Average Medicaid Office Visit Payments in Great Falls, MT: $69.01
Avg. Paid
$69.01
Range
$0.00 – $407.57
Total Claims
498,486
Providers
290
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 Great Falls, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Community Health Care Center Incorporated
601 1St Ave N |
$0.00 | 72,475 | 60,914 |
|
Center For Mental Health
915 1St Ave S |
$80.66 | 23,333 | 18,899 |
|
Adam W Smith
1101 26Th St S |
$85.08 | 13,074 | 12,176 |
|
Michael K Garver
926 13Th Ave S |
$92.21 | 8,600 | 8,053 |
|
Paul Meiners
1600 Division Rd |
$112.30 | 8,547 | 7,549 |
|
Kelsey A. Bock
1401 25Th St S |
$77.47 | 8,133 | 7,536 |
|
Timothy N Street
1600 Division Rd |
$92.45 | 7,757 | 6,848 |
|
Jill Elizabeth Donaldson
500 15Th Ave S |
$76.26 | 7,547 | 6,980 |
|
Deanna L Babb
601 1St Ave N |
$79.09 | 7,175 | 6,521 |
|
Robert Weiss
1401 25Th St S |
$75.10 | 6,896 | 6,537 |
|
Ashley Wach
3000 15Th Ave S |
$74.68 | 6,893 | 5,894 |
|
Nicole Jacqueline White
25 14Th Ave Nw |
$103.60 | 6,804 | 6,025 |
|
David Kluge
3000 15Th Ave S |
$91.56 | 6,282 | 5,127 |
|
Jimmie Jason Barnwell
1101 26Th St S |
$89.35 | 5,866 | 4,481 |
|
Ladonna K Maxwell
2300 12Th Ave S Ste 101 |
$59.34 | 5,566 | 4,935 |
|
Bruce D Fisher
1016 9Th St S |
$57.02 | 5,559 | 4,085 |
|
Emily Dorothea Stopka
609 10Th Ave S |
$95.33 | 5,206 | 4,484 |
|
Diane L Evans
1300 28Th St S |
$101.04 | 5,071 | 4,743 |
|
Leah Schwandt
1400 29Th St S |
$70.67 | 4,942 | 4,110 |
|
Kirk Bigley
1401 25Th St S |
$52.94 | 4,745 | 4,430 |
|
Marcella L Barker
1401 25Th St S |
$94.51 | 4,741 | 4,411 |
|
William Joshu
25 14Th Avenue N.W. |
$90.32 | 4,515 | 4,113 |
|
Ryan Boer
1401 25Th St S |
$87.13 | 4,485 | 3,847 |
|
Joseph Lee
1401 25Th St S |
$82.27 | 4,419 | 3,999 |
|
Charles Marler
1401 25Th St S |
$84.27 | 4,343 | 3,904 |
|
Michele C Marler
1401 25Th St S |
$93.00 | 4,324 | 3,843 |
|
Renee Lyn Johnson
401 15Th Ave S Ste 206 |
$96.55 | 4,286 | 3,885 |
|
Anisha Mcclure
1401 25Th St S |
$72.43 | 3,881 | 3,536 |
|
Kevin Mccrea
1401 25Th St S |
$76.48 | 3,877 | 3,486 |
|
Nancy J Maynard
1400 29Th St S |
$83.10 | 3,824 | 3,357 |
|
Maddie Johnson
1401 25Th St S |
$68.63 | 3,785 | 3,143 |
|
Samuel Mark Spanbauer
500 15Th Ave S Ste 1 |
$93.60 | 3,575 | 3,277 |
|
James Eldon Latray
1401 25Th St S |
$65.56 | 3,536 | 3,021 |
|
Jason Gary Kjono
1401 25Th St S |
$62.90 | 3,525 | 3,184 |
|
Kristen Larkin
1101 26Th St S |
$61.65 | 3,508 | 3,439 |
|
Malinda A Pike
1400 29Th St S |
$151.96 | 3,456 | 3,130 |
|
Vilma Herrera
500 15Th Ave S |
$72.79 | 3,425 | 3,127 |
|
Indian Family Health Clinic Of Great Falls Inc
1220 Central Avenue |
$0.00 | 3,412 | 2,892 |
|
Jamie Ann Aleba
1401 25Th St S |
$99.16 | 3,334 | 3,218 |
|
Jean N Moore
115 4Th St S |
$113.37 | 3,307 | 2,992 |
|
Emily Grant
1300 28Th St S |
$101.15 | 3,295 | 2,892 |
|
Erica Leigh Fulwider Brajcich
1101 26Th St S |
$62.93 | 3,195 | 3,122 |
|
Melanie Marie Brown
1401 25Th St S |
$97.00 | 3,190 | 2,965 |
|
Wendy Sue Killham
1101 26Th St S |
$92.20 | 3,165 | 2,155 |
|
Patrick Tang
1117 29Th St S |
$65.57 | 3,133 | 2,527 |
|
Jeffrey Clinton Baker
1401 25Th St S |
$85.78 | 3,114 | 2,908 |
|
Lorenzo Boccuzzi
1401 25Th St S |
$69.57 | 3,110 | 2,776 |
|
Katelyn Myllymaki-Keller
1101 26Th St S |
$84.61 | 3,100 | 2,859 |
|
Kenton Rance Orr
1101 26Th St S |
$80.10 | 2,948 | 2,734 |
|
Stacy C Hermiller
1401 25Th St S |
$75.78 | 2,886 | 2,518 |
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 Great Falls, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Great Falls, MT is $69.01 per claim, based on 498,486 claims from 290 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 Great Falls, MT?
There are 290 Medicaid providers offering Office Visit related services in Great Falls, MT according to public payment data.
What is the price range for Office Visit in Great Falls, MT?
Medicaid reimbursement for Office Visit in Great Falls, MT ranges from $0.00 to $407.57 per claim, with an average of $69.01. 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 Great Falls, MT
Blood Work & Lab Tests
Avg $1.34
632,349 claims
Psychiatric Evaluation
Avg $51.07
388,793 claims
Behavioral & Mental Health Therapy
Avg $70.57
325,633 claims
Emergency Room Visit
Avg $48.59
187,468 claims
Physical Therapy
Avg $13.45
181,583 claims
X-Ray
Avg $5.68
130,701 claims
Case Management Services
Avg $130.84
123,372 claims
Vaccines & Immunizations
Avg $18.24
104,182 claims