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
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 Zuni, NM
Home Health Visit
Avg $62.85
174,967 claims
Ambulance Transport
Avg $193.89
11,459 claims
Blood Work & Lab Tests
Avg $5.91
8,864 claims
Speech Therapy
Avg $18.99
2,566 claims
Psychiatric Evaluation
Avg $154.10
1,816 claims
Vaccines & Immunizations
Avg $5.51
1,655 claims
Emergency Room Visit
Avg $55.77
904 claims
Eye Exam
Avg $9.32
579 claims