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
Larry Dennis Crook Us Hwy 491 North	$11.90	12	12
Kristi Rose Anderson Us Hwy 491 North	$35.15	12	12
Brian David Demby Us Hwy 491 North	$455.00	13	13
Brandon James Washington Us Hwy 491 North	$479.00	13	13
Kathryn L Fick Us Hwy 491 North	$479.00	14	13
Brenda Henderson Nnmc	$28.38	14	14
Marie Brown-Wagner Us Hwy 491 North	$68.85	14	14
Lauren Alexandra Doss Us Hwy 491 North	$640.00	14	14
Asha E Atwell Us Hwy 491 North	$487.84	14	14
Justin B Sikes Us Hwy 491 North	$519.00	15	12
Mrinmayee Nath Us Highway 491 North	$640.00	15	14
Margo Ilima Santiago Hwy 491 North	$451.08	17	17
John Allan Mcdougall Us Hwy 491 North	$366.90	17	14
Deborah U Waters Us Hwy 491 North	$640.00	19	19
Denise Suzanne Bartley Us Highway 491 N	$519.00	20	20
George Clifford Baacke Us Hwy 491 North	$12.53	24	24
Cyrus Branden Fanning Us Hwy 491 North	$575.18	28	25
Michael C Barish Us Hwy 491 North	$356.75	29	27
Barbara Ann Massey Highway 491 North	$487.99	35	34
Donna Mae Dineyazhe Po Box 160	$640.00	37	28
Kevin Paul Mcdermott U.S. Highway 491 North	$589.16	38	37
Brianna Marie Muller Us Hwy 491 North	$471.45	41	33
Jessica Cornett Allen Us Hwy 491 North	$451.80	41	38
Christine L Mcmillan Us Hwy 491 North	$473.19	42	39
Mina F Tanaka Us Hwy 491 North	$147.76	42	41
Anne Katherine Erickson Us Hwy 491 North	$508.46	48	41
Kia Yang Us Hwy 491 North	$269.35	51	46
Matthew Fry Po Box 160	$28.31	52	52
Cam-Van Huynh Us Hwy 491 North	$579.50	52	51
Ellen Leslie Sibelius Us Hwy 491 North	$464.68	57	43
Ariel Dawn Smith Us Hwy 491 North	$281.26	58	56
Whitney Leigh Johnson Us Hwy 491 North	$550.29	58	57
Erin Raley Wilson Hwy 491 North	$152.30	59	55
Erin Elizabeth Mccreary Us Hwy 491 North	$517.33	61	51
Patrick William Murphy Us Highway 491 North	$400.18	64	61
Leslie A Meyer Us Highway 491 North	$344.49	65	64
Leah N Spatafore Us Hwy 491 North	$596.00	66	62
Sarah P Saganey Us Hwy 491 N	$553.83	66	66
Allegra Weiss Us Hwy 491 North	$308.47	67	67
Margaret E Thoma Us Hwy 491 N	$531.71	77	73
Kendra Sadzeck Us Hwy 491 North	$467.92	78	77
Megan Nicole Henrie Hwy 491 North	$426.84	81	77
Thomas B Burnison Us Hwy 491 North	$170.26	85	78
Lawrence Edwin Chance Us Hwy 491 North	$296.86	85	83
Christian Manning Hull Us Hwy 491 North	$8.59	88	83
Joyanna Wendt Us Hwy 491 North	$13.93	94	90
Christian M Gomez-Castro Us Hwy 491 North	$622.89	99	96
Adrienne Moore Us Hwy 491 North	$402.37	105	89
Jeanie K Ringelberg Us Hwy 491 North	$463.79	108	107
Angelique Pflueger Us Hwy 491 North	$413.08	111	111

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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