Average Medicaid Office Visit Payments in Whiteriver, AZ: $505.46
Avg. Paid
$505.46
Range
$0.00 – $517.51
Total Claims
179,906
Providers
9
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 Whiteriver, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dhhs Ihs Phoenix Area
200 West Hospital Drive |
$517.51 | 174,936 | 114,170 |
|
Daniel Ashley Brimm
200 W Hospital Drive |
$96.54 | 3,317 | 3,204 |
|
Pattie Jean Malone
200 W. Hospital Drive |
$57.27 | 1,383 | 1,359 |
|
James George Ard
200 W Hospital Dr |
$15.19 | 98 | 95 |
|
Elizabeth Anne Boot
200 Whiteriver Dr. |
$7.85 | 80 | 72 |
|
Richard John Robinson
200 W. Hospital Drive |
$15.89 | 51 | 51 |
|
Ashkan Bahin-Aein
860 W. Hospital Dr./Po Box 860 |
$37.73 | 14 | 14 |
|
Marylou Karambizi
200 Hospital Drive |
$0.00 | 14 | 14 |
|
Kevin B Spicer
Po Box 860 |
$39.35 | 13 | 13 |
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 Whiteriver, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Whiteriver, AZ is $505.46 per claim, based on 179,906 claims from 9 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 Whiteriver, AZ?
There are 9 Medicaid providers offering Office Visit related services in Whiteriver, AZ according to public payment data.
What is the price range for Office Visit in Whiteriver, AZ?
Medicaid reimbursement for Office Visit in Whiteriver, AZ ranges from $0.00 to $517.51 per claim, with an average of $505.46. 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 Whiteriver, AZ
Non-Emergency Medical Transportation
Avg $11.30
75,879 claims
Ambulance Transport
Avg $571.17
54,303 claims
Physical Therapy
Avg $21.80
3,985 claims
Emergency Room Visit
Avg $84.54
2,578 claims
Psychiatric Evaluation
Avg $90.83
1,269 claims
Vaccines & Immunizations
Avg $3.78
257 claims
EKG / ECG (Electrocardiogram)
Avg $13.32
246 claims
Eye Exam
Avg $85.00
42 claims