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
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 Kalispell, MT
Blood Work & Lab Tests
Avg $30.97
747,032 claims
Substance Abuse Treatment
Avg $13.14
544,564 claims
Home Health Visit
Avg $52.48
390,446 claims
Psychiatric Evaluation
Avg $59.76
242,185 claims
Physical Therapy
Avg $29.18
183,783 claims
Dental Cleaning & Exam
Avg $31.44
182,445 claims
Behavioral & Mental Health Therapy
Avg $63.17
153,027 claims
Emergency Room Visit
Avg $64.81
97,679 claims