Average Medicaid Office Visit Payments in Gering, NE: $61.16
Avg. Paid
$61.16
Range
$26.50 – $221.40
Total Claims
38,137
Providers
18
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 Gering, NE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Monica Sarawagi
Regional West Physician Clinic |
$49.35 | 79 | 69 |
|
Maria Akhtar
1275 Sage St |
$64.02 | 134 | 133 |
|
Abbie Lynn Fulk
2855 10Th Street |
$26.50 | 211 | 186 |
|
John Carrington
3350 10Th St |
$87.58 | 371 | 311 |
|
Sherri Shaw
3350 10Th St |
$182.88 | 603 | 524 |
|
Jennifer R Smith
1605 10Th St Ste B |
$40.07 | 630 | 603 |
|
Charles J Krysl
1275 Sage St |
$67.71 | 712 | 654 |
|
Ashley Satur
1275 Sage St |
$40.29 | 714 | 664 |
|
Carol M Herman
975 Crescent Dr |
$159.87 | 734 | 629 |
|
Amanda Fabian
2855 10Th St Ste B |
$75.10 | 750 | 724 |
|
J Matthew Haslam
1275 Sage St |
$76.07 | 916 | 903 |
|
Alicia Y Gonzales-Longoria
2350 Shadow Ridge Dr |
$44.52 | 1,111 | 1,051 |
|
Abdel Kader Laouel Kader
975 Crescent Dr |
$131.86 | 1,173 | 1,011 |
|
Brooke Arleen Vance
975 Crescent Dr |
$114.41 | 1,198 | 1,089 |
|
Katherine Grace Tuttle
Community Action Partnership Of Western Nebraska |
$221.40 | 1,325 | 1,111 |
|
Emily Mae Stull
455 M St |
$56.97 | 1,912 | 1,819 |
|
Community Action Partnership Of Western Nebraska
975 Crescent Drive |
$42.13 | 3,778 | 3,299 |
|
Jodene Thomas Burkhart
3350 10Th St |
$42.38 | 21,786 | 18,463 |
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 Gering, NE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Gering, NE is $61.16 per claim, based on 38,137 claims from 18 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 Gering, NE?
There are 18 Medicaid providers offering Office Visit related services in Gering, NE according to public payment data.
What is the price range for Office Visit in Gering, NE?
Medicaid reimbursement for Office Visit in Gering, NE ranges from $26.50 to $221.40 per claim, with an average of $61.16. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Avg $82.40
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Phoenix, AZ
Avg $47.53
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Avg $48.27
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Avg $54.47
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Other Procedures in Gering, NE
Physical Therapy
Avg $17.67
19,343 claims
Dental Cleaning & Exam
Avg $7.95
8,595 claims
Blood Work & Lab Tests
Avg $5.83
6,521 claims
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Avg $105.58
2,611 claims
Tooth Extraction
Avg $16.14
2,227 claims
Dental Filling
Avg $10.96
862 claims
Urinalysis & Urine Tests
Avg $2.63
295 claims
Vaccines & Immunizations
Avg $8.31
280 claims