Average Medicaid Office Visit Payments in Havre, MT: $7.86
Avg. Paid
$7.86
Range
$0.00 – $168.54
Total Claims
116,133
Providers
20
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 Havre, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ashley Vandolah
1465 Us Highway 2 Nw Ste D |
$27.86 | 14 | 13 |
|
Lindsey Wilson
416 3Rd Ave |
$41.59 | 25 | 24 |
|
Stephen Christopher Scranton
20 13Th St W |
$98.60 | 26 | 26 |
|
County Of Hill
302 4Th Avenue |
$0.00 | 30 | 30 |
|
Kenneth Hart Lindsey
30 13Th St |
$56.72 | 38 | 37 |
|
Northern Montana Hospital
30 13Th St |
$0.00 | 66 | 55 |
|
Toby Reid Marshall
1410 1St Ave |
$37.98 | 231 | 182 |
|
Deborah Cox
521 4Th St |
$168.54 | 309 | 161 |
|
Douglas A Dightman
1410 1St Ave |
$46.00 | 389 | 357 |
|
Karen A. Boone
521 4Th St |
$84.79 | 451 | 402 |
|
Erin Ulano
20 13Th St W |
$112.13 | 528 | 296 |
|
Michael Benjamin Farr
20 13Th St W |
$19.92 | 620 | 578 |
|
Lynne Nash
110 13Th St |
$64.83 | 827 | 753 |
|
Daniel Klepacz
20 13Th St W |
$163.35 | 995 | 882 |
|
Jennifer Anne Durward
311 3Rd St |
$113.15 | 1,255 | 1,089 |
|
Daniel Henry Sorensen
30 13Th St |
$60.57 | 4,355 | 4,226 |
|
Gary Earl Daniels
20 13Th St W |
$18.23 | 5,216 | 4,916 |
|
Bullhook Community Health Center, Inc.
521 4Th St |
$0.00 | 23,324 | 19,273 |
|
Northern Montana Hospital
20 13Th St W |
$0.03 | 35,507 | 30,546 |
|
Northern Montana Hospital
1410 1St Ave |
$0.01 | 41,927 | 35,850 |
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 Havre, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Havre, MT is $7.86 per claim, based on 116,133 claims from 20 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 Havre, MT?
There are 20 Medicaid providers offering Office Visit related services in Havre, MT according to public payment data.
What is the price range for Office Visit in Havre, MT?
Medicaid reimbursement for Office Visit in Havre, MT ranges from $0.00 to $168.54 per claim, with an average of $7.86. 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 Havre, MT
Blood Work & Lab Tests
Avg $2.07
109,632 claims
Emergency Room Visit
Avg $36.40
63,624 claims
Psychiatric Evaluation
Avg $44.20
61,670 claims
X-Ray
Avg $7.00
33,511 claims
Urinalysis & Urine Tests
Avg $0.64
23,767 claims
Physical Therapy
Avg $15.17
22,699 claims
Behavioral & Mental Health Therapy
Avg $59.66
20,934 claims
Dental Cleaning & Exam
Avg $7.39
19,335 claims