Average Medicaid Office Visit Payments in Miles City, MT: $36.19
Avg. Paid
$36.19
Range
$0.00 – $2,042
Total Claims
75,088
Providers
27
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 Miles City, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Holy Rosary Healthcare
2600 Wilson St |
$0.01 | 28,483 | 24,353 |
|
Bighorn Valley Health Center Incorporated
601 Main St |
$0.00 | 9,317 | 7,478 |
|
Patrick G. Williams
620 S Haynes Ave |
$36.30 | 7,343 | 6,183 |
|
Eastern Montana Community Mental Health Center
2508 Wilson St |
$49.67 | 4,989 | 3,620 |
|
Krysta Devries
620 S Haynes Ave |
$80.49 | 3,827 | 3,705 |
|
Nicole Evan Zavatsky
620 S Haynes Ave |
$83.90 | 3,698 | 3,493 |
|
Nikki Kerr
620 S Haynes Ave |
$112.97 | 3,539 | 3,368 |
|
Stormy L Jensen
620 S Haynes Ave |
$87.83 | 2,306 | 2,191 |
|
David A Smith
620 S Haynes Ave |
$81.34 | 2,006 | 1,889 |
|
Eleanor P Lavin
2000 Clark St |
$83.46 | 1,680 | 1,064 |
|
Angela L Bundy-Kelm
620 S Haynes Ave |
$73.90 | 1,230 | 1,154 |
|
Lourdes R. Reynolds
620 S Haynes Ave |
$0.73 | 1,143 | 1,067 |
|
Andrea Joan Murphy
620 S Haynes Ave |
$93.95 | 1,041 | 987 |
|
Marjorie Louise Albers
620 S Haynes Ave |
$115.35 | 960 | 896 |
|
Laura Wetherelt
2911 Wilson St |
$74.20 | 898 | 657 |
|
James E. Young
620 S Haynes Ave |
$102.12 | 672 | 631 |
|
Arlynn Irish
620 S Haynes Ave |
$69.94 | 649 | 626 |
|
Daniel C Brooke
2600 Wilson St Ste 1 |
$63.45 | 475 | 404 |
|
Brook Peter Murphy
620 S Haynes Ave |
$106.73 | 237 | 223 |
|
Patricia A. Grantham
620 S Haynes Ave |
$71.71 | 203 | 191 |
|
Mark O Nichols
2600 Wilson St |
$36.63 | 122 | 98 |
|
Kaycee Elizabeth Gardner
620 S Haynes Ave |
$85.76 | 116 | 112 |
|
Kate Adele Marsh
210 S Winchester Ave |
$2,042 | 52 | 49 |
|
Susan J. Gallo
620 S Haynes Ave |
$83.83 | 45 | 42 |
|
Justin Nagy
2600 Wilson St |
$59.39 | 31 | 28 |
|
Yolanda Marie Janshen
2600 Wilson St |
$83.95 | 14 | 14 |
|
Laurel Rose Rub Schimelfening
1909 Main St |
$68.23 | 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 Miles City, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Miles City, MT is $36.19 per claim, based on 75,088 claims from 27 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 Miles City, MT?
There are 27 Medicaid providers offering Office Visit related services in Miles City, MT according to public payment data.
What is the price range for Office Visit in Miles City, MT?
Medicaid reimbursement for Office Visit in Miles City, MT ranges from $0.00 to $2,042 per claim, with an average of $36.19. 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 Miles City, MT
Behavioral & Mental Health Therapy
Avg $77.90
149,085 claims
Psychiatric Evaluation
Avg $73.24
80,450 claims
Blood Work & Lab Tests
Avg $0.70
57,500 claims
X-Ray
Avg $9.27
44,563 claims
Physical Therapy
Avg $10.85
26,506 claims
Case Management Services
Avg $41.71
24,545 claims
CT Scan (Computed Tomography)
Avg $50.48
20,605 claims
Speech Therapy
Avg $27.08
17,893 claims