Average Medicaid Office Visit Payments in Taos, NM: $117.77
Avg. Paid
$117.77
Range
$0.00 – $496.84
Total Claims
144,148
Providers
66
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 Taos, NM
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Taos Picuris Health Center
1090 Goat Springs Road |
$496.84 | 12,971 | 9,602 |
|
El Centro Family Health
1331 Gusdorf Rd |
$124.48 | 12,617 | 11,184 |
|
Ellen Rhea Warren
630 Paseo Del Pueblo Sur |
$70.81 | 10,424 | 9,288 |
|
Joanna Jane Hooper
1337 Gusdorf Rd Suite O |
$92.10 | 8,493 | 7,749 |
|
Michael H Kaufman
1399 Weimer Rd |
$62.98 | 8,162 | 7,609 |
|
Jemery L. Kaufman
1399 Weimer Rd |
$64.64 | 6,737 | 6,345 |
|
John Alan Macfarlane
630 Paseo Del Pueblo Sur Ste 150 |
$74.49 | 6,370 | 5,947 |
|
Courtney Carabajal
413 Sipapu St |
$105.12 | 6,013 | 5,835 |
|
Robert B White
1399 Weimer Road |
$55.39 | 5,310 | 4,912 |
|
Lorin S Brandon
1213 Gusdorf Rd |
$54.82 | 5,218 | 4,695 |
|
Sylvia Fernandez Villarreal
1393 Weimer Rd |
$66.13 | 5,212 | 4,402 |
|
Alana Benjamin
630 Paseo Del Pueblo Sur |
$97.98 | 4,721 | 4,402 |
|
Lucas Edward Schreiber
630 Paseo Del Pueblo Sur |
$67.60 | 4,495 | 4,228 |
|
Michael Bellas
1397 Weimer Rd |
$86.53 | 4,164 | 4,012 |
|
Lisa K Bushnell
1353 Paseo Del Pueblo Sur Ste D |
$101.64 | 3,186 | 3,080 |
|
John P Mahony
330 Paseo Del Pueblo Sur Ste C |
$78.57 | 2,482 | 2,283 |
|
Marie Sanchez
1393 Weimer Rd |
$111.36 | 2,417 | 2,167 |
|
Abraham Thomas Balsamo
630 Paseo Del Pueblo Sur |
$61.68 | 2,254 | 2,143 |
|
Jane Ellen Compton
710 F South Santa Fe Rd |
$119.49 | 1,997 | 1,989 |
|
Sarah Terry Drenning
1393 Weimer Rd |
$52.11 | 1,903 | 1,792 |
|
Charlton Morgan Weyer
1393 Weimer Rd |
$78.13 | 1,886 | 1,745 |
|
Deborah A Van Willigen
1397A Weimer Road |
$76.76 | 1,789 | 1,552 |
|
Marc Henry Steinberg
630 Paseo Del Pueblo Sur |
$63.39 | 1,737 | 1,600 |
|
Sean Collins Marvil
1219 Gusdorf Rd Ste A |
$58.55 | 1,664 | 1,590 |
|
Lauren M Good
1399 Weimer Rd |
$136.78 | 1,660 | 1,067 |
|
Judith Ann Lockwood
330 Unit C |
$93.69 | 1,507 | 1,491 |
|
Naomi Hannah
1329 Gusdorf Rd |
$49.49 | 1,450 | 1,107 |
|
Elise Suzan Janowak
1397 Weimer Rd |
$45.33 | 1,361 | 1,254 |
|
Melissa Tingue
330 Paseo Del Pueblo Sur Ste C |
$90.10 | 1,352 | 1,331 |
|
James P Cardasis
619 Don Rosalio |
$45.57 | 1,311 | 1,205 |
|
Daniel Peralta
630 Paseo Del Pueblo Sur |
$113.54 | 1,096 | 1,049 |
|
Gina M Torres Balsamo
630 Paseo Del Pueblo Sur Ste 125 |
$63.38 | 1,067 | 1,022 |
|
Cydney Siggins
1329 Gusdorf Rd |
$26.73 | 1,007 | 767 |
|
Morgan Seubert
1393 Weimer Rd |
$110.64 | 983 | 915 |
|
Marcia Beatty
1399 Weimer Road |
$68.46 | 902 | 807 |
|
Lilly-Marie Maita Blecher
1337 Gusdorf Rd Ste O |
$101.06 | 835 | 754 |
|
Adam Nicklaus Spring
1397 Weimer Rd |
$0.00 | 721 | 364 |
|
Robert R Franklin
401 Acoma |
$61.58 | 578 | 545 |
|
Douglas Earl Kast
1397 Weimer Rd |
$29.82 | 560 | 381 |
|
Brittney Coe
630 Paseo Del Pueblo Sur Ste 125 |
$76.56 | 533 | 510 |
|
Patrick Keenan Shanley
1219 Gusdorf Rd Ste A |
$71.08 | 487 | 469 |
|
Mary E Harrison
330 Paseo Del Pueblo Sur |
$92.04 | 469 | 464 |
|
Jon I Levin
1399 Weimer Rd |
$60.28 | 412 | 393 |
|
Elizabeth Jamie Sampere
1337 Gusdorf Rd |
$123.31 | 402 | 367 |
|
Pamela Yven
1399 Weimer Rd |
$91.20 | 400 | 373 |
|
Carmine Dimartino
1090 Goat Springs Road |
$20.30 | 376 | 354 |
|
Brenda J Burdick
1090 Goat Springs Road |
$10.82 | 323 | 271 |
|
Tim J Moore
1329 Gusdorf Rd |
$31.58 | 312 | 186 |
|
Andrea Elaine Bustamante
1331 Maestas Rd |
$120.77 | 300 | 268 |
|
Geilan Ismail
1399 Weimer Rd |
$24.02 | 269 | 195 |
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 Taos, NM?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Taos, NM is $117.77 per claim, based on 144,148 claims from 66 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 Taos, NM?
There are 66 Medicaid providers offering Office Visit related services in Taos, NM according to public payment data.
What is the price range for Office Visit in Taos, NM?
Medicaid reimbursement for Office Visit in Taos, NM ranges from $0.00 to $496.84 per claim, with an average of $117.77. 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 Taos, NM
Psychiatric Evaluation
Avg $88.89
221,481 claims
Blood Work & Lab Tests
Avg $11.32
137,927 claims
Home Health Visit
Avg $84.80
127,262 claims
Physical Therapy
Avg $40.17
99,694 claims
Emergency Room Visit
Avg $199.76
55,199 claims
Substance Abuse Treatment
Avg $155.85
35,052 claims
X-Ray
Avg $55.79
25,586 claims
Vaccines & Immunizations
Avg $19.97
24,594 claims