Average Medicaid Office Visit Payments in Helena, MT: $67.63
Avg. Paid
$67.63
Range
$0.00 – $483.68
Total Claims
311,254
Providers
217
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, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pureview Health Center
1930 9Th Ave |
$0.00 | 47,425 | 41,398 |
|
Helena Indian Alliance Inc
501 Euclid Ave |
$0.00 | 12,394 | 9,253 |
|
Teresa Augustine
1122 N Montana Ave |
$109.49 | 11,664 | 10,586 |
|
Michael S Palcisko
1122 N Montana Ave |
$92.52 | 8,078 | 7,612 |
|
Tara Wells
301 Saddle Dr Ste A |
$107.60 | 7,395 | 5,171 |
|
Mark A Mozer
2550 E Broadway St |
$59.48 | 6,986 | 5,812 |
|
Intermountain Deaconess Home
500 S. Lamborn St. |
$129.14 | 6,280 | 5,549 |
|
Cathy H Lay
3330 Ptarmigan Ln |
$81.52 | 4,979 | 4,685 |
|
Andrea Lee Mow
2550 E Broadway St |
$62.22 | 4,818 | 4,104 |
|
Venus L Villalva
2525 E Broadway St |
$102.23 | 4,800 | 4,383 |
|
Caitlin C Gallagher
2525 E Broadway St Ste 201 |
$105.24 | 4,799 | 4,241 |
|
Jessica Marie Smith
1122 N Montana Ave |
$110.88 | 4,425 | 4,144 |
|
Jacob Cail
2735 Colonial Dr Ste B |
$66.72 | 4,336 | 3,608 |
|
Rachel M Mattern
2707 Colonial Dr |
$73.95 | 4,317 | 3,905 |
|
Andrea Hedblom
630 N Last Chance Gulch Ste 1100 |
$72.32 | 4,314 | 3,890 |
|
Thomas Carl Weiner
2475 E Broadway St |
$34.09 | 4,301 | 3,131 |
|
Erin Green
1122 N Montana Ave |
$98.07 | 4,242 | 3,882 |
|
Callie Nicole Riggin
1122 N Montana Ave |
$100.37 | 4,213 | 3,893 |
|
Karen Sue Koch
1645 Vandelay Ave Ste 301 |
$59.55 | 4,014 | 3,125 |
|
Bridgid Elizabeth Crowley
2550 E Broadway St |
$106.81 | 3,780 | 3,144 |
|
Eileen C. Robbins
25 S Ewing St Ste 509 |
$129.52 | 3,704 | 3,449 |
|
Jason E. Smith
400 Saddle Dr |
$47.78 | 3,395 | 2,599 |
|
Kristy Kay Spaulding
4185 N Montana Ave |
$79.10 | 3,388 | 3,011 |
|
Kari Ann Loomis
2525 E Broadway St |
$105.99 | 3,365 | 3,037 |
|
Thomas Strizich
2525 E Broadway St |
$94.68 | 3,329 | 3,077 |
|
Lisa Ann Marcille
2525 E Broadway St |
$87.88 | 3,179 | 2,863 |
|
Leeanne Michelle Yonchek
2550 E Broadway St |
$67.33 | 3,080 | 2,587 |
|
Dana Hillyer
1125 Missoula Ave |
$48.95 | 2,993 | 2,062 |
|
Antonio Hodges Santin
1645 Vandelay Ave |
$78.35 | 2,698 | 2,246 |
|
Lanae G Williams
2550 E Broadway St |
$71.02 | 2,531 | 2,234 |
|
Laith K Salih
1122 N Montana Ave |
$91.74 | 2,531 | 2,352 |
|
Katerie Keck
1500 Cannon St |
$68.45 | 2,425 | 1,923 |
|
Susan Ann Hemion
2475 Broadway |
$84.17 | 2,410 | 2,053 |
|
Ashley Joann Berkram
3330 Ptarmigan Ln |
$79.10 | 2,284 | 2,037 |
|
Melissa Abraham
3330 Ptarmigan Ln |
$84.12 | 2,264 | 2,106 |
|
Jeffry Andrew Goldes
50 South Last Chance Gulch |
$55.60 | 2,246 | 1,751 |
|
Risa Dawn Paul
2550 E Broadway St |
$79.99 | 2,240 | 2,060 |
|
Earl E Book
3330 Ptarmigan Ln |
$81.21 | 2,173 | 2,042 |
|
Danielle Redfield
2550 E Broadway St |
$95.19 | 2,166 | 2,012 |
|
Jeannie Marlene Fahlquist
39 Neill Ave |
$84.15 | 2,133 | 1,481 |
|
Katherine Trahan Edwards
104 W Custer Ave Ste 6 |
$90.92 | 2,077 | 1,695 |
|
Cassie Ann Searle
2475 Broadway |
$85.86 | 2,060 | 1,907 |
|
Jenifer Patricia Dodge
2550 E Broadway St |
$55.70 | 1,988 | 1,660 |
|
Pureview Health Center
630 N Last Chance Gulch |
$0.00 | 1,984 | 1,797 |
|
Gina Deem
2475 E Broadway St |
$90.16 | 1,831 | 1,731 |
|
Thomas David Mulgrew
2525 Broadway |
$81.24 | 1,827 | 1,723 |
|
Morgan Ann Teegarden
2550 E Broadway St |
$76.18 | 1,810 | 1,553 |
|
Emily Hedum
3330 Ptarmigan Ln |
$62.08 | 1,793 | 1,540 |
|
Sara O'Connell-Mayernik
2550 E Broadway St |
$56.69 | 1,776 | 1,405 |
|
Sydney Norris
2755 Colonial Dr |
$169.31 | 1,775 | 1,558 |
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, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Helena, MT is $67.63 per claim, based on 311,254 claims from 217 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, MT?
There are 217 Medicaid providers offering Office Visit related services in Helena, MT according to public payment data.
What is the price range for Office Visit in Helena, MT?
Medicaid reimbursement for Office Visit in Helena, MT ranges from $0.00 to $483.68 per claim, with an average of $67.63. 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, MT
Blood Work & Lab Tests
Avg $0.56
363,316 claims
Psychiatric Evaluation
Avg $64.81
233,254 claims
Physical Therapy
Avg $32.33
219,555 claims
Dental Cleaning & Exam
Avg $30.07
164,772 claims
Behavioral & Mental Health Therapy
Avg $81.01
163,561 claims
Emergency Room Visit
Avg $58.38
111,160 claims
Speech Therapy
Avg $28.32
96,283 claims
Case Management Services
Avg $39.68
85,729 claims