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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
Tracy Edward Rogers

202 Conway Dr Ste 200

$135.13 12 12
Matthew C. Lake

505 1St Ave E

$79.00 12 12
Melissa Lundbeck Kaptanian

310 Sunnyview Ln

$125.88 12 12
Amber Christine Keefer

1287 Burns Way

$141.27 12 12
Shannon K Lee

350 Heritage Way

$43.77 13 13
Keelin Sweeney Wall

Logan Health

$58.10 13 12
Carolyn J. Porter

1035 1St Ave West

$87.02 13 13
Kalispell Regional Medical Center Inc

350 Heritage Way Ste 2300

$0.00 13 13
Marisa Schottelkorb Hoyne

430 Windward Way Ste 203

$142.02 13 12
Jessika Abbrescia

350 Heritage Way Ste 1200

$82.02 13 13
Joshua Lee Ryan Krass

200 Commons Way Ste B

$104.74 14 14
Kalispell Regional Medical Center Inc

1333 Surgical Services Drive

$0.00 15 15
Kathleen F Olson

75 Claremont St

$52.36 15 12
Gavin Alexander Falk

1333 Surgical Services Drive

$177.89 15 13
Timothy F Obermiller

350 Heritage Way

$30.17 16 12
Meghan Elizabeth Degroot

310 Sunnyview Ln

$98.75 16 15
Cheryl Ann Burnett

150 Commons Way

$122.74 16 16
Amanda Korver

359 N Main St Ste 9

$153.72 16 12
Annie Laurie Heermans

320 Sunnyview Ln

$66.76 16 13
Sara Richardson

310 Sunnyview Ln

$154.73 18 16
Pamela A Parsons

195 Commons Loop

$55.83 19 12
Rebecca J Milligan

160 Heritage Way Ste 103

$52.17 21 18
Jonathan F Mercer

210 Sunnyview Ln

$106.28 24 24
Jeffrey W. Watkins

350 Heritage Way Ste 2100

$66.33 24 24
Marie Roach

175 Timberwolf Pkwy

$66.25 25 24
Tanner Ferderer

200 Commons Way Ste C

$75.78 25 24
Kalispell Regional Medical Center Inc

75 Claremont St

$0.00 25 22
Nathaniel Lyle Hall

350 Heritage Way

$69.22 26 25
Elise Anderes

350 Heritage Way

$136.40 26 24
Lisa A Fleischer

202 Conway Dr

$20.51 26 24
Karen J Hunt

350 Heritage Way

$79.27 27 24
Nathaniel Wilcox Fogel

350 Heritage Way Ste 1200

$108.27 28 24
Mark G Ochenrider

1287 Burns Way

$93.22 28 25
Anthony Roy Dal Nogare

350 Heritage Way

$45.89 29 27
Kalispell Regional Medical Center, Inc

320 Sunnyview Ln

$0.00 29 29
Mona Lynne Cuthbert

160 Heritage Way Ste 202

$61.25 30 25
Tyler Wagstaff

160 Heritage Way Ste 202

$94.62 30 27
Ned Andrew Wilson

111 Sunnyview Ln

$60.65 31 29
Timothy J Devries

111 Sunnyview Ln

$47.40 33 26
Kalispell Regional Medical Center Inc

202 Conway Dr Ste 200

$0.00 36 29
Stephanie R Ritari

350 Heritage Way

$90.72 38 37
Jessica Ann Benninghoven

160 Heritage Way Ste 102

$198.07 39 38
Mallery Butler Knoll

350 Heritage Way Ste 2100

$68.23 40 39
Angela Louise Wathan

2593 Us Highway 2 E

$48.65 41 39
Paul Downey

1035 1St Ave W

$55.32 41 33
Philip Jaffe

320 Sunnyview Ln

$58.90 41 30
Kelly Kristine Berkram

28 Village Loop Rd

$62.28 44 41
Geraldine Sheu

350 Heritage Way

$4.46 46 43
Laurel Skeek

310 Sunnyview Ln

$68.15 46 38
Julie Renee Shields

350 Heritage Way Ste 2300

$29.81 47 32

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.

Office Visit in Other Cities

Other Procedures in Kalispell, MT