Average Medicaid Office Visit Payments in Sparks, NV: $55.33
Avg. Paid
$55.33
Range
$1.65 – $219.86
Total Claims
110,086
Providers
107
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 Sparks, NV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Riley Henderson
2244 Oddie Blvd |
$55.05 | 12 | 12 |
|
Mackenzie Macintyre
670 N Mccarran Blvd |
$47.76 | 14 | 13 |
|
Elizabeth Anne Melton
1001 Pyramid Way Ste 206 |
$71.37 | 15 | 12 |
|
Jeffrey David Millman
1321 N Mccarran Blvd |
$17.75 | 15 | 12 |
|
Timothy M Mooney
2385 E Prater Way |
$38.81 | 15 | 15 |
|
Douglas R Doxey
2321 Pyramid Way Ste B |
$56.77 | 15 | 14 |
|
Travis Craig Walker
910 Vista Blvd |
$75.20 | 15 | 15 |
|
Warren Whitley
2285 Green Vista Dr |
$24.05 | 19 | 13 |
|
Syvilla Graton Reynolds
2385 E Prater Way Ste 205 |
$9.13 | 23 | 16 |
|
Lori Connell
2244 Oddie Blvd |
$31.24 | 26 | 24 |
|
Jason S Mckenzie
480 E Prater Way |
$70.02 | 31 | 25 |
|
Amber Lee Hayes
5265 Vista Blvd Bldg B |
$32.33 | 31 | 26 |
|
Letitia Linsley Anderson
2385 E Prater Way Ste 302 |
$80.67 | 32 | 25 |
|
Don D Staten
1261 Baring Blvd |
$89.83 | 32 | 30 |
|
Alicia Werner
480 Galletti Way Unit 25 |
$72.80 | 34 | 29 |
|
Carl Filmore Thomas
1525 Los Altos Pkwy |
$58.14 | 35 | 28 |
|
Kosta M. Arger
2385 E Prater Way Ste 302 |
$80.78 | 41 | 39 |
|
Paul W. Hiss
2285 Green Vista Dr |
$61.34 | 41 | 39 |
|
Mark W Viner
145 Isidor Ct |
$18.32 | 44 | 14 |
|
Susan Mary Field
5070 Ion Dr Ste 100 |
$105.03 | 45 | 44 |
|
Melissa L Miller
2244 Oddie Blvd |
$62.57 | 46 | 45 |
|
Sondra Woo Cumings
780 Vista Blvd Ste 100 |
$46.28 | 46 | 38 |
|
Michael Young Allen
5070 Ion Dr Ste 100 |
$27.69 | 48 | 35 |
|
Abhinaya Tenkanidiyoor Rao
5265 Vista Blvd Bldg B |
$38.89 | 52 | 40 |
|
Lara Kristina Shigihara
5975 S Los Altos Pkwy |
$55.47 | 58 | 56 |
|
Andrew James Swanson
1959 E Prater Way |
$67.06 | 59 | 55 |
|
Jessell Marie Owens
780 Vista Blvd Ste 100 |
$70.05 | 68 | 64 |
|
Gina Azevedo
1430 Greg St |
$57.84 | 69 | 58 |
|
Young Soon Keum
1001 Pyramid Way Ste 206 |
$32.49 | 84 | 69 |
|
Maria D Juarez-Cardenas
5265 Vista Blvd Bldg B |
$56.90 | 86 | 73 |
|
Linda Lesperance
680 N Mccarran Blvd |
$16.67 | 100 | 68 |
|
Caren Louise Jaggers
1001 Pyramid Way Ste 206 |
$39.75 | 101 | 88 |
|
Armando Lee Cruz
2321 Pyramid Way |
$50.83 | 102 | 81 |
|
Karen S Mcdermott
2345 E Prater Way |
$22.38 | 107 | 36 |
|
Juan Felipe Rodriguez Reyes
2385 E Prater Way Ste 302 |
$35.67 | 128 | 89 |
|
Eric M Drummer
2385 E Prater Way Ste 302 |
$55.90 | 136 | 125 |
|
Rachel Walkenhorst
5070 Ion Dr |
$40.03 | 138 | 112 |
|
Nevada Urgent Care Network Llc
5265 Vista Blvd Bldg B |
$81.63 | 146 | 138 |
|
Dietrich Von Feldmann
2345 E Prater Way |
$60.06 | 147 | 139 |
|
Ellie Catharine Black
5265 Vista Blvd Bldg B |
$46.63 | 155 | 126 |
|
Lorraine Haines
910 Vista Blvd |
$33.26 | 166 | 118 |
|
Benjamin Cheung
2285 Green Vista Dr |
$51.14 | 169 | 150 |
|
Yvette Renee Kaunismaki
480 Galletti Way |
$144.15 | 191 | 178 |
|
Roxana Mattoni
1441 Pullman Dr |
$62.57 | 194 | 182 |
|
Louis A Delionback
5975 S Los Altos Pkwy |
$55.07 | 211 | 169 |
|
Saadia Farman Akhtar
3080 Vista Blvd Ste 100 |
$33.79 | 211 | 175 |
|
Danielle Barisone
5070 Ion Dr |
$36.60 | 211 | 186 |
|
Devangi D Desai
202 Los Altos Pkwy |
$62.55 | 212 | 183 |
|
Allie Finney
202 Los Altos Pkwy |
$66.02 | 237 | 226 |
|
Carl F. Juneau
2345 E Prater Way Ste 215 |
$36.29 | 252 | 244 |
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 Sparks, NV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sparks, NV is $55.33 per claim, based on 110,086 claims from 107 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 Sparks, NV?
There are 107 Medicaid providers offering Office Visit related services in Sparks, NV according to public payment data.
What is the price range for Office Visit in Sparks, NV?
Medicaid reimbursement for Office Visit in Sparks, NV ranges from $1.65 to $219.86 per claim, with an average of $55.33. 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 Sparks, NV
Case Management Services
Avg $56.35
250,946 claims
Substance Abuse Treatment
Avg $28.87
115,510 claims
Dental Cleaning & Exam
Avg $37.82
71,820 claims
Physical Therapy
Avg $55.24
66,680 claims
Emergency Room Visit
Avg $90.03
49,316 claims
Eye Exam
Avg $30.63
44,801 claims
Psychiatric Evaluation
Avg $76.30
42,837 claims
Durable Medical Equipment (DME)
Avg $16.90
42,712 claims