Average Medicaid Office Visit Payments in Lexington, NE: $78.95
Avg. Paid
$78.95
Range
$16.02 – $170.50
Total Claims
46,271
Providers
24
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 Lexington, NE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lexington Regional Health Center
1105 N Erie St |
$110.59 | 7,052 | 6,309 |
|
Jennifer C Hunke
1103 Buffalo Bnd |
$74.57 | 6,526 | 5,500 |
|
Edward M Ford
1103 Buffalo Bnd |
$81.50 | 5,436 | 3,795 |
|
Lexington Regional Health Center
1201 N Erie St |
$16.02 | 4,842 | 3,989 |
|
John M Ford
1103 Buffalo Bnd |
$81.80 | 4,812 | 3,586 |
|
Adam Dannehl
1103 Buffalo Bnd |
$70.20 | 4,342 | 3,402 |
|
Gregory M Kloch
1103 Buffalo Bnd |
$81.99 | 2,593 | 2,221 |
|
Timothy S Mason
1201 N Erie St |
$34.64 | 2,110 | 1,568 |
|
Barbara J Foss
1201 N Erie St |
$56.71 | 1,130 | 1,086 |
|
Katherine E. Hueftle
1201 N Erie St |
$115.96 | 1,091 | 1,019 |
|
Stephanie L Reutlinger
1201 N Erie St |
$56.98 | 1,086 | 1,038 |
|
Francisca Acosta-Carlson
1201 N Erie St |
$113.56 | 1,080 | 980 |
|
Kyle F Klammer
1201 N Erie St |
$119.40 | 707 | 662 |
|
Roger D Wells
1201 N Erie St |
$126.37 | 668 | 582 |
|
Ashley D Bellamy
1201 N Erie St |
$136.65 | 595 | 560 |
|
Matthew R Sexton
1201 N Erie St |
$134.77 | 560 | 514 |
|
Sandra Y Bresnahan
1201 N Erie St |
$66.82 | 466 | 407 |
|
Ann Marie Young
1201 N Erie St |
$170.50 | 465 | 436 |
|
Kaitlyn M Lemmer
1201 N Erie St |
$135.53 | 392 | 386 |
|
Travis L Barkmeier
1201 N Erie St |
$30.86 | 120 | 63 |
|
Julie Christine Thies
1201 N Erie St |
$38.70 | 87 | 81 |
|
Tara L Lawless
1201 N Erie St |
$149.86 | 58 | 57 |
|
Jason Thomas Seim
801 N Grant St |
$27.28 | 41 | 39 |
|
Lucinda D Moore
1201 N Erie St |
$61.57 | 12 | 12 |
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 Lexington, NE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lexington, NE is $78.95 per claim, based on 46,271 claims from 24 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 Lexington, NE?
There are 24 Medicaid providers offering Office Visit related services in Lexington, NE according to public payment data.
What is the price range for Office Visit in Lexington, NE?
Medicaid reimbursement for Office Visit in Lexington, NE ranges from $16.02 to $170.50 per claim, with an average of $78.95. 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 Lexington, NE
Eye Exam
Avg $26.06
16,992 claims
Blood Work & Lab Tests
Avg $28.52
9,933 claims
Nursing Facility Care
Avg $13.90
6,867 claims
Psychiatric Evaluation
Avg $114.06
6,084 claims
Dental Cleaning & Exam
Avg $26.09
5,930 claims
Vaccines & Immunizations
Avg $11.65
2,098 claims
Emergency Room Visit
Avg $216.88
1,523 claims
Physical Therapy
Avg $56.88
1,488 claims