Average Medicaid Office Visit Payments in Santa Teresa, NM: $84.01
Avg. Paid
$84.01
Range
$6.05 – $175.39
Total Claims
93,803
Providers
17
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 Teresa, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Richard E Larsen
5290 Mcnutt Road |
$74.09 | 14,960 | 13,549 |
|
Sandra Martinez
101 Livingston Loop Ste C1 |
$87.92 | 13,548 | 12,206 |
|
Mario Vela
5055 Mcnutt Rd |
$78.58 | 11,198 | 9,661 |
|
Tamra Renae Varela
5055 Mcnutt Rd |
$92.11 | 9,609 | 8,409 |
|
Tanya Veronica Marin
1245 Country Club Rd |
$77.79 | 8,529 | 7,118 |
|
Aleksandr G Gazarov
101 Livingston Loop, Bldg C, Suite 3 |
$62.88 | 6,779 | 6,342 |
|
Emilio T. Rivera
5290 Mcnutt Rd |
$65.45 | 6,483 | 5,978 |
|
Peter Norman Smith
101 Livingston Loop Ste 1 |
$76.82 | 5,541 | 5,100 |
|
Albert Hernandez
5690 Santa Teresita Dr Ste A2 |
$84.91 | 4,627 | 4,003 |
|
Peter K. Sangra
5055 Mcnutt Rd |
$125.22 | 3,988 | 1,552 |
|
La Clinica De Familia, Incorporated
100 Airport Rd |
$168.89 | 3,125 | 2,665 |
|
Denise Ann O'Brien
5312 Rio Bravo Dr Ste 10 |
$129.93 | 1,631 | 1,473 |
|
Maria Theresa Becerra
5290 Mcnutt Rd Unit 2 |
$63.85 | 1,615 | 1,422 |
|
Robert L Nichols
1300 Country Club Road |
$118.13 | 803 | 756 |
|
Sergio Luna
5312 Rio Bravo Dr Ste 10 |
$6.05 | 658 | 522 |
|
Joseph Anthony Quintana
5312 Rio Bravo Dr Ste 10 |
$48.14 | 648 | 613 |
|
Audriana Apodaca
100 Airport Rd |
$175.39 | 61 | 49 |
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 Teresa, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Santa Teresa, NM is $84.01 per claim, based on 93,803 claims from 17 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 Teresa, NM?
There are 17 Medicaid providers offering Office Visit related services in Santa Teresa, NM according to public payment data.
What is the price range for Office Visit in Santa Teresa, NM?
Medicaid reimbursement for Office Visit in Santa Teresa, NM ranges from $6.05 to $175.39 per claim, with an average of $84.01. 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 Teresa, NM
Home Health Visit
Avg $72.76
360,702 claims
Personal Care Services
Avg $81.56
155,838 claims
Psychiatric Evaluation
Avg $98.77
79,890 claims
Physical Therapy
Avg $60.51
65,926 claims
Non-Emergency Medical Transportation
Avg $45.89
37,666 claims
Case Management Services
Avg $213.39
27,686 claims
Blood Work & Lab Tests
Avg $5.44
16,587 claims
Behavioral & Mental Health Therapy
Avg $69.79
9,550 claims