Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Bismarck, ND: $90.15

Avg. Paid

$90.15

Range

$3.01 – $476.36

Total Claims

288,303

Providers

318

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 Bismarck, ND

Provider	Avg. Paid	Claims	Patients
Sanford Bismarck 565 S 7Th St	$80.89	20,803	18,042
Carissa R Cornell 1221 W Divide Ave Ste 202	$97.56	9,878	7,902
Michael Capan 1237 W Divide Ave	$214.58	5,907	5,461
Roy J. Moen 300 N 7Th St	$83.31	5,511	5,180
Michelle R Tincher 2830 N Washington St	$103.50	5,491	4,991
James B Bossort 222 N 7Th St	$94.24	5,190	4,902
Jeremiah Jon Penn 401 N 9Th St.	$71.21	4,621	4,044
Sherry L Stein 1040 Tacoma Avenue South	$101.41	4,528	4,126
Lynn Elizabeth Ashley 3318 N 14Th St	$64.20	4,501	4,079
Shari Lynn Forschen 414 N 7Th St	$111.78	4,344	3,405
David Gayton 3318 N 14Th St	$86.03	3,806	3,627
Vanessa Rose Nelson 765 W Interstate Ave	$69.22	3,706	3,455
David J Pengilly 1040 Tacoma Avenue South	$98.42	3,667	3,267
Michael P Martire 121 W Century Ave	$64.63	3,593	3,283
Andrew Dean Knudsen 401 N 9Th St	$36.93	3,343	2,013
Douglas L. Moen 2700 State St	$65.06	3,096	2,561
Rebecca Ann Woolsey 900 E Broadway Ave	$76.31	3,062	2,764
David M Mathison 401 N 9Th St	$69.23	2,957	2,591
Anita Mehta 222 N 7Th St	$130.12	2,956	2,638
Stuart T Smith 1040 Tacoma Avenue South	$121.29	2,859	2,588
Kevin R Dahmen 900 E Broadway Ave	$103.76	2,792	2,672
Jessica A Balvitsch 414 N 7Th St	$99.96	2,791	2,552
Michael K Heck 1237 W Divide Ave Ste 5	$95.92	2,725	2,644
Amber Caster 222 N 7Th St	$57.31	2,723	2,603
Thomas James Eick 1237 W Divide Ave	$224.50	2,675	2,257
Gordon D Leingang 401 N 9Th St	$69.24	2,568	2,244
Lindsey Lee Henderson Drevecky 1040 Tacoma Ave	$111.08	2,561	2,349
Gregory Iwaasa 401 N 9Th St	$48.51	2,519	2,178
St. Alexius Medical Center 900 E Broadway Ave	$59.78	2,466	1,866
Stephanie Jallen 900 E Broadway Ave	$476.36	2,459	2,268
Aaron G Van Ningen 222 N 7Th St	$72.38	2,432	2,346
Jean M. Gustafson 401 N 9Th St	$73.99	2,429	1,947
Prem Nath Pathak 1800 E Interstate Ave Ste B	$107.14	2,410	2,280
Jason T Moe 401 N 9Th St	$70.03	2,351	2,084
Courtney Lynn Nordmeyer 765 W Interstate Ave	$51.11	2,317	2,187
Nigeria M Stahl 300 N 7Th St	$100.24	2,273	2,187
Kristie A Toman 765 W Interstate Ave	$66.62	2,185	2,047
David R Field 209 N 7Th St	$89.82	2,172	1,971
Eusebio Chiong Desuyo 222 N 7Th St	$16.68	2,144	872
Megan M Miller Pankratz 414 N 7Th St	$79.41	2,082	1,574
Mary Amber Jeppson 2700 State St	$48.01	2,036	1,900
Baruti Serabe 222 N 7Th St	$47.77	2,028	1,729
Brandon J Price 2500 Sunset Drive Nw	$76.02	1,933	1,820
Tanya Guthmiller 414 N 7Th St	$73.64	1,873	1,761
Amy Gotvaslee 1040 Tacoma Ave	$74.32	1,865	1,579
Troy Sterling Nies 300 N 7Th St	$75.01	1,827	1,719
Robert Tanous 401 N 9Th St	$68.67	1,798	1,400
Jessica A. Carlson 225 N 7Th St	$85.64	1,779	1,698
Rachel W. Peterson 414 N 7Th St	$76.76	1,774	1,270
Muhammad O. Jamil 900 E Broadway Ave	$31.34	1,733	1,674

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 Bismarck, ND?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bismarck, ND is $90.15 per claim, based on 288,303 claims from 318 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 Bismarck, ND?

There are 318 Medicaid providers offering Office Visit related services in Bismarck, ND according to public payment data.

What is the price range for Office Visit in Bismarck, ND?

Medicaid reimbursement for Office Visit in Bismarck, ND ranges from $3.01 to $476.36 per claim, with an average of $90.15. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Bismarck, ND: $90.15

Providers Offering Office Visit in Bismarck, ND

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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