Based on public Medicaid payment data.

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
Shane Elliot Jenson 833 N Last Chance Gulch	$67.64	12	12
Kelli C Carman 2442 Winne Ave	$118.33	12	12
Andrew P Gilbert 2550 E Broadway St	$36.50	12	12
Richard David Paustian 32 Medical Park Dr	$20.37	12	12
Amy Beth Sullivan 3330 Ptarmigan Ln	$64.39	13	13
Eric David Thomas 601 Mountain Springs Rd	$7.67	13	13
Sheri Sherrodd Howell 820 N Montana Ave	$121.89	13	12
Caitlyn Ashley Patera 2755 Colonial Dr	$219.24	14	13
Rebecca Moore 1211 Echelon Pl Ste A	$63.49	14	12
Sarah H Fenton 2550 E Broadway St	$51.87	15	14
Meagan Lee Watne 3330 Ptarmigan Ln	$64.88	15	12
Christopher M Ottemoeller 2550 E Broadway St	$80.57	15	12
Marcus H Kelley 550 N Montana Ave	$24.27	16	13
Lewis And Clark Emergency Physicians P C 2475 E Broadway St	$0.00	16	16
Mary Kathryn Schiel 2755 Colonial Dr	$44.68	16	16
Robert Caldwell 1125 Missoula Ave	$0.00	18	12
Mallory K Emig 2475 E Broadway St	$133.66	18	14
Lindsay Nicole Rucinsky 55 W 14Th St Ste 102	$148.13	20	20
Elize Marie Cline 2550 Broadway St	$33.04	20	19
Brian Michael Duffy 3116 Saddle Dr	$28.76	24	24
Melissa Merkley 1500 Cannon St	$106.49	25	24
Emily Julia Bubbers 2550 E Broadway St	$89.33	27	26
John J Cassani 2550 E Broadway St	$66.88	27	24
Sylvia B Rojas 1645 Vandelay Ave Ste 301	$84.55	28	28
Edward Patrick Curry 2550 E Broadway St	$106.86	30	25
Kevin L Rencher 251 Saddle Dr	$17.83	31	22
Kasie D Cooper 40 W 14Th St Ste 3	$71.01	32	30
Laura Bennett 3330 Ptarmigan Ln	$78.66	32	26
Michael S Hay 2525 E Broadway St	$57.37	33	27
Lura A Brown 1 Medical Park Dr # 201B	$44.57	39	28
Matthew Douglas Hoffman 2475 E Broadway St	$68.48	40	35
Marilyn G Hildreth 32 Medical Park Dr	$30.73	43	43
Jamie Van Horssen 2619 Colonial Dr	$42.38	46	37
Leslie A Wilson 3330 Ptarmigan Ln	$65.59	50	42
Bruce T. Smith 111 N Last Chance Gulch St	$31.15	50	32
Lindsey Noble Maierle 2442 Winne Ave	$82.31	60	54
Carol Kolar 2525 E Broadway St	$97.94	63	60
Erik Bergquist 2442 Winne Ave	$79.17	69	65
Anita Mary Lowe Taylor 2550 E Broadway St	$91.54	71	61
Melinda Coplin 1050 Road Runner St	$61.03	71	69
Jennifer L Buscher 3130 Saddle Dr Ste 6B	$135.59	75	65
Robert James Simons 550 N Montana Ave	$47.05	76	61
Kerry S Hale 2550 E Broadway St	$44.79	79	68
Meghan Ann Erickson 3240 Dredge Dr	$119.15	79	77
Betsy J Bittman Center For Mental Health	$12.62	80	63
Kurt T Kubicka 7 W 6Th Ave	$105.81	80	78
Sarah Kent 3330 Ptarmigan Ln	$106.08	88	82
Jeannie John Brandt 2755 Colonial Dr	$154.80	89	74
Erin Marie Huston 2475 E Broadway St	$75.12	92	78
Tracy Brian Dill 2550 E Broadway St	$38.49	97	82

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.

Average Medicaid Office Visit Payments in Helena, MT: $67.63

Providers Offering Office Visit in Helena, MT

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in Helena, MT

Blood Work & Lab Tests

Psychiatric Evaluation

Physical Therapy

Dental Cleaning & Exam

Behavioral & Mental Health Therapy

Emergency Room Visit

Speech Therapy

Case Management Services