Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Kalispell, MT: $72.03

Avg. Paid

$72.03

Range

$0.00 – $219.48

Total Claims

400,343

Providers

314

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 Kalispell, MT

Provider	Avg. Paid	Claims	Patients
Flathead Community Health Center, Inc. 1935 3Rd Ave E	$0.00	22,611	19,392
County Of Flathead 1035 1St Ave W	$0.00	21,381	17,840
Sunburst Community Service Foundation, Inc 2282 Hwy 93 S	$76.67	12,325	10,413
Michael Todd Rutherford 75 Claremont St	$126.76	10,270	9,607
Robert C. Sherrick 200 Heritage Way	$53.68	8,731	3,369
Matthew T. Zemacke 245 Windward Way Ste 101	$61.96	6,863	6,385
Douglas S Marbarger 160 Heritage Way Ste 202	$83.56	6,442	6,037
Kyle Austin 1287 Burns Way	$73.08	6,409	6,048
Courtney Day 1287 Burns Way	$71.79	6,049	5,314
Dirk Gillette 1287 Burns Way	$77.57	6,020	5,607
Jessica Colleen Glover 160 Heritage Way Ste 202	$79.76	5,865	5,510
Katie D King 310 Sunnyview Ln	$45.65	5,598	2,365
Kent Keele 160 Heritage Way	$109.53	5,528	4,970
Anne S Armstrong 160 Heritage Way Ste 202	$84.22	5,360	5,054
Julia Marie Muonio 160 Heritage Way Ste 202	$89.52	5,309	5,014
Marcus Steven Wheeler 200 Commons Way Ste C	$91.39	5,257	4,960
Kalispell Regional Medical Center Inc 310 Sunnyview Ln	$0.08	5,169	3,382
Joseph Hugh Boyle 75 Claremont St	$108.93	5,067	4,798
Kevin Oberholser 1287 Burns Way	$79.11	5,026	4,737
John Cole 1273 Burns Way	$96.31	5,015	4,680
Eric J Belanger 245 Windward Way Ste 101	$64.88	4,919	4,538
Kelly Marie Gregory 2316 Us Highway 93 N	$63.94	4,912	3,913
Daniel Lustig 202 Conway Dr Ste 200	$136.12	4,301	4,032
Daniel A. Korb 75 Claremont St Ste C	$120.00	4,219	4,101
Robert D Nitschelm 160 Heritage Way Ste 202	$82.89	4,180	3,876
Tracy Pollath 160 Heritage Way	$76.36	4,103	3,493
Mae O Berentson 160 Heritage Way Ste 202	$72.38	4,091	3,796
Brenda L Anderson 245 Windward Way	$64.50	3,905	3,614
Kevin A Kropp 1280 Burns Way	$76.59	3,793	2,934
Jesse A Mumm 160 Heritage Way Ste 202	$68.54	3,669	3,363
Mitchell Jay Ramsey 160 Heritage Way	$113.98	3,650	3,319
Valerie Ann Beebe 1273 Burns Way	$80.60	3,557	3,377
Jill S Thorn 210 Sunnyview Ln Ste 105	$27.44	3,404	2,550
Jonathan M Anderson 160 Heritage Way Ste 202	$64.17	3,359	3,142
Jill Banning Ripley 2181 Highway 2 E.	$74.11	3,349	2,955
August Lawrence Stein 160 Heritage Way	$78.44	3,318	3,075
Kimberly Lynn Longcake 202 Conway Dr Ste 200	$126.71	3,278	3,029
Norman M Friedman 200 Commons Way Ste B	$46.57	3,271	2,998
Kenneth J Graham 1273 Burns Way	$95.00	3,171	2,935
Thomas E. Flass 195 Commons Loop Ste D	$130.43	3,167	2,965
Brendon Patrick Smith 160 Heritage Way Ste 202	$88.44	3,120	2,875
Mackenzie George 175 Commons Loop Ste 300	$82.15	2,918	2,832
Brentley Allen Buchele 60 Four Mile Dr Ste 10	$22.57	2,779	1,940
Ivory D Drendel 160 Heritage Way Ste 202	$84.43	2,778	2,627
Paul B Coats 200 Commons Way Ste C	$69.06	2,623	2,433
Michael Anthony Schwaller 1273 Burns Way	$89.27	2,561	2,430
Kaycee L Mcintosh 160 Heritage Way Ste 202	$65.84	2,373	2,164
Kyle J Tubbs 160 Heritage Way	$94.41	2,364	2,165
Mallory Louise Pursley 343 Sunnyview Ln	$56.09	2,325	2,206
Austine Kuder Siomos 350 Heritage Way	$161.43	2,321	2,120

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 Kalispell, MT?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Kalispell, MT is $72.03 per claim, based on 400,343 claims from 314 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 Kalispell, MT?

There are 314 Medicaid providers offering Office Visit related services in Kalispell, MT according to public payment data.

What is the price range for Office Visit in Kalispell, MT?

Medicaid reimbursement for Office Visit in Kalispell, MT ranges from $0.00 to $219.48 per claim, with an average of $72.03. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Kalispell, MT: $72.03

Providers Offering Office Visit in Kalispell, MT

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

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