Average Medicaid Office Visit Payments in Santa Rosa, NM: $18.77
Avg. Paid
$18.77
Range
$2.88 – $143.90
Total Claims
71,175
Providers
10
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 Rosa, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sunrise Clinics
117 Camino De Vida Ste 300 |
$2.88 | 52,040 | 41,787 |
|
Laura Mardo
117 Camino De Vida |
$52.39 | 4,779 | 4,250 |
|
Antje Postl
117 Camino De Vida |
$46.05 | 4,283 | 3,858 |
|
Martha J Miller
724 Lake Dr |
$90.35 | 2,922 | 2,891 |
|
Randal Warren Brown
117 Camino De Vida |
$41.33 | 2,377 | 2,051 |
|
Senora L Campos
117 Camino De Vida Ste 300 |
$56.79 | 2,317 | 2,015 |
|
Mark Land Grossetete
117 Camino De Vida Ste 300 |
$110.32 | 951 | 896 |
|
Miranda C Haley
117 Camino De Vida |
$143.90 | 778 | 606 |
|
Dawn R Back
117 Camino De Vida |
$42.91 | 384 | 358 |
|
Brian T Muniz
117 Camino De Vida Ste 300 |
$33.78 | 344 | 321 |
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 Rosa, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Santa Rosa, NM is $18.77 per claim, based on 71,175 claims from 10 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 Rosa, NM?
There are 10 Medicaid providers offering Office Visit related services in Santa Rosa, NM according to public payment data.
What is the price range for Office Visit in Santa Rosa, NM?
Medicaid reimbursement for Office Visit in Santa Rosa, NM ranges from $2.88 to $143.90 per claim, with an average of $18.77. 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 Rosa, NM
Dental Cleaning & Exam
Avg $30.50
30,120 claims
Blood Work & Lab Tests
Avg $6.32
17,410 claims
Psychiatric Evaluation
Avg $55.08
11,970 claims
Emergency Room Visit
Avg $92.16
8,335 claims
Tooth Extraction
Avg $83.63
6,140 claims
Dental Filling
Avg $72.81
5,090 claims
Vaccines & Immunizations
Avg $3.98
4,180 claims
Urinalysis & Urine Tests
Avg $1.65
2,993 claims