Average Medicaid Office Visit Payments in Duluth, MN: $68.97
Avg. Paid
$68.97
Range
$0.00 – $621.30
Total Claims
252,568
Providers
482
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 Duluth, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Smdc Medical Center
502 E 2Nd St |
$7.61 | 7,133 | 5,978 |
|
Brittany Morgan Hamm
4325 Grand Ave |
$118.79 | 4,499 | 3,258 |
|
Eric Austin Johnson
202 N 24Th Ave E |
$87.29 | 3,757 | 3,277 |
|
Jessica Scott
915 E 1St St |
$70.49 | 3,439 | 3,152 |
|
Kathy Marie Cook Busick
600 E Superior St Ste 502 |
$110.02 | 3,196 | 2,616 |
|
Natalie N Johnson
1003 E Central Entrance |
$100.87 | 2,932 | 1,388 |
|
Daniel Anthony Blascyk
915 E 1St St |
$56.00 | 2,871 | 2,368 |
|
Lucette Vankessel
4212 Grand Ave |
$58.25 | 2,853 | 2,355 |
|
Abigail Delisle
1505 S Lake Ave |
$0.90 | 2,774 | 2,704 |
|
Rebecca Leigh Wachsmuth
24 N 21St Ave W |
$62.37 | 2,732 | 2,363 |
|
Thomas Joseph Mcintee
400 E 3Rd St |
$44.30 | 2,727 | 2,552 |
|
Steven Michael Johnson
400 E 3Rd St |
$38.29 | 2,342 | 2,161 |
|
Lisa M. Casey
400 E 3Rd St |
$51.28 | 2,213 | 2,085 |
|
Kannan Kasturi
400 E 3Rd St |
$67.28 | 2,209 | 2,126 |
|
Jacob R Oestreich
4325 Grand Ave |
$167.73 | 2,207 | 1,801 |
|
Nicholas Daniel Velasquez
4212 Grand Ave |
$57.09 | 2,170 | 1,982 |
|
Michael Brian Stevenson
400 E 3Rd St |
$47.09 | 2,075 | 1,929 |
|
Amy Marguerite Grew
400 E 3Rd St |
$49.85 | 2,047 | 1,968 |
|
Amy Jo Schwab
332 W Superior St Ste 300 |
$120.38 | 2,038 | 1,817 |
|
John E Wood
330 N 8Th Ave E |
$68.56 | 2,010 | 1,878 |
|
Jason T Wall
330 N 8Th Ave E |
$72.76 | 1,967 | 1,873 |
|
Noelle Anne Westrum
1012 E 2Nd St |
$52.07 | 1,926 | 1,852 |
|
Nicole Shockley
4325 Grand Ave |
$164.75 | 1,799 | 1,477 |
|
Amber Jean Voss
400 E 3Rd St |
$28.72 | 1,777 | 1,651 |
|
Kirsten E Cowan
400 E 3Rd St |
$117.03 | 1,743 | 1,622 |
|
Steven John Sutherland
400 East 3Rd Street |
$87.42 | 1,722 | 740 |
|
Theresa Marie Carr
332 W Superior St |
$97.26 | 1,721 | 1,566 |
|
Coleen Rose Christensen
332 W Superior St Ste 300 |
$92.65 | 1,699 | 1,377 |
|
Boni-Jo Silbernagel
400 East 3Rd St |
$34.34 | 1,695 | 1,430 |
|
Sarah Mcisaac
810 E 4Th St |
$158.35 | 1,663 | 1,403 |
|
Timothy Allen King
400 E 3Rd St |
$28.64 | 1,625 | 1,494 |
|
Bonnie M Gustafson
400 E 3Rd St |
$160.14 | 1,582 | 978 |
|
Daniel Lewis Kendall
400 E 3Rd St |
$54.71 | 1,555 | 1,490 |
|
Brian James Ruggle
4212 Grand Ave |
$52.57 | 1,532 | 1,421 |
|
Jill C Bloomer
101 W 2Nd St |
$104.55 | 1,509 | 986 |
|
Molly B Dwyer
400 E 3Rd St |
$62.60 | 1,470 | 1,337 |
|
Anthony C Guidone
4212 Grand Ave |
$52.33 | 1,467 | 1,371 |
|
Lisa Sitzmann Prusak
6351 E Superior St |
$52.24 | 1,445 | 1,403 |
|
Laura Trombino
400 E 3Rd St |
$34.72 | 1,421 | 1,255 |
|
Livingstone Chukwuemeka Igwe
4621 E Superior St |
$58.78 | 1,419 | 1,292 |
|
Ricci Lee Bender
502 E 2Nd St |
$86.62 | 1,415 | 1,255 |
|
Lauryn Elizabeth Wuorio
4212 Grand Ave |
$55.09 | 1,363 | 1,298 |
|
Jennifer Lynn Martinelli
400 E 3Rd St |
$49.64 | 1,346 | 1,291 |
|
Nicole Lillian Hatcher
915 E 1St St |
$55.22 | 1,346 | 1,285 |
|
Sharnell Rae Valentine
400 E 3Rd St |
$54.16 | 1,346 | 1,288 |
|
Emily Moe
400 E 3Rd St Ste A |
$60.06 | 1,337 | 1,284 |
|
Allen Leslie Hughes
400 E 3Rd St |
$50.39 | 1,327 | 1,272 |
|
Jeffrey D. Lewis
400 E 3Rd St |
$26.72 | 1,304 | 1,171 |
|
Robert W Nipp
324 W Superior St |
$29.37 | 1,262 | 1,151 |
|
Kari Marie Rengo
324 W Superior St Ste 600 |
$55.18 | 1,251 | 1,106 |
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 Duluth, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Duluth, MN is $68.97 per claim, based on 252,568 claims from 482 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 Duluth, MN?
There are 482 Medicaid providers offering Office Visit related services in Duluth, MN according to public payment data.
What is the price range for Office Visit in Duluth, MN?
Medicaid reimbursement for Office Visit in Duluth, MN ranges from $0.00 to $621.30 per claim, with an average of $68.97. 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 Duluth, MN
Substance Abuse Treatment
Avg $73.03
563,750 claims
Blood Work & Lab Tests
Avg $9.66
448,975 claims
Behavioral & Mental Health Therapy
Avg $132.01
224,543 claims
Psychiatric Evaluation
Avg $107.46
170,778 claims
Emergency Room Visit
Avg $151.89
169,721 claims
EKG / ECG (Electrocardiogram)
Avg $6.41
64,914 claims
X-Ray
Avg $7.78
62,371 claims
Physical Therapy
Avg $37.35
53,145 claims