0.00	498	472
John M Seaman 420 N 2Nd Ave	$1.37	456	436
Natasha M Splaine-Talbott 606 N 3Rd Ave Ste 203	$33.25	453	387
Jeremy J Waters 606 N 3Rd Ave	$79.24	399	378
Kelly A. Fuhrman 1005 Highway 2	$40.78	370	306
Michael Andrew Mcisaac 1327 Superior St	$5.38	304	284
Gregory D Pennock 423 N Third Ave Ste 335	$57.04	241	218
David Scott Moran 810 Sixth Ave	$97.18	219	213
Boundary Regional Community Health Center, Inc. 810 N. Sixth Avenue	$0.00	201	173
Donna J Foord 1301 N Division Ave	$39.94	193	126
Jane E Hoover 1207 Michigan Street	$41.50	181	171
Lawrence Derbes 423 N Third Ave Ste 355	$41.40	180	133
Russell R Blakeley 606 N Third Ave	$49.76	146	139
Nichole Suzanne Grimm 423 N 3Rd Ave Ste 201	$61.40	125	120
Mary R Fiedler 1020 Michigan St	$62.40	108	102
Alexi Jordan Johnson 606 N Third Ave Ste 101	$45.14	94	88
Dean Crosgrove 420 N 2Nd Ave	$45.33	86	81
Chase C Williams 414 Church St Ste 206	$91.86	82	82
Brent Leedle 606 N 3Rd Ave Ste 201	$59.17	80	65

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 Sandpoint, ID?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sandpoint, ID is $52.30 per claim, based on 68,034 claims from 61 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 Sandpoint, ID?

There are 61 Medicaid providers offering Office Visit related services in Sandpoint, ID according to public payment data.

What is the price range for Office Visit in Sandpoint, ID?

Medicaid reimbursement for Office Visit in Sandpoint, ID ranges from $0.00 to $116.02 per claim, with an average of $52.30. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Sandpoint, ID: $52.30

Providers Offering Office Visit in Sandpoint, ID

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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