Average Medicaid Office Visit Payments in Lincoln, NE: $65.24
Avg. Paid
$65.24
Range
$4.16 – $318.75
Total Claims
876,881
Providers
833
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 Lincoln, NE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Walter J Duffy
8101 O St |
$63.28 | 42,685 | 37,392 |
|
Tiffany A Barnett
110 N 66Th St |
$103.68 | 15,488 | 14,833 |
|
Bluestem Health
1021 N 27Th St |
$163.65 | 13,560 | 12,577 |
|
Michelle A Lemon
2130 S 17Th St Ste 100 |
$47.03 | 10,919 | 10,049 |
|
Melanie Karis Householder
201 Capitol Beach Blvd Ste 1A |
$51.27 | 10,758 | 10,059 |
|
Lisa Young
2222 S 16Th St Ste 410 |
$47.31 | 9,295 | 8,901 |
|
Donald Paul Sauberan
1710 S 70Th St |
$49.27 | 9,208 | 7,917 |
|
Lori R Mallory
5901 N 27Th St |
$57.51 | 8,768 | 7,759 |
|
Trisha Jobman
8550 Cuthills Circle |
$55.93 | 8,601 | 7,949 |
|
Kristen M Speaker
8101 O St Ste 112 |
$71.88 | 7,711 | 6,708 |
|
Danielle Melissa Kollasch
8550 Cuthills Circle |
$69.61 | 7,332 | 6,657 |
|
Tad D. Casper
2246 O St |
$62.01 | 7,166 | 6,901 |
|
Tami J Orton
4444 S 86Th St Ste 102 |
$52.34 | 6,981 | 4,212 |
|
Jamie Renee Draper
6301 Orchard St Ste 3 |
$69.12 | 6,949 | 5,545 |
|
Timothy Joseph Sullivan
1336 W A Ste A |
$37.60 | 6,659 | 5,958 |
|
Sean Patrick Kenney
1500 S 48Th St |
$54.53 | 6,511 | 4,880 |
|
Bryan James Beals
9100 Andermatt Dr Ste 1 |
$57.86 | 5,982 | 5,479 |
|
Joan Marie George
4600 Valley Rd |
$51.25 | 5,955 | 5,661 |
|
Lisa I Mansur
3401 Plantation Dr |
$46.31 | 5,843 | 4,875 |
|
Melissa L Quick
8101 O St |
$61.83 | 5,712 | 5,158 |
|
Benjamin Donald Byers
1500 S 48Th St |
$47.78 | 5,482 | 4,125 |
|
Cory Lee Rabe
1500 U St |
$56.21 | 5,451 | 4,995 |
|
Amarachi Chika Ogbonnaya-Akpa
2120 S 56Th St Ste 104 |
$72.66 | 5,218 | 3,544 |
|
Helen Alethea Trotter
7655 Archer Pl |
$38.64 | 5,163 | 4,432 |
|
Lorrene Gail Jurgens
3901 Normal Blvd Ste 201 |
$46.42 | 4,888 | 4,715 |
|
David Joseph Meduna
3262 Salt Creek Cir |
$81.20 | 4,871 | 4,547 |
|
Bluestem Health
3100 N 14Th St |
$175.02 | 4,757 | 4,267 |
|
Bradley G Sawtelle
4525 S 86Th St Ste B |
$59.40 | 4,701 | 4,052 |
|
Boshra Mohammed Rida
2200 S 40Th St |
$77.51 | 4,470 | 4,081 |
|
Anne Marie Moore
4720 W Huntington Ave Ste J |
$74.87 | 4,438 | 4,286 |
|
Ladonna Kay Hart
8055 O St Ste 200 |
$70.75 | 4,415 | 3,976 |
|
Charles L Kreshel
3100 N 14Th St Ste 201 |
$108.34 | 4,408 | 3,975 |
|
Bluestem Health
2301 O St |
$151.23 | 4,379 | 4,069 |
|
Sarah M Grady
3100 N 14Th St Ste 201 |
$122.31 | 4,368 | 3,869 |
|
Stephen Philip Gildersleeve
3200 O St. |
$46.12 | 4,313 | 3,967 |
|
Adam Taylor
5401 South St |
$60.38 | 4,301 | 4,105 |
|
Jennifer D Harrison
Alivation Health |
$61.87 | 4,210 | 3,579 |
|
Jay R Arthur
6969 South St |
$54.23 | 4,203 | 4,068 |
|
Paul D Bernhardson
8201 Northwoods Dr |
$81.94 | 4,171 | 3,867 |
|
Marlon Kay Weiss
600 N Cotner Blvd |
$59.84 | 4,119 | 3,323 |
|
Zhi Xu
7501 S 27Th St |
$51.20 | 4,111 | 3,989 |
|
Kelly A. Zessin
5901 N 27Th St |
$61.97 | 4,083 | 3,941 |
|
Marie A Bissell
3900 Pine Lake Rd |
$4.16 | 4,073 | 2,194 |
|
Erin Simanic
2301 O St |
$72.54 | 4,006 | 3,688 |
|
Nebraska Urban Indian Health Coalition, Inc.
2331 Fairfield St |
$130.43 | 3,988 | 3,488 |
|
Kayla Hallock
3740 N 27Th St Ste 1 |
$51.07 | 3,931 | 3,642 |
|
Ruilin Wang
4424 S 86Th St |
$55.04 | 3,930 | 3,515 |
|
Jennifer Ann Genthe
7001 A St |
$50.79 | 3,925 | 3,639 |
|
Brett Malchow
4600 Valley Rd |
$63.81 | 3,882 | 3,580 |
|
Andrea L Hubka
5055 A St Ste 300 |
$49.73 | 3,794 | 3,630 |
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 Lincoln, NE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Lincoln, NE is $65.24 per claim, based on 876,881 claims from 833 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 Lincoln, NE?
There are 833 Medicaid providers offering Office Visit related services in Lincoln, NE according to public payment data.
What is the price range for Office Visit in Lincoln, NE?
Medicaid reimbursement for Office Visit in Lincoln, NE ranges from $4.16 to $318.75 per claim, with an average of $65.24. 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 Lincoln, NE
Blood Work & Lab Tests
Avg $5.07
308,150 claims
Psychiatric Evaluation
Avg $104.91
290,718 claims
Dental Cleaning & Exam
Avg $29.61
279,631 claims
Emergency Room Visit
Avg $91.86
274,786 claims
Physical Therapy
Avg $30.24
196,377 claims
Chiropractic Care
Avg $26.60
146,453 claims
X-Ray
Avg $16.29
140,809 claims
Eye Exam
Avg $35.32
124,419 claims