Average Medicaid Office Visit Payments in Aberdeen, SD: $43.35
Avg. Paid
$43.35
Range
$0.00 – $158.49
Total Claims
112,388
Providers
33
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 Aberdeen, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sanford Health Network
3015 3Rd Ave Se |
$42.22 | 53,469 | 43,821 |
|
Avera St. Luke'S
105 S State St Ste 113 |
$40.89 | 31,639 | 26,840 |
|
Avera St. Luke'S
701 8Th Ave Nw Ste A |
$46.21 | 5,321 | 4,642 |
|
Northeastern Mental Health Center
14 S Main St |
$21.56 | 3,453 | 2,822 |
|
Avera St. Luke'S
201 S Lloyd St Ste E206 |
$59.35 | 3,378 | 3,111 |
|
Avera St. Luke'S
701 8Th Ave Nw Ste C |
$33.65 | 3,175 | 2,961 |
|
Vision Care Associates, Llp
310 8Th Ave Nw |
$28.00 | 2,744 | 1,856 |
|
Sandra Summers
1409 6Th Ave Se Ste 1 |
$158.49 | 1,475 | 1,223 |
|
Prairie Dermatology Pc
3 Lafayette St S |
$28.95 | 1,385 | 1,102 |
|
Avera St. Luke'S
615 6Th Ave Se |
$29.53 | 1,163 | 1,056 |
|
Horizon Health Care Inc
506 S Wilson St |
$150.04 | 1,009 | 834 |
|
Avera St. Luke'S
105 S State St Ste 201 |
$28.70 | 744 | 670 |
|
Avera St. Luke'S
820 1St Ave Se Ste 100 |
$45.94 | 669 | 594 |
|
Avera St. Luke'S
310 S Penn St Ste 106 |
$28.29 | 513 | 341 |
|
Modern Day Health Care Prof Llc
1409 6Th Ave Se Ste 1 |
$65.31 | 512 | 379 |
|
Avera St. Luke'S
310 S Penn St Ste 202 |
$26.22 | 451 | 404 |
|
Richard J Lewis
3015 3Rd Ave Se |
$38.47 | 269 | 225 |
|
Scott Ryan Hopfinger
405 8Th Ave Nw |
$19.41 | 181 | 159 |
|
Lisa Beth Wurnig-Johnson
815 1St Ave Se |
$0.00 | 163 | 157 |
|
Ingrid Hernberg
3015 3Rd Ave Se |
$64.47 | 120 | 112 |
|
Racheal Tushabe
815 1St Ave Se Ste 104 |
$59.42 | 114 | 103 |
|
Jessica Suann Stage
3015 3Rd Ave Se |
$28.27 | 113 | 54 |
|
Avera St Lukes
310 S Penn St Ste 201 |
$52.57 | 57 | 45 |
|
Avera St. Luke'S
310 S Penn St Ste 204 |
$32.15 | 48 | 37 |
|
Julie Nicole Johnson
105 S State St Ste 113 |
$35.66 | 43 | 42 |
|
Avera St Lukes
305 S State St |
$18.44 | 35 | 17 |
|
Jacob James Miller
3015 3Rd Ave Se |
$63.93 | 31 | 28 |
|
Avera St. Luke'S
310 S Penn St Ste 203 |
$12.50 | 26 | 25 |
|
James Mathew Weekly
3015 3Rd Ave Se |
$45.05 | 26 | 26 |
|
Aberdeen Asthma & Allergy Pc
201 S Lloyd St Ste W110 |
$13.61 | 19 | 12 |
|
Babcock Family Chiropractic, Llc
221 6Th Ave Se Ste 1 |
$36.72 | 17 | 12 |
|
Kendra D Waldner
105 S State St |
$154.44 | 14 | 14 |
|
Avera St. Lukes
310 S Penn St Ste 203 |
$17.26 | 12 | 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 Aberdeen, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Aberdeen, SD is $43.35 per claim, based on 112,388 claims from 33 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 Aberdeen, SD?
There are 33 Medicaid providers offering Office Visit related services in Aberdeen, SD according to public payment data.
What is the price range for Office Visit in Aberdeen, SD?
Medicaid reimbursement for Office Visit in Aberdeen, SD ranges from $0.00 to $158.49 per claim, with an average of $43.35. 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 Aberdeen, SD
Eye Exam
Avg $47.84
72,308 claims
Vaccines & Immunizations
Avg $9.25
46,936 claims
Emergency Room Visit
Avg $78.36
36,050 claims
Psychiatric Evaluation
Avg $95.34
27,545 claims
X-Ray
Avg $9.01
22,095 claims
Physical Therapy
Avg $27.02
21,528 claims
Personal Care Services
Avg $67.29
17,734 claims
Blood Work & Lab Tests
Avg $6.40
16,850 claims