Average Medicaid Office Visit Payments in Hamilton, MT: $17.44
Avg. Paid
$17.44
Range
$0.00 – $192.34
Total Claims
73,013
Providers
31
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 Hamilton, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Marcus Daly Memorial Hospital Corporation
1200 Westwood Dr Ste I |
$0.04 | 21,818 | 19,858 |
|
Sapphire Community Health Inc
316 N 3Rd St |
$0.00 | 17,452 | 14,566 |
|
Ravalli Family Medicine, Llc
411 W Main Street |
$0.01 | 11,392 | 9,184 |
|
Marcus Daly Memorial Hospital Corporation
1200 Westwood Drive |
$0.02 | 5,868 | 4,492 |
|
Harvard Brett Heath
1201 Westwood Dr |
$83.85 | 3,315 | 3,056 |
|
Brenda Kirkland
330 N 10Th St Ste A |
$79.16 | 2,405 | 2,187 |
|
Dylan C Powell
1200 Westwood Dr |
$107.81 | 1,511 | 1,343 |
|
Hugh Robert Gapay
1200 Westwood Dr Ste I |
$91.38 | 1,482 | 1,304 |
|
Elizabeth Dietrich Erikson
316 N 3Rd St |
$52.77 | 1,035 | 856 |
|
Brett Erik Mollenhauer
1200 Westwood Dr |
$70.04 | 805 | 757 |
|
William L Doyle
1200 Westwood Dr |
$59.27 | 768 | 734 |
|
Sarah Carter Rhinehart
316 N 3Rd St |
$19.19 | 582 | 537 |
|
Sharon Ann Colchin
1200 Westwood Dr Ste I |
$29.01 | 561 | 294 |
|
Johanna Dreiling
623 S 4Th St |
$69.93 | 560 | 489 |
|
Angela Giron Covington
1103 Westwood Dr |
$90.90 | 552 | 503 |
|
Anthony J Navone
1200 Westwood Dr |
$58.42 | 545 | 489 |
|
Chad R. Dickemore
330 N 10Th St Ste B |
$61.50 | 490 | 392 |
|
Jean Higgins Peretto
316 N 3Rd St |
$71.69 | 464 | 411 |
|
Randy L Stewart
1201 Westwood Dr |
$74.31 | 444 | 414 |
|
Jennine C Brogan
1103 Westwood Dr Ste B |
$192.34 | 261 | 193 |
|
Teresa P Borino
1201 Westwood Dr |
$78.77 | 164 | 150 |
|
Georgianna Sue Coon
1200 Westwood Dr |
$69.38 | 107 | 100 |
|
James J Zubernis
1200 Westwood Dr |
$50.92 | 99 | 67 |
|
Samantha Kratofil
330 N 10Th St Ste A |
$104.77 | 91 | 86 |
|
Mary E Camden
1200 Westwood Dr Ste G |
$71.18 | 50 | 41 |
|
Melanie E Goodnight
316 N 3Rd St |
$45.97 | 41 | 36 |
|
Susan Lori Devine
316 N 3Rd St |
$134.73 | 37 | 37 |
|
Sarah Jane Beck
1200 Westwood Dr |
$0.00 | 30 | 28 |
|
Timothy Wayne Woods
1200 Westwood Dr Ste H |
$85.97 | 29 | 24 |
|
Sarah Liston
1103 Westwood Dr Ste B |
$177.78 | 28 | 26 |
|
Samuel P Urso
1200 Westwood Dr |
$47.12 | 27 | 26 |
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 Hamilton, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hamilton, MT is $17.44 per claim, based on 73,013 claims from 31 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 Hamilton, MT?
There are 31 Medicaid providers offering Office Visit related services in Hamilton, MT according to public payment data.
What is the price range for Office Visit in Hamilton, MT?
Medicaid reimbursement for Office Visit in Hamilton, MT ranges from $0.00 to $192.34 per claim, with an average of $17.44. 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 Hamilton, MT
Blood Work & Lab Tests
Avg $0.90
124,828 claims
Emergency Room Visit
Avg $47.86
68,688 claims
Physical Therapy
Avg $18.54
62,642 claims
Psychiatric Evaluation
Avg $57.81
52,240 claims
Eye Exam
Avg $48.70
30,308 claims
Urinalysis & Urine Tests
Avg $1.26
28,287 claims
Speech Therapy
Avg $16.98
24,947 claims
Dental Cleaning & Exam
Avg $35.31
18,429 claims