Average Medicaid Office Visit Payments in Edmond, OK: $90.89
Avg. Paid
$90.89
Range
$0.00 – $662.08
Total Claims
333,239
Providers
311
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 Edmond, OK
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Amer Badreden Nouh
1417 Nw 150Th St |
$66.52 | 16,132 | 14,994 |
|
Brook Wayne Hightower
14021 Crossing Way E |
$114.19 | 10,649 | 10,381 |
|
Yombi Melanie Valentine Ngouanyo Taponno
1833 Olde School Rd |
$68.01 | 9,517 | 8,868 |
|
Rosa J. Rios
4801 Integris Pkwy |
$102.38 | 8,865 | 8,164 |
|
Valerie Ann Stockton
1714 S Kelly Ave |
$85.81 | 6,292 | 6,255 |
|
Hillary Seth Lawrence
1354 E 15Th St |
$79.06 | 6,187 | 6,120 |
|
Jonathan A Doyle
3444 S Boulevard |
$567.27 | 6,172 | 5,761 |
|
Amie E Prough
1700 Renaissance Blvd |
$74.32 | 5,019 | 4,801 |
|
Courtney Brooke Atchley
16400 N May Ave |
$11.92 | 4,867 | 4,729 |
|
Ahmed Refat Abdelaziz
1218 E 9Th St Ste 1 |
$88.98 | 4,431 | 4,026 |
|
Kristin M Colton
2000 East 15Th St., Ste 400 A |
$98.69 | 4,370 | 4,213 |
|
Pooja Bhakta
2000 E 15Th St Ste 400A |
$96.04 | 4,261 | 4,155 |
|
Louis Guerrant
2000 E 15Th St Ste 400A |
$95.58 | 4,251 | 4,057 |
|
Andrew Henderson
14701 N Santa Fe Ave |
$82.29 | 4,202 | 3,777 |
|
Bruce A Mackey
3957 E Covell Rd |
$23.49 | 4,109 | 3,903 |
|
Brooke A Nida
1700 S Renaissance Blvd |
$78.04 | 4,038 | 3,894 |
|
Braxton Lane Nottingham
2557 Old Timbers Dr |
$96.05 | 3,898 | 3,703 |
|
Jeanne M Schaefer
523 S Santa Fe Ave Ste B |
$86.14 | 3,871 | 3,664 |
|
Todd Anthony Krehbiel
2117 N. Kelly Ave. |
$50.85 | 3,854 | 3,613 |
|
Melissa Andrade
301 Lilac Dr., Ste. 230 |
$86.91 | 3,827 | 3,641 |
|
Whitney T Mashburn
1354 E 15Th St |
$86.45 | 3,708 | 3,695 |
|
Jason Stephen Seay
2017 W I 35 Frontage Rd |
$81.44 | 3,409 | 3,246 |
|
Tina Joy
3209 S Broadway Ste 229 |
$100.67 | 3,368 | 3,088 |
|
Loring Barwick
16205 N Pennsylvania Ave |
$89.34 | 3,367 | 3,335 |
|
Billy Joe Buffington
1714 S Kelly Ave |
$82.22 | 3,292 | 3,181 |
|
Stephen Johnston
2000 E 15Th St Ste 400A |
$96.43 | 3,191 | 3,093 |
|
Jessica Ann Wallenmeyer
2109 N Kelly Ave |
$42.17 | 3,180 | 2,787 |
|
Jonathan Roth
2000 E 15Th St |
$125.91 | 3,135 | 3,126 |
|
Tirsit Adane
14103 Fairhill Avenue |
$40.85 | 2,958 | 2,811 |
|
Bryan Potthoff
14101 N. Eastern Ave |
$108.52 | 2,957 | 2,799 |
|
Mary Cathryn Merideth
2017 W I 35 Frontage Rd |
$73.64 | 2,942 | 2,834 |
|
Jeremy D. Gray
12401 Hoffman Rd |
$67.57 | 2,734 | 2,614 |
|
Karlee Jo Pfaff
3030 N W 164Th St. |
$91.87 | 2,714 | 2,692 |
|
Vyjayanthi Ganga
1501 E 19Th St |
$36.37 | 2,648 | 2,159 |
|
Pamela Laura Migliaccio
1520 S Bryant Ave |
$47.69 | 2,646 | 2,546 |
|
Renee Short
1520 S Bryant Ave |
$92.78 | 2,626 | 2,606 |
|
Molly Ann Mayfield
3209 S Broadway Ste 229 |
$72.09 | 2,585 | 2,448 |
|
Ashley Hebert
523 S Santa Fe Ave |
$95.34 | 2,558 | 2,461 |
|
Sanjaykumar Jagdishbhai Hapani
13301 N Meridian Ave |
$64.12 | 2,501 | 2,185 |
|
Betsy Ann Ittickathra
1700 Renaissance Blvd |
$84.75 | 2,489 | 2,315 |
|
Melinda Natasha Kruger Kruger
1221 N Kelly Ave |
$82.09 | 2,451 | 2,408 |
|
Zachary Martyn Riemenschneider
16440 Muirfield Pl |
$81.24 | 2,361 | 2,189 |
|
Breanna Lea White
2017 W I 35 Frontage Rd |
$81.69 | 2,359 | 2,233 |
|
Leslie B Hornick
1701 Renaissance Blvd Ste 110 |
$104.81 | 2,347 | 2,338 |
|
Merrill A Thomas
46 E 15Th St |
$0.04 | 2,347 | 2,315 |
|
Timothy F Krous
2109 N Kelly Ave |
$64.92 | 2,253 | 2,130 |
|
Omid Roostaeyan
18503 N Portland Ave |
$97.42 | 2,223 | 2,140 |
|
Peter B Stanbro
2000 E 15Th St Ste 400A |
$63.34 | 2,186 | 2,156 |
|
Kim B. Knox
3801 Nw 166Th St Ste 4 |
$85.17 | 2,173 | 2,064 |
|
Marissa Lenee Hunter
18503 N Portland Ave |
$103.02 | 2,145 | 2,064 |
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 Edmond, OK?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Edmond, OK is $90.89 per claim, based on 333,239 claims from 311 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 Edmond, OK?
There are 311 Medicaid providers offering Office Visit related services in Edmond, OK according to public payment data.
What is the price range for Office Visit in Edmond, OK?
Medicaid reimbursement for Office Visit in Edmond, OK ranges from $0.00 to $662.08 per claim, with an average of $90.89. 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 Edmond, OK
Substance Abuse Treatment
Avg $66.31
264,781 claims
Case Management Services
Avg $60.43
219,819 claims
Dental Cleaning & Exam
Avg $28.35
165,874 claims
X-Ray
Avg $11.17
127,523 claims
Speech Therapy
Avg $64.72
97,851 claims
Vaccines & Immunizations
Avg $16.88
85,855 claims
Physical Therapy
Avg $86.80
56,109 claims
Eye Exam
Avg $46.00
34,706 claims