Average Medicaid Office Visit Payments in Stateline, NV: $48.35
Avg. Paid
$48.35
Range
$28.53 – $79.91
Total Claims
7,544
Providers
11
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 Stateline, NV
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Hersel Lewis
276 Kingsbury Grade # 103 |
$53.75 | 27 | 26 |
|
Benjamin Daniel Bradford
276 Kingsbury Grade # 101 |
$76.29 | 38 | 38 |
|
Lauren Michelle Lee
276 Kingsbury Grade Ste 101 |
$47.01 | 42 | 42 |
|
Robert Edward Rupp
165 Highway 50 |
$43.26 | 52 | 40 |
|
Sonia N Rupp
155 Hwy 50 |
$78.76 | 55 | 45 |
|
Jay Chung
155 Hwy 50 |
$30.99 | 145 | 119 |
|
Martin Ernst Salm
276 Kingsbury Grade, Suite 101 |
$36.68 | 266 | 254 |
|
Erin Elizabeth Jones
155 Highway 50 Ste 101 |
$30.79 | 786 | 695 |
|
Tracy Regina Protell
155 Hwy 50 |
$79.91 | 1,194 | 1,091 |
|
Paul Steven Llobet
166 Crescent Drive |
$67.59 | 1,973 | 1,756 |
|
Nichole Delaplante
155 Highway 50 Ste 101 |
$28.53 | 2,966 | 2,522 |
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 Stateline, NV?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Stateline, NV is $48.35 per claim, based on 7,544 claims from 11 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 Stateline, NV?
There are 11 Medicaid providers offering Office Visit related services in Stateline, NV according to public payment data.
What is the price range for Office Visit in Stateline, NV?
Medicaid reimbursement for Office Visit in Stateline, NV ranges from $28.53 to $79.91 per claim, with an average of $48.35. 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 Stateline, NV
Eye Exam
Avg $48.87
6,297 claims
Physical Therapy
Avg $117.00
237 claims
Dental Cleaning & Exam
Avg $55.98
232 claims
EKG / ECG (Electrocardiogram)
Avg $12.95
133 claims
Hearing Test (Audiometry)
Avg $36.95
111 claims
Bone Density Scan (DEXA)
Avg $31.98
102 claims
Pathology & Lab Services
Avg $44.54
84 claims
Emergency Room Visit
Avg $41.01
70 claims