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 |
|---|---|---|---|
|
Erin Goodfellow
746 N College Rd Ste A |
$72.74 | 12 | 12 |
|
Family Health Services Corporation
794 Eastland Dr |
$0.00 | 12 | 12 |
|
Ann Malloy Vance
200 2Nd Ave N |
$71.97 | 13 | 13 |
|
Tanner Wray
1122 Eastland Dr N Ste 2 |
$6.52 | 14 | 12 |
|
Robert M Ward
775 Pole Line Rd W |
$36.78 | 15 | 14 |
|
Samuel Lawrence Holley
815 N College Rd |
$0.00 | 15 | 12 |
|
Danielle R Doucet
775 Pole Line Rd W Ste 213 |
$36.03 | 16 | 16 |
|
Hillary Ruhl Duenas
414 Shoup Ave W Ste B |
$223.43 | 16 | 16 |
|
Glenn D Zausmer
775 Pole Line Rd W |
$23.29 | 16 | 15 |
|
Samuel Teagan Shaw
1835 Harrison St N Unit 16104 |
$84.21 | 17 | 17 |
|
Seth N Wheeler
775 Pole Line Rd W |
$34.87 | 19 | 18 |
|
Stacie Mccomas
476 Cheney Dr W |
$54.25 | 25 | 24 |
|
Brad Q Starley
775 Pole Line Rd W |
$68.12 | 25 | 25 |
|
Anna Hawker
1880 Fillmore Street |
$41.49 | 27 | 27 |
|
Patricia A Billings
2550 Addison Ave E |
$130.34 | 27 | 26 |
|
Michael J Cannon
801 Pole Line Rd W Ste 3880 |
$64.49 | 27 | 26 |
|
Jessica Torrez
496 Shoup Ave W Ste B |
$61.11 | 36 | 29 |
|
Nicole Dawn Bartlett
562 Shoup Ave W |
$81.65 | 36 | 30 |
|
David A Johnson
775 Pole Line Rd W |
$30.30 | 42 | 41 |
|
Warren F Dopson
706 N College Rd Ste A |
$50.07 | 43 | 30 |
|
Beverley Ann Blake Odoherty
801 Pole Line Rd W |
$300.78 | 43 | 39 |
|
Jarom F Lamb
775 Pole Line Rd W |
$59.82 | 43 | 40 |
|
Nichole S Halverson
526 Shoup Ave W Ste F |
$31.99 | 48 | 47 |
|
Timothy Browning
414 Shoup Ave W Ste B |
$66.66 | 49 | 48 |
|
Kylee Shaw
1411 Falls Ave E Ste 1002 |
$92.20 | 49 | 49 |
|
Andy Christian Victor
2111 North Temple Drive |
$0.00 | 49 | 49 |
|
Kaitlin Renette Munns
625 Pole Line Rd W Ste 2A |
$61.13 | 51 | 49 |
|
Bradley Meyer
801 Pole Line Rd W |
$26.85 | 51 | 42 |
|
Jessica Viehweg Taylor
738 N College Rd |
$39.10 | 52 | 50 |
|
Anna Makovec-Fuller
496 Shoup Ave W |
$58.54 | 52 | 45 |
|
Imad Jaafar
775 Pole Line Rd W Ste 203 |
$64.19 | 53 | 52 |
|
Jedediah Hunter May
738 N College Rd Ste B |
$12.57 | 60 | 55 |
|
Miriah Jean Graybill
625 Pole Line Rd W Ste 2A |
$89.64 | 62 | 61 |
|
Kade Kress
738 N College Rd Ste A |
$57.78 | 63 | 62 |
|
Stephanie M Hilpert
725 Pole Line Rd W |
$52.64 | 66 | 59 |
|
Jason Halverson
261 Canyon Crest Dr Ste 100 |
$57.45 | 75 | 69 |
|
Joseph Ezer
775 Pole Line Rd W Ste 315 |
$14.38 | 76 | 71 |
|
Nathan Todd Sparks
414 Shoup Ave W Ste B |
$85.12 | 78 | 75 |
|
Joel Hancock
2114 Village Park Ave |
$67.18 | 80 | 78 |
|
Matt G. Merrell
526H Shoup Ave W. |
$39.07 | 81 | 71 |
|
Alan D Olmstead
844 Washington St N Ste 100 |
$54.44 | 81 | 75 |
|
Parker Mccune Dee
725 Pole Line Rd W |
$55.89 | 82 | 72 |
|
Lindsey Blamires
801 Pole Line Rd W Ste 3880 |
$64.58 | 84 | 79 |
|
Erica Cameron
260 Falls Ave Ste B |
$56.91 | 86 | 72 |
|
Zachary Aaron Glaser
775 Pole Line Rd W Ste 301 |
$47.05 | 88 | 70 |
|
Mindy L Brown
801 Pole Line Rd W |
$52.31 | 105 | 98 |
|
Sean Eric Mcmillan
801 Pole Line Rd W Ste 381 |
$61.87 | 107 | 85 |
|
Ted Rea
1411 Falls Ave E |
$42.73 | 112 | 101 |
|
Rebecca Cabello
325 Martin St |
$0.00 | 117 | 109 |
|
Jennifer Anne Gardner
1385 Park View Dr Ste 101 |
$69.40 | 118 | 114 |
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