Average Medicaid Office Visit Payments in Twin Falls, ID: $57.25
Avg. Paid
$57.25
Range
$0.00 – $300.78
Total Claims
475,696
Providers
287
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 Twin Falls, ID
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Austin Kline
801 Pole Line Rd W |
$68.19 | 14,674 | 12,306 |
|
Nancy Mann
1502 Locust St N Ste 700 |
$92.66 | 10,838 | 10,751 |
|
Jacob Larsen
775 Pole Line Rd W Ste 103 |
$56.82 | 8,758 | 8,555 |
|
Samuel Harrison Barker
844 Washington St N Ste 400 |
$64.10 | 8,672 | 7,771 |
|
Corinne Bartschi
1502 Locust St N Ste 700 |
$60.49 | 8,599 | 8,035 |
|
Kenneth C. Romney
388 Martin St |
$65.00 | 8,500 | 7,682 |
|
Cameron Talmage Clark
388 Martin St |
$49.10 | 8,344 | 7,531 |
|
William E Turgoose
762 N College Rd Ste A |
$59.91 | 7,840 | 7,714 |
|
Michael Kenneth Wucinich
775 Pole Line Rd W Ste 302 |
$47.62 | 7,666 | 7,112 |
|
Briana O'Donnell
775 Pole Line Rd W |
$59.67 | 7,199 | 7,107 |
|
Brandon Dee Tanner
388 Martin St |
$1.07 | 7,065 | 6,492 |
|
Colby Estelle Tolman
857 Polk St |
$2.37 | 6,346 | 5,287 |
|
Jeffrey L Mulert
2550 Addison Ave E |
$76.59 | 6,154 | 6,002 |
|
Benjamin W Attebury
176 Falls Ave |
$53.78 | 6,052 | 5,654 |
|
Cameron Burgess Freeman
325 Martin St |
$1.17 | 5,899 | 5,277 |
|
Merrick Gordon Reynolds
526 Shoup Ave W |
$57.62 | 5,854 | 5,283 |
|
Kylan D Peterson
730 N College Rd |
$89.28 | 5,663 | 5,514 |
|
Jennifer Speicher Jorgensen
1502 Locust St N Ste 700 |
$68.03 | 5,227 | 4,998 |
|
John Urrutia
176 Falls Avenue |
$45.75 | 5,173 | 4,800 |
|
Jared L Hansen
706 N College Rd Ste C |
$80.27 | 5,130 | 4,733 |
|
Christopher Adam Eyre
1502 Locust St N Ste 700 |
$61.66 | 5,041 | 4,877 |
|
Cathy White Canty
388 Martin St |
$2.05 | 4,850 | 4,220 |
|
Julie L Akins
775 Pole Line Rd W |
$92.28 | 4,765 | 3,723 |
|
Craig Hope
260 3Rd Ave N |
$81.08 | 4,583 | 3,692 |
|
Brad Leon Hyatt
2550 Addison Ave E |
$62.93 | 4,540 | 4,280 |
|
Ryan Dennis Hodges
388 Martin St |
$1.83 | 4,387 | 3,866 |
|
Richard J Hammond
738 N College Rd |
$49.36 | 4,220 | 4,065 |
|
Jessea Camille Whitlow
2392 Addison Ave E |
$66.83 | 4,046 | 3,939 |
|
Camille Smith
370 N Haven Dr |
$67.16 | 3,925 | 3,503 |
|
Amra Suljevic
775 Pole Line Rd W Ste 312 |
$54.81 | 3,885 | 3,678 |
|
Dustin L Ziebarth
388 Martin St |
$3.02 | 3,813 | 3,515 |
|
Marla Jean Van Tassell
414 Shoup Ave W Ste B |
$42.88 | 3,801 | 3,427 |
|
Chuck B Fuller
660 Shoshone St E |
$56.03 | 3,798 | 3,637 |
|
Tyler R Wayment
738 N College Rd |
$72.24 | 3,793 | 3,651 |
|
Jeremy David Willes
260 Falls Ave |
$63.14 | 3,762 | 3,688 |
|
Cory A Pilling
676 Shoup Ave W Ste 12 |
$55.54 | 3,712 | 2,895 |
|
Mayben Cole Johnson
526 Shoup Ave W |
$67.45 | 3,632 | 3,299 |
|
Erik Long
388 Martin St |
$2.24 | 3,618 | 3,364 |
|
Jared Henderson
512 Pole Line Rd Ste 2 |
$83.74 | 3,612 | 3,405 |
|
Daryl G Ficklin
775 Pole Line Rd W |
$49.92 | 3,609 | 3,160 |
|
Nathan Kent Allen
2550 Addison Ave E |
$64.75 | 3,579 | 3,313 |
|
David Reed Hadlock
496 C Shoup Ave W |
$71.81 | 3,538 | 2,626 |
|
Russell Weldon Mayes
730 N College Rd |
$88.39 | 3,396 | 3,295 |
|
James Morris Roberts
706 N College Rd Ste C |
$67.08 | 3,365 | 3,051 |
|
Samantha Ruth Chartier
243 Cheney Dr W Ste 200 |
$55.65 | 3,334 | 3,256 |
|
Mitchell Jackson Moffitt
775 Pole Line Rd W |
$72.43 | 3,285 | 3,213 |
|
Gregory P Jones
775 Pole Line Rd W |
$72.66 | 3,251 | 3,134 |
|
Murvat Usmanova
775 Pole Line Road W, Suite 203 |
$48.98 | 3,079 | 2,965 |
|
Chad J Johnson
1411 Falls Ave E Ste 1301 |
$73.54 | 3,039 | 2,803 |
|
Aaron Eugene Packham
512 Pole Line Rd |
$75.20 | 2,977 | 2,766 |
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 Twin Falls, ID?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Twin Falls, ID is $57.25 per claim, based on 475,696 claims from 287 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 Twin Falls, ID?
There are 287 Medicaid providers offering Office Visit related services in Twin Falls, ID according to public payment data.
What is the price range for Office Visit in Twin Falls, ID?
Medicaid reimbursement for Office Visit in Twin Falls, ID ranges from $0.00 to $300.78 per claim, with an average of $57.25. 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 Twin Falls, ID
Physical Therapy
Avg $42.45
466,064 claims
Dental Cleaning & Exam
Avg $43.04
242,818 claims
Blood Work & Lab Tests
Avg $6.66
172,186 claims
Vaccines & Immunizations
Avg $13.58
133,740 claims
Home Health Visit
Avg $58.62
133,648 claims
Psychiatric Evaluation
Avg $69.11
123,942 claims
Personal Care Services
Avg $21.02
107,979 claims
Speech Therapy
Avg $44.08
101,902 claims