Average Medicaid Office Visit Payments in Sedona, AZ: $43.72
Avg. Paid
$43.72
Range
$11.84 – $103.47
Total Claims
10,333
Providers
22
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 Sedona, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mary Ndumbe
2350 W Highway 89A # 1023 |
$50.63 | 2,725 | 2,295 |
|
Marian Sue Diamond
61 Bell Rock Plz |
$50.24 | 1,836 | 1,708 |
|
Raymond R Botte
70 Bell Rock Plz Ste C |
$25.89 | 1,583 | 1,299 |
|
Allison M Kirshner
3700 W State Route 89A |
$47.73 | 1,159 | 1,054 |
|
John T Rooney
61 Bell Rock Plz |
$48.72 | 883 | 829 |
|
Julia M Trainor
2445 W Sr 89A Ste 4 |
$26.98 | 686 | 295 |
|
Linda S. Kaplan
61 Bell Rock Road |
$51.45 | 264 | 252 |
|
Sari Fleischer
120 Northview Rd # 1 |
$47.00 | 192 | 180 |
|
Joseph R. Lach
3700 W State Route 89A |
$19.41 | 179 | 133 |
|
Nicole Rae Pangborn
95 Soldiers Pass Rd Ste B2 |
$53.43 | 155 | 142 |
|
Sandra Alicia Barcelo-Adair
95 Soldiers Pass Rd |
$52.51 | 140 | 126 |
|
Charla Johansen
95 Soldiers Pass Rd Ste B1 |
$42.82 | 118 | 105 |
|
Carrie Jo Heisinger
210 Sunset Dr Ste A |
$32.09 | 75 | 73 |
|
Richard Lyn Lloyd
3700 W State Route 89A |
$24.63 | 70 | 67 |
|
Amber Louise Randall
95 Soldiers Pass Rd Ste B1 |
$51.62 | 65 | 65 |
|
Jason Allen Wesley
210 Sunset Dr Ste A |
$34.72 | 51 | 46 |
|
Yenna Chin
2030 W State Route 89A Ste B4 |
$47.00 | 50 | 48 |
|
Natalie H Rockwell
6446 State Route 179 |
$103.47 | 33 | 25 |
|
Geoffrey H Cook
75 Tortilla Dr |
$11.84 | 25 | 25 |
|
Mark Kevin Brekke
2155 W Highway 89A Ste 116 |
$38.52 | 15 | 12 |
|
Nick J Paslidis
1890 W State Route 89A Ste D |
$45.54 | 15 | 14 |
|
Andria Pizzato
210 Sunset Dr |
$29.24 | 14 | 12 |
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 Sedona, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sedona, AZ is $43.72 per claim, based on 10,333 claims from 22 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 Sedona, AZ?
There are 22 Medicaid providers offering Office Visit related services in Sedona, AZ according to public payment data.
What is the price range for Office Visit in Sedona, AZ?
Medicaid reimbursement for Office Visit in Sedona, AZ ranges from $11.84 to $103.47 per claim, with an average of $43.72. 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 Sedona, AZ
Emergency Room Visit
Avg $93.58
42,518 claims
Blood Work & Lab Tests
Avg $2.19
12,895 claims
Speech Therapy
Avg $70.21
10,689 claims
Nursing Facility Care
Avg $15.49
10,073 claims
EKG / ECG (Electrocardiogram)
Avg $11.78
6,456 claims
Urinalysis & Urine Tests
Avg $1.86
4,718 claims
Ambulance Transport
Avg $367.94
4,323 claims
Psychiatric Evaluation
Avg $60.26
3,524 claims