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 |
|---|---|---|---|
|
Jessica Ann Vlasie
2720 10Th Ave S |
$61.73 | 12 | 12 |
|
April Reynolds
500 15Th Ave S |
$115.72 | 12 | 12 |
|
Carolyn Rutter
1117 29Th St S |
$33.95 | 13 | 12 |
|
Aaron Michael Hasenkrug
400 13Th Ave S Ste 102 |
$24.16 | 13 | 12 |
|
Glenn A Winslow
400 13Th Ave S Ste 102 |
$74.27 | 13 | 13 |
|
Janelle Marie Bowden
1400 29Th St S Ste 201 |
$177.50 | 13 | 13 |
|
Tysen Timmer
1401 25Th St S |
$104.07 | 13 | 12 |
|
Justine Elise Redlin
523 9Th St S |
$72.08 | 14 | 13 |
|
Nell Ryan
3523 8Th Ave S |
$8.07 | 14 | 14 |
|
Mark Francis Ozog
1417 9Th St S Ste 100 |
$18.67 | 15 | 15 |
|
James M Macnutt
1401 25Th St S |
$49.15 | 15 | 15 |
|
Sandra L Bailey
1400 29Th St S |
$59.65 | 15 | 13 |
|
Thomas Brice Addison
1401 25Th St S |
$63.38 | 15 | 15 |
|
Patrick J Thomas
1401 25Th St S |
$82.39 | 15 | 13 |
|
Joseph William Vincent
523 9Th St S |
$50.18 | 15 | 13 |
|
Mindy Sterner Leach
2012 14Th St Sw |
$60.62 | 16 | 13 |
|
Thomas G Triehy
1400 29Th St S |
$36.92 | 16 | 13 |
|
Amanda H Lucas
1101 26Th St S |
$59.00 | 20 | 13 |
|
Joseph James Joslyn
601 1St Ave N |
$35.40 | 20 | 12 |
|
Edmund J Brennan
1101 26Th St S |
$23.46 | 21 | 17 |
|
Allayna Tyree
1401 25Th St S |
$107.04 | 24 | 24 |
|
Jeffery A Palen
1401 25Th St S |
$57.60 | 27 | 26 |
|
Melissa Anne Papp
1401 25Th St S |
$75.01 | 28 | 26 |
|
Sarah Monzella Pack
1415 Northwest Byp Ste 2 |
$110.15 | 29 | 25 |
|
Michael A Dube
1401 25Th St S |
$67.45 | 29 | 28 |
|
Bowen Austin Stephen Trystianson
1400 29Th St S Ste 220 |
$125.96 | 29 | 28 |
|
Kelsey Dressen
1401 25Th St S |
$82.90 | 29 | 26 |
|
Rafael Martinez
1101 26Th St S |
$68.24 | 29 | 28 |
|
Karl A Guter
3000 15Th Avenue South |
$81.03 | 29 | 25 |
|
William Deen Bowden
1101 26Th St S |
$143.74 | 30 | 24 |
|
Caitlyn Cayer
1401 25Th St S |
$82.30 | 30 | 25 |
|
Chad M Engan
400 13Th Ave S Ste 102 |
$100.62 | 31 | 28 |
|
Erica R Steele
2705 16Th Ave S |
$95.16 | 31 | 31 |
|
Jorge Luis Castriz
1300 28Th St S Fl 2 |
$60.62 | 35 | 27 |
|
Laurel Ann Andrechak
915 1St Ave S |
$135.66 | 35 | 31 |
|
Eva Christine Larocque
915 1St Ave S |
$0.00 | 37 | 29 |
|
Carl J Roth
2800 11Th Ave S Ste 14 |
$12.99 | 37 | 26 |
|
Mark R Miles
1400 29Th St S Ste 101 |
$144.59 | 37 | 31 |
|
Michael E Luckett
1401 25Th St S |
$37.94 | 39 | 36 |
|
Dennis W. Dietrich
400 15Th Ave S |
$78.95 | 44 | 40 |
|
Jace Bullard
1401 25Th St S |
$48.38 | 45 | 37 |
|
Kally Marie Hasenkrug
2720 10Th Ave S |
$217.47 | 49 | 45 |
|
Sarah Topel
1401 25Th St S |
$60.15 | 51 | 42 |
|
Sarah-Anne Victoria Solberg
3000 15Th Ave S |
$82.86 | 52 | 52 |
|
Elias J. Baied
1401 25Th St S |
$109.45 | 58 | 45 |
|
Kaytlin G Deveney
1401 25Th St S |
$54.52 | 62 | 51 |
|
Kami L Winnicki
1101 26Th St S |
$83.17 | 65 | 62 |
|
County Of Cascade
115 4Th St S |
$118.25 | 67 | 53 |
|
Gregg D Pike
3000 15Th Avenue South |
$52.28 | 68 | 55 |
|
Kraig Allan Ward
500 15Th Ave S |
$51.05 | 71 | 69 |
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