Average Medicaid Office Visit Payments in Madras, OR: $34.62
Avg. Paid
$34.62
Range
$0.00 – $388.49
Total Claims
52,442
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 Madras, OR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St. Charles Health System, Inc.
470 Ne A Street |
$0.00 | 21 | 17 |
|
Mark M Mullins
28 Ne 12Th St |
$49.08 | 33 | 28 |
|
William Steven Herz
125 Sw C St |
$5.13 | 59 | 59 |
|
William C Claridge
480 Ne A St |
$2.42 | 87 | 84 |
|
Madras Medical Group P.C.
76 Ne 12Th St |
$0.00 | 97 | 95 |
|
Nicolette Linea Stevanovski
500 Ne A St Ste 100 |
$18.39 | 125 | 116 |
|
Jessica Brooke Tegen
211 Se 5Th St |
$42.09 | 213 | 200 |
|
Sarah Catherine O'Brien
470 Ne A St |
$3.53 | 501 | 487 |
|
Thomas Martin Manning
76 Ne 12Th St |
$14.84 | 1,118 | 995 |
|
Aimee Marie Neill
470 Ne A St |
$6.32 | 1,137 | 1,045 |
|
Jinnell Ann Lewis
470 Ne A St |
$11.32 | 1,191 | 1,053 |
|
Katherine Snyder
500 Ne A St Ste 100 |
$52.99 | 1,922 | 1,631 |
|
John F Lindberg
470 Ne A St |
$388.49 | 2,024 | 1,614 |
|
Lindsey Gail Reinhart
500 Ne A St Ste 100 |
$1.71 | 2,127 | 1,796 |
|
Leonard Dewitt Savage
470 Ne A St |
$22.85 | 2,399 | 2,135 |
|
Adalie Christine Beckley
470 Ne A St |
$8.93 | 2,906 | 2,591 |
|
William P Irvine
470 Ne A St |
$18.25 | 3,226 | 2,817 |
|
Kim Ray Montee
850 Sw 4Th St Ste 101 |
$8.35 | 3,329 | 2,919 |
|
Nicholas Zoltan Blake
76 Ne 12Th St |
$23.15 | 3,770 | 3,438 |
|
Dwight Carpen
390 Se 10Th St |
$89.96 | 3,943 | 3,206 |
|
Angela Vetterick
500 Ne A St Ste 100 |
$5.70 | 4,781 | 4,307 |
|
Kristine Marie Delamarter
76 Ne 12Th St |
$22.00 | 5,601 | 5,021 |
|
Gary M Plant
76 Ne 12Th St |
$14.81 | 5,737 | 5,133 |
|
Joy Elizabeth Light
500 Ne A St Ste 100 |
$4.32 | 6,095 | 5,382 |
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 Madras, OR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Madras, OR is $34.62 per claim, based on 52,442 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 Madras, OR?
There are 24 Medicaid providers offering Office Visit related services in Madras, OR according to public payment data.
What is the price range for Office Visit in Madras, OR?
Medicaid reimbursement for Office Visit in Madras, OR ranges from $0.00 to $388.49 per claim, with an average of $34.62. 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 Madras, OR
Substance Abuse Treatment
Avg $49.30
30,544 claims
Blood Work & Lab Tests
Avg $1.39
21,091 claims
Psychiatric Evaluation
Avg $95.59
14,929 claims
Physical Therapy
Avg $26.69
11,746 claims
Ambulance Transport
Avg $123.10
10,587 claims
Vaccines & Immunizations
Avg $12.69
9,340 claims
Emergency Room Visit
Avg $77.09
8,128 claims
Eye Exam
Avg $46.87
7,677 claims