Average Medicaid Office Visit Payments in Helena, AR: $31.37
Avg. Paid
$31.37
Range
$9.80 – $37.86
Total Claims
43,376
Providers
19
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 Helena, AR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Scott Alan Hall
812B Newman Dr |
$34.71 | 21,469 | 16,944 |
|
David Lee Webber
504 Pecan St |
$31.96 | 12,373 | 9,591 |
|
Ernest Mak
1803 Martin Luther King Jr Dr |
$9.80 | 1,787 | 788 |
|
James Hargraves Pillow
101 Shirley Hicks Dr |
$23.31 | 1,401 | 1,018 |
|
East Arkansas Family Health Center Inc.
513 Porter St |
$34.52 | 1,302 | 1,126 |
|
Prabhakara Reddy Tukivakala
810 Newman Dr # A |
$20.27 | 1,154 | 664 |
|
Monica Shea Martin
1393 Highway 242 S |
$31.05 | 740 | 577 |
|
Yasir U. Afzal
513 Porter St |
$27.77 | 545 | 363 |
|
Edward L Pillow
101 Shirley Hicks Dr |
$22.09 | 529 | 440 |
|
Toni R Dollinger
801 Newman Dr |
$23.05 | 502 | 403 |
|
Northeast Arkansas Community Mental Health Center Inc
801 Newman Dr |
$32.79 | 458 | 398 |
|
Phillips Clinic Company, Llc
1801 Martin Luther King Jr Dr |
$21.70 | 294 | 268 |
|
Tiffany Boelens
101 Shirley Hicks Dr |
$24.46 | 255 | 174 |
|
Lindsay Hudson
101 Shirley Hicks Dr |
$15.82 | 184 | 127 |
|
Karen Denise Sullivan
812 Newman Dr |
$22.88 | 178 | 144 |
|
L.J. Patrick Bell
626 Poplar St |
$19.24 | 96 | 64 |
|
Norman Wayne Bryant
309 Elm |
$30.14 | 67 | 51 |
|
Bell Clinic P.A.
626 Poplar St |
$37.86 | 28 | 14 |
|
David Lee Webber D.O. P.A.
504 Pecan St |
$37.52 | 14 | 14 |
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 Helena, AR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Helena, AR is $31.37 per claim, based on 43,376 claims from 19 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 Helena, AR?
There are 19 Medicaid providers offering Office Visit related services in Helena, AR according to public payment data.
What is the price range for Office Visit in Helena, AR?
Medicaid reimbursement for Office Visit in Helena, AR ranges from $9.80 to $37.86 per claim, with an average of $31.37. 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 Helena, AR
Behavioral & Mental Health Therapy
Avg $43.71
72,201 claims
Dental Cleaning & Exam
Avg $33.31
38,342 claims
Physical Therapy
Avg $53.38
33,706 claims
Psychiatric Evaluation
Avg $56.38
30,656 claims
X-Ray
Avg $8.14
25,750 claims
Speech Therapy
Avg $47.04
21,328 claims
Non-Emergency Medical Transportation
Avg $20.63
13,409 claims
Home Health Visit
Avg $107.13
10,675 claims