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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Zuni, NM: $81.41

Avg. Paid

$81.41

Range

$0.31 – $307.19

Total Claims

38,389

Providers

23

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 Zuni, NM

Provider Avg. Paid Claims Patients
Zuni Indian Hospital

Route 301 North B Street

$126.21 22,159 17,610
Angelina Shigeura

Route 301 North B Street

$1.97 9,181 5,503
Francois Gaspard Rollin

Route 301 North

$24.65 1,952 1,677
Valory Elizabeth Wangler

21 B Ave

$92.89 1,134 1,027
Ashwini Mathai

Route 301 N 21 B Avenue

$26.76 901 860
Joshua D Back

Route 301 North

$0.31 471 446
Dominic Francis Caruso

12 B Ave.

$307.19 336 323
Johanna Karin Cooper

Route 301 North & B Avenue

$15.28 283 264
Natalia Mendoza

Route 301 North B Avenue

$13.25 275 257
Karthik Kavasseri

Route 301 North

$11.50 260 237
Laura Urbanski

Route 301 North

$24.17 228 213
Andrew Jensen

12 B Ave

$22.07 209 188
Rachel Leftwich Trippett

Route 301 North 21 B Street

$10.03 202 191
Kate Collins Faber

301 North B St.

$7.62 186 173
Demetri Blanas

Route 301 North 21 B Street

$7.77 131 126
Maya Degroote

Po Box 467

$0.63 130 78
Nadra Cavero

Route 301 North

$10.54 128 113
Shauna Milne-Walker

12 B St

$1.28 64 31
Emma Oberlander

Route 301 North

$31.09 59 55
Kristen Lenore Zozulin

Rte 301 N 21B Ave

$2.68 53 53
Kevin Christopher Gauvey-Kern

Route 301 North

$15.23 20 17
Camilo Pavel Werlin

Route 301 North 21 B. Avenue

$12.59 14 14
Jason Kurland

Route 301 North 21 B Avenue

$16.62 13 12

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 Zuni, NM?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Zuni, NM is $81.41 per claim, based on 38,389 claims from 23 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 Zuni, NM?

There are 23 Medicaid providers offering Office Visit related services in Zuni, NM according to public payment data.

What is the price range for Office Visit in Zuni, NM?

Medicaid reimbursement for Office Visit in Zuni, NM ranges from $0.31 to $307.19 per claim, with an average of $81.41. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Office Visit in Other Cities

Other Procedures in Zuni, NM