Average Medicaid Office Visit Payments in Santa Fe, NM: $93.59
Avg. Paid
$93.59
Range
$0.00 – $578.77
Total Claims
620,520
Providers
370
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 Santa Fe, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southwest Care Center
649 Harkle Rd Ste E |
$147.78 | 34,199 | 31,375 |
|
La Familia Medical Center
1035 Alto St |
$131.87 | 34,082 | 29,834 |
|
Christopher Philip Novak
605 Letrado St Ste D |
$40.24 | 32,928 | 28,417 |
|
Presbyterian Medical Services
2960 Rodeo Park Dr W |
$133.79 | 31,895 | 24,517 |
|
Presbyterian Medical Services
4730 Beckner Road |
$151.93 | 24,659 | 21,282 |
|
La Familia Medical Center
2145 Caja Del Oro Grant Rd |
$149.75 | 17,549 | 15,645 |
|
Andrew Ropp
3450 Zafarano Dr |
$81.10 | 17,470 | 16,856 |
|
Gregory Fernandez
401 Botulph Ln |
$0.99 | 16,943 | 10,491 |
|
Santa Fe Indian Hospital
1700 Cerrillos Rd |
$357.67 | 13,991 | 11,667 |
|
Lyle B Amer
2212 Brothers Rd |
$42.79 | 11,887 | 11,391 |
|
Crystal Andrea Romero
2025 Galisteo St |
$86.45 | 9,717 | 9,424 |
|
Kurt D Kastendieck
421 Saint Michaels Dr |
$71.11 | 8,922 | 7,749 |
|
Dawn Renee Abriel
22 Dutch Rd |
$70.51 | 8,918 | 3,993 |
|
Lynn A Devlin
4730 Beckner Rd |
$124.03 | 8,540 | 8,285 |
|
Michael Reginald Mckinney
435 Saint Michaels Dr |
$71.87 | 8,357 | 8,157 |
|
La Familia Medical Center
1532 Cerrillos Rd Ste B |
$144.10 | 7,326 | 6,072 |
|
Kathy Onsurez Wilson
4730 Beckner Rd |
$67.23 | 7,277 | 7,076 |
|
Glenda L. King
2019 Galisteo St |
$55.30 | 7,082 | 5,746 |
|
Thomas R Hernandez
4801 Beckner Rd |
$79.89 | 6,950 | 6,570 |
|
Lesa Deanne Fraker
707 Paseo De Peralta |
$114.15 | 6,628 | 6,266 |
|
Vincent Chmielarczyk
2590 Camino Entrada |
$83.04 | 6,265 | 6,025 |
|
Tina Mier
3450 Zafarano Dr Unit C |
$91.49 | 6,245 | 6,083 |
|
Robert Van Blakeburn
2085 S Pacheco St |
$67.67 | 6,020 | 5,450 |
|
Deborah Rudene Caswell
465 Saint Michaels Dr |
$26.79 | 5,724 | 3,030 |
|
Edward M. Grant
401 Botulph Ln |
$94.34 | 5,175 | 4,600 |
|
Rachelle B Vega
4801 Beckner Rd # 2750 |
$105.58 | 4,758 | 4,005 |
|
Andrea Grano
465 Saint Michaels Dr |
$72.04 | 4,670 | 4,523 |
|
Camille M Gonzales
454 St Michaels Dr Ste 200 |
$67.60 | 4,253 | 4,109 |
|
Loretta M Torres
9 Calle Medico |
$92.11 | 4,077 | 3,371 |
|
Timothy Busch
5 Calle Medico Ste A |
$78.93 | 3,972 | 3,925 |
|
Michelle Elizabeth Leonard Deithloff
404 Brunn School Rd |
$38.64 | 3,933 | 3,566 |
|
Stephen Paul Lucero
1650 Hospital Dr |
$25.50 | 3,871 | 2,498 |
|
Gina C Ortiz
1691 Galisteo St |
$72.71 | 3,747 | 3,665 |
|
Douglas Hinten Emch
2504 Camino Entrada |
$91.69 | 3,591 | 3,358 |
|
Amy Michelle Potter
1704 Llano St Ste B |
$68.28 | 3,520 | 2,679 |
|
Anita Paiz Gomez
901 W Alameda St |
$83.38 | 3,489 | 2,667 |
|
Deborah Sanchez
2801 Rodeo Rd |
$91.84 | 3,469 | 3,360 |
|
Tim B Gannon
3450 Zafarano Dr |
$68.17 | 3,455 | 3,379 |
|
Eliezer R Pangan
1700 Cerrillos Rd |
$53.72 | 3,351 | 3,195 |
|
Lynore Margaret Martinez
405 Kiva Ct |
$83.06 | 3,264 | 3,125 |
|
Robin Marie Edward
2590 Camino Entrada |
$70.34 | 3,190 | 2,951 |
|
Aja M. Sanzone
1405 Vegas Verdes |
$64.33 | 3,161 | 3,092 |
|
Michael Smith Patterson
2590 Camino Entrada |
$66.13 | 3,147 | 3,041 |
|
Cecilia L Concepcion
5501 Herrera Dr |
$90.32 | 3,115 | 3,051 |
|
Katharine Elizabeth Danner
4730 Beckner Road |
$57.57 | 3,072 | 2,567 |
|
Luis Rigales
435 Saint Michaels Dr |
$70.56 | 3,036 | 2,910 |
|
Robin Sann Gossum
1631 Hospital Dr |
$57.16 | 2,966 | 2,829 |
|
Christina Emily Kithil
1494 S Saint Francis Dr |
$110.66 | 2,940 | 2,422 |
|
Grace Nadell
5501 Herrera Contenta |
$69.16 | 2,871 | 2,760 |
|
Danny M Mays
1650 Hospital Dr Ste 800 |
$52.13 | 2,868 | 2,616 |
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 Santa Fe, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Santa Fe, NM is $93.59 per claim, based on 620,520 claims from 370 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 Santa Fe, NM?
There are 370 Medicaid providers offering Office Visit related services in Santa Fe, NM according to public payment data.
What is the price range for Office Visit in Santa Fe, NM?
Medicaid reimbursement for Office Visit in Santa Fe, NM ranges from $0.00 to $578.77 per claim, with an average of $93.59. 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 Santa Fe, NM
Substance Abuse Treatment
Avg $20.09
1,787,649 claims
Blood Work & Lab Tests
Avg $10.75
461,666 claims
Psychiatric Evaluation
Avg $113.28
360,310 claims
Home Health Visit
Avg $84.29
325,872 claims
Vaccines & Immunizations
Avg $17.02
313,043 claims
Dental Cleaning & Exam
Avg $30.17
258,551 claims
Emergency Room Visit
Avg $147.03
208,977 claims
Durable Medical Equipment (DME)
Avg $52.13
168,635 claims