Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Shiprock, NM: $429.35

Avg. Paid

$429.35

Range

$0.00 – $649.11

Total Claims

369,750

Providers

110

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 Shiprock, NM

Provider	Avg. Paid	Claims	Patients
Dhhs, Phs, Naihs, Shiprock Hospital Us Highway 491 North	$469.86	311,252	221,296
Marilisa Mancao Us Hwy 491 North	$4.41	9,837	5,519
Douglas Accountius Northern Navajo Medical Center	$129.35	7,191	6,733
Jane Elizabeth Curry Northern Navajo Medical Center	$41.07	6,022	5,535
Christopher Allan Percy Us Hwy 491 North	$493.47	5,097	4,855
Matthew S Spiva Us Hwy 491 North	$44.76	2,230	1,647
Sara Ann Michaels Us Highway 491 N	$484.37	2,158	2,011
Triveni B Defries Us Hwy 491 North	$0.32	1,893	1,845
Heather C Kovich Us Highway 491 North	$412.14	1,731	1,713
Elysia Ison Us Hwy 491 North	$4.14	1,466	1,291
Linda Kay Knedler Us Hwy 491 N	$43.78	1,337	1,236
Morgan Nicole Dickerson Us Hwy 491 North	$649.11	955	786
John C Mohs Us Hwy 491 North	$149.93	927	900
Mariam Popal Us Hwy 491 North	$171.30	878	715
Robert Cullen Crooks Us Hwy 491 North	$309.80	770	741
Lance Whitehair Po Box 160	$162.61	694	649
Sandra Beirne Us Hwy 491 North	$482.82	605	508
Robert L Hatch Us Hwy 491 North	$446.27	582	568
Christina Anne Davidson Us Hwy 491 North	$535.62	563	530
Lydia Soo-Hyun Kim Us Hwy 491 North	$122.07	519	500
Kelly Rochelle Stewart Us Hwy 491 North	$407.10	510	477
Julie A Caplow Us Hwy 491 North	$208.89	487	430
Brianna M Hitchner Us Hwy 491 North	$110.09	481	423
Tracy L. Kurek Us Hwy 491 North	$544.42	475	466
Neil Gholkar Us Hwy 491 North	$147.33	474	444
Dean C Dischler Us Hwy 491 N	$195.70	467	424
Kimberly S Mohs Us Hwy 491 North	$21.99	434	399
Tommie T Begay Hwy 491 North	$507.44	408	381
Erin Schifeling Us Hwy 491 N	$302.69	390	355
Donielle Dawn Bigman Us Hwy 491 North	$448.06	364	353
Donald Darwood Vasser Us Hwy 491 North	$484.69	342	329
Brandon Ross Hill Us Hwy 491 North	$407.58	331	325
Judy L Brown Us Hwy 491 North	$424.70	324	319
April Racquel Nabahe Us Hwy 491 North	$546.46	323	319
Nichele Raquel Salazar Us Hwy 491 North	$52.90	299	281
Daniel Burke Northern Navajo Medical Center	$75.57	292	275
Raymundo Torres Us Hwy 491 N	$545.38	281	264
Jonathan Noah Jordahl Us Hwy 491 North	$542.76	271	266
Rosemary Anne Johnston Us Highway 491 N	$516.77	235	222
Aimee E Mcmullin Us Hwy 491 North	$381.50	232	216
Kathryn Storck Us Hwy 491 North	$457.25	215	201
Ryan August Peine Us Hwy 491 North	$417.42	211	198
Kristina Sycamore Hwy 491 North	$565.57	193	187
Jeffrey C Powell Us Hwy 491 North	$568.23	191	186
Marc A Cassone Us Hwy 491 North	$536.16	186	180
Norman Novelly Us Hwy 491 North	$146.31	183	180
Chih-Chen Luke Luan Us Hwy 491 North	$284.03	180	168
Grace Rathna Francis Us Hwy 491 N	$475.56	176	168
Dhhs, Phs, Naihs, Shiprock Hospital Us Hwy 491 North	$0.00	169	158
Jeanne Rittschof Us Hwy 491 North	$482.45	159	141

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 Shiprock, NM?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shiprock, NM is $429.35 per claim, based on 369,750 claims from 110 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 Shiprock, NM?

There are 110 Medicaid providers offering Office Visit related services in Shiprock, NM according to public payment data.

What is the price range for Office Visit in Shiprock, NM?

Medicaid reimbursement for Office Visit in Shiprock, NM ranges from $0.00 to $649.11 per claim, with an average of $429.35. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Shiprock, NM: $429.35

Providers Offering Office Visit in Shiprock, NM

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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