Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Tucson, AZ: $46.43

Avg. Paid

$46.43

Range

$0.00 – $577.64

Total Claims

5,463,316

Providers

2,390

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 Tucson, AZ

Provider	Avg. Paid	Claims	Patients
El Rio Santa Cruz Neighborhood Health Center, Inc 839 W Congress St	$0.44	299,532	252,157
El Rio Santa Cruz Neighborhood Health Center, Inc 101 W Irvington Rd Bldg 3-C	$0.18	126,683	109,986
El Rio Santa Cruz Neighborhood Health Center, Inc 320 W Prince Rd	$0.16	106,545	91,986
El Rio Santa Cruz Neighborhood Health Center, Inc 1230 S Cherrybell Stravenue	$0.32	91,772	80,212
El Rio Santa Cruz Neighborhood Health Center, Inc 1500 W Commerce Ct	$0.18	86,182	72,707
El Rio Santa Cruz Neighborhood Health Center, Inc 6950 E Golf Links Rd	$0.13	82,206	70,699
Children'S Clinics For Rehabilitative Services 2600 N Wyatt Dr	$79.49	65,403	58,110
Northwest Hospital Llc 6200 N La Cholla Blvd	$49.65	52,003	48,637
El Rio Santa Cruz Neighborhood Health Center, Inc 225 W Irvington Rd	$0.13	50,738	40,585
Marana Health Center, Inc 899 N Wilmot Rd Ste B	$0.07	44,705	39,243
Thomas A Coury 6585 N Oracle Rd	$47.45	40,806	37,287
Marana Health Center, Inc 2355 N Wyatt Dr Ste 101	$0.01	40,207	35,353
Marana Health Center, Inc 3690 S Park Ave Ste 805	$0.50	35,210	30,210
El Rio Santa Cruz Neighborhood Health Center, Inc 7490 S Camino De Oeste	$1.65	34,272	28,510
El Rio Santa Cruz Neighborhood Health Center, Inc 3655 E Grant Rd	$5.37	30,142	26,976
Emil H Annabi 6840 E Broadway Blvd	$48.64	27,272	24,544
Julissa Ochoa-Buck 3690 S Park Ave Ste 805	$60.97	27,133	22,810
Wenhui Cai 502 W 29Th St	$124.43	26,325	13,781
Sam Edwin Sato 3910 N Campbell Ave	$66.53	24,456	23,062
El Rio Santa Cruz Neighborhood Health Center, Inc 3950 S Country Club Rd Ste 130	$9.58	24,364	22,473
Michael Trent Hobbs 5369 S Calle Santa Cruz	$96.78	23,311	22,252
Marana Health Center, Inc 1323 W Prince Rd	$0.04	21,378	18,891
Marana Health Center, Inc 2055 W Hospital Dr Ste 115	$0.01	20,836	15,631
Jennifer Ross 2380 N Ferguson Ave	$95.48	19,886	19,110
Christa Ann Cuellar 2001 W Orange Grove Rd Ste 202	$74.55	19,349	15,613
Jennifer Andjelich 6408 E Tanque Verde Rd	$10.81	19,172	14,771
Nicholas Ivan Sikic 1501 N Campbell Ave	$1.99	18,339	11,850
Maria G Robles 3770 S 16Th Ave	$36.72	18,274	15,945
Mario Ulises Angulo 1895 W Valencia Rd	$86.60	18,252	17,442
John W Schmaling 6802 E Broadway Blvd	$75.78	17,785	13,046
Aaron Roberts 5301 E Grant Rd	$60.14	17,603	15,836
Kenneth A Babbitt 3770 S 16Th Ave	$52.80	17,380	15,052
El Rio Santa Cruz Neighborhood Health Center, Inc 1 W Broadway Blvd	$0.11	16,606	14,528
Brian B Nielsen 5301 E Grant Rd	$67.27	16,548	15,461
Amitab K G Puri 5310 N La Cholla Blvd	$56.15	15,241	14,178
Arthur R Menezes 1714 W Anklam Rd Ste 104	$53.75	15,173	14,206
Daniel P. Chafetz 3395 N Campbell Ave	$36.96	15,155	9,535
David Alster 5910 N La Cholla Blvd	$67.90	15,100	14,644
Ram Subbureddiar 6556 E Carondelet Dr	$47.60	15,085	12,852
Marana Health Center, Inc 16701 N Oracle Rd Ste 135	$0.56	14,895	12,853
Robert K Johnson 4001 E Sunrise Dr	$93.23	14,815	14,405
Bassam M Fakhouri 4175 S Alamo Ave	$117.73	14,229	13,836
Tucson Medical Center 5301 E Grant Rd	$17.89	14,179	13,005
Becki D Shumaker 2601 S Houghton Rd	$85.04	13,981	13,275
Roberta Grace Busch 1704 W Anklam Rd Ste 108	$41.43	13,921	13,026
Marc Bahan 5861 N Oracle Rd	$67.20	13,797	13,022
Christopher Neal 9420 E Golf Links Road, Ste 108	$65.31	13,511	10,351
Donald Lee Hair 1704 W Anklam Rd	$45.97	13,441	12,638
Edgar Esteban Portillo 3690 S Park Ave Ste 805	$58.62	13,402	12,420
El Rio Santa Cruz Neighborhood Health Center, Inc 434 E University Blvd	$0.54	13,366	12,312

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 Tucson, AZ?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Tucson, AZ is $46.43 per claim, based on 5,463,316 claims from 2390 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 Tucson, AZ?

There are 2390 Medicaid providers offering Office Visit related services in Tucson, AZ according to public payment data.

What is the price range for Office Visit in Tucson, AZ?

Medicaid reimbursement for Office Visit in Tucson, AZ ranges from $0.00 to $577.64 per claim, with an average of $46.43. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Tucson, AZ: $46.43

Providers Offering Office Visit in Tucson, AZ

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

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Los Angeles, CA

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Bronx, NY

Phoenix, AZ

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Other Procedures in Tucson, AZ

Case Management Services

Substance Abuse Treatment

Blood Work & Lab Tests

Personal Care Services

Emergency Room Visit

Physical Therapy

Dental Cleaning & Exam

X-Ray