Average Medicaid Office Visit Payments in Heber Springs, AR: $35.99
Avg. Paid
$35.99
Range
$0.00 – $111.88
Total Claims
29,023
Providers
22
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 Heber Springs, AR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Henry C. Wallace
301 Southridge Blvd Ste A |
$42.63 | 4,974 | 3,848 |
|
Granville Leroy Vaughan
2225 Highway 110 W |
$38.80 | 4,815 | 4,222 |
|
Franklin G Bivins
101 Ely Dr |
$26.80 | 3,685 | 3,174 |
|
Wesley Thomas
1511 Highway 25B |
$41.63 | 2,925 | 2,522 |
|
Aimee Elizabeth Widner
746 Wilburn Rd |
$31.26 | 2,720 | 2,246 |
|
Suzanna C Blackburn
521 Wilburn Rd |
$30.43 | 2,538 | 2,099 |
|
Sarah Witt Jewell
20 Baptist Health Dr Ste 100 |
$50.77 | 2,287 | 1,875 |
|
Carrie Michelle Price
2725 Highway 25B |
$18.50 | 1,297 | 871 |
|
Ryan P Buffalo
20 Baptist Health Dr |
$33.11 | 991 | 815 |
|
Pamela Ruth Speed
106 S 7Th St |
$38.46 | 908 | 756 |
|
Jan C Sharp
401 W Searcy St |
$35.21 | 468 | 376 |
|
Stephanie Thompson
1031 Highway 25B |
$29.65 | 278 | 220 |
|
Robert Mac Cowherd
20 Baptist Health Dr |
$41.29 | 236 | 209 |
|
Arcare
1511 Highway 25B |
$1.03 | 184 | 163 |
|
Leslie Rose Williams
109 S 3Rd St Ste B |
$33.23 | 179 | 148 |
|
United Methodist Children'S Home, Inc.
407 S 7Th St |
$32.58 | 157 | 136 |
|
Amy Julian
1511 Highway 25B |
$9.01 | 124 | 106 |
|
Danny Gene Lister
1716 W Searcy St |
$38.36 | 105 | 78 |
|
Manichanh Nikki Williams
1511 Highway 25B |
$3.58 | 82 | 70 |
|
James R Mcnair
15 Industrial Park Rd |
$111.88 | 30 | 29 |
|
Brittney Cato
1511 Highway 25B |
$0.00 | 25 | 23 |
|
Joseph B Sugg
111 E Front St |
$30.40 | 15 | 13 |
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 Heber Springs, AR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Heber Springs, AR is $35.99 per claim, based on 29,023 claims from 22 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 Heber Springs, AR?
There are 22 Medicaid providers offering Office Visit related services in Heber Springs, AR according to public payment data.
What is the price range for Office Visit in Heber Springs, AR?
Medicaid reimbursement for Office Visit in Heber Springs, AR ranges from $0.00 to $111.88 per claim, with an average of $35.99. 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 Heber Springs, AR
Physical Therapy
Avg $50.84
71,138 claims
Non-Emergency Medical Transportation
Avg $37.68
41,799 claims
Speech Therapy
Avg $49.73
38,924 claims
Ambulance Transport
Avg $124.96
24,574 claims
Psychiatric Evaluation
Avg $70.56
20,267 claims
Blood Work & Lab Tests
Avg $5.24
11,569 claims
Emergency Room Visit
Avg $59.11
9,823 claims
Behavioral & Mental Health Therapy
Avg $75.10
6,060 claims