Average Medicaid Office Visit Payments in Billings, MT: $76.66
Avg. Paid
$76.66
Range
$0.00 – $528.57
Total Claims
769,144
Providers
511
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 Billings, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yellowstone City-County Health Department
123 S 27Th St |
$0.00 | 115,279 | 97,495 |
|
Rimrock Foundation
1231 N 29Th St |
$77.52 | 14,579 | 8,745 |
|
South Central Montana Regional Mental Health Center
1245 N 29Th St |
$65.89 | 13,321 | 11,855 |
|
Kevin J Koch
1041 N 29Th St |
$83.73 | 10,563 | 9,308 |
|
Heather Hansen
2900 12Th Ave No #140W |
$96.59 | 9,066 | 7,669 |
|
Jon Bullman
2019 Broadwater Ave |
$100.02 | 8,480 | 7,556 |
|
Megan Michelle Poser
2800 10Th Ave N |
$88.41 | 8,165 | 7,744 |
|
Brian L. Starr
2800 10Th Ave N |
$106.02 | 7,543 | 7,308 |
|
Jonathan Binger
1233 N 30Th St |
$78.10 | 7,529 | 6,500 |
|
Michelle A. Connors
1523 Wyoming Ave |
$76.13 | 7,315 | 5,552 |
|
Troy R. Stiles
820 Division St |
$102.90 | 7,263 | 6,646 |
|
Ari D Greenberg
2900 12Th Ave N |
$46.36 | 7,097 | 2,463 |
|
David Dewitt Standish
1232 North 30Th Street |
$92.36 | 7,079 | 6,863 |
|
Marcia Taylor
1620 Alderson Ave Unit 23 |
$80.61 | 6,794 | 6,080 |
|
Gordon Calvin Collett
1232 North 30Th Street |
$88.16 | 6,750 | 6,525 |
|
Patricia M Notario
2800 10Th Ave N |
$112.96 | 6,745 | 6,470 |
|
Beth Ann Cohen
2040 Rosebud Dr Ste 7 |
$85.11 | 6,430 | 4,512 |
|
Diane Thomas Hurd
1020 N 27Th St |
$128.07 | 6,324 | 5,945 |
|
Max D Dangerfield
2525 4Th Ave N |
$85.31 | 6,233 | 5,592 |
|
Aaron James Audet
801 N 29Th St |
$86.72 | 6,133 | 5,846 |
|
Douglas A. Whitehead
2825 8Th Ave N |
$94.01 | 6,061 | 5,209 |
|
Kyle Bodley
3401 Avenue E |
$97.60 | 5,938 | 5,659 |
|
Leslie B Poling
2825 8Th Ave N |
$101.39 | 5,818 | 5,617 |
|
Thomas Bates
1027 N 27Th St |
$101.74 | 5,612 | 5,000 |
|
Lisa Stricker
2900 12Th Ave N Ste 335W |
$51.70 | 5,572 | 5,014 |
|
Heath L Shomate
2950 10Th Ave N |
$93.14 | 5,523 | 5,225 |
|
Youth Dynamics, Inc.
2334 Lewis Ave |
$127.33 | 5,463 | 4,803 |
|
Hans Erling Bone
2900 12Th Ave N Ste 335W |
$65.89 | 5,192 | 4,592 |
|
Sheryl A. Malinowski
801 N 29Th St |
$83.48 | 5,163 | 5,004 |
|
Christopher C. Smith
2675 Central Ave |
$77.13 | 5,027 | 4,792 |
|
Marie D. Kennedy
2675 Central Ave |
$78.71 | 4,960 | 4,747 |
|
Michael Henry Schabacker
2900 12Th Ave N |
$74.90 | 4,888 | 4,299 |
|
Leslie R Mutchler
801 N 29Th St |
$83.41 | 4,537 | 4,390 |
|
Kathleen M Yapuncich
3401 Avenue E |
$99.24 | 4,513 | 4,334 |
|
Karen Stainton
2675 Central Ave |
$90.44 | 4,441 | 4,243 |
|
Alison Danielle Quammen
801 N 29Th St |
$85.78 | 4,429 | 4,291 |
|
Patricia Lyn Francisco Thomas
1732 S 72Nd St W |
$125.34 | 4,420 | 2,806 |
|
Christopher J Cancro
2750 Grand Ave |
$87.96 | 4,400 | 3,977 |
|
Aimee E Avison
2223 Mission Way |
$87.22 | 4,228 | 3,623 |
|
Erin Murphy Allen
2800 10Th Ave N |
$97.98 | 4,205 | 4,087 |
|
Kristen Beck
2750 Grand Ave |
$85.14 | 4,166 | 3,652 |
|
Lauren Labar
32 Wicks Ln |
$85.52 | 4,068 | 3,679 |
|
Stephen Michael Bertucci
123 S 27Th St |
$47.63 | 4,033 | 3,663 |
|
Jon Matthew Mcdonald
2800 10Th Ave N |
$110.60 | 3,996 | 3,812 |
|
Deborah G. Agnew
2800 10Th Ave N |
$95.63 | 3,929 | 3,824 |
|
Larry Allan Bradley
2800 10Th Ave N |
$86.95 | 3,919 | 3,788 |
|
Deborah Malters
3737 Grand Avenue |
$98.66 | 3,797 | 3,347 |
|
Anne Evelyn Mcrae
1020 N 27Th St |
$118.08 | 3,760 | 3,532 |
|
Lionel Edward Tapia
1232 North 30Th Street |
$88.55 | 3,513 | 3,408 |
|
Messina M. Michalsky
926 Main St Ste 14 |
$104.89 | 3,450 | 2,629 |
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 Billings, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Billings, MT is $76.66 per claim, based on 769,144 claims from 511 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 Billings, MT?
There are 511 Medicaid providers offering Office Visit related services in Billings, MT according to public payment data.
What is the price range for Office Visit in Billings, MT?
Medicaid reimbursement for Office Visit in Billings, MT ranges from $0.00 to $528.57 per claim, with an average of $76.66. 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 Billings, MT
Blood Work & Lab Tests
Avg $2.99
1,239,732 claims
Psychiatric Evaluation
Avg $65.27
854,643 claims
Behavioral & Mental Health Therapy
Avg $76.38
733,501 claims
Case Management Services
Avg $58.12
674,104 claims
Emergency Room Visit
Avg $62.18
468,707 claims
Dental Cleaning & Exam
Avg $30.66
454,374 claims
Physical Therapy
Avg $49.33
334,261 claims
Speech Therapy
Avg $42.33
215,606 claims