Average Medicaid Office Visit Payments in Missoula, MT: $66.97
Avg. Paid
$66.97
Range
$0.00 – $658.37
Total Claims
613,504
Providers
431
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 Missoula, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Partnership Health Center Inc
401 Railroad St W |
$0.00 | 107,951 | 92,614 |
|
Western Montana Mental Health Center
1321 Wyoming St |
$93.39 | 49,089 | 40,401 |
|
Phillip M Holman
715 Kensintgton Ave. |
$120.17 | 16,657 | 15,101 |
|
Michael David Thein
1048 Burlington Ave Ste 103 |
$98.97 | 11,371 | 9,315 |
|
Michelle M Bailey
500 W Broadway St |
$37.13 | 9,848 | 2,337 |
|
Sunburst Health Llc
2620 Connery Way |
$95.85 | 9,467 | 7,786 |
|
David Mcmeekin
3075 N Reserve St Ste Q |
$83.63 | 7,860 | 7,241 |
|
Sharon Marie Herndon
2230 N Reserve St Ste 402 |
$74.49 | 7,295 | 6,105 |
|
Thomas Douglas Frandsen
2831 Fort Missoula Rd Ste 302 |
$102.06 | 6,258 | 5,207 |
|
Oivind Frederick Westereng
3624 Brooks St Ste 101 |
$82.79 | 6,150 | 5,697 |
|
Colby Lowel Wang
715 Kensington Ave Ste 24B |
$97.54 | 6,067 | 4,857 |
|
Thomas Randall
2835 Fourt Missoula Rd |
$76.85 | 5,399 | 4,760 |
|
Katrin Johanna Kahl
610 N California St |
$50.25 | 5,203 | 4,922 |
|
Michael J. Schutte
2831 Fort Missoula Rd |
$30.80 | 5,154 | 4,461 |
|
Partnership Health Center Inc
1110 W Broadway St |
$0.01 | 5,145 | 4,096 |
|
Stephanie Sari
900 N Orange St Ste 303 |
$77.56 | 4,774 | 4,379 |
|
Heather Marie Shortridge
3075 N Reserve St Ste Q |
$91.58 | 4,591 | 4,238 |
|
Merlin Bardett Fausett
2831 Fort Missoula Rd Ste 232 |
$104.26 | 4,588 | 3,504 |
|
Sydney Diann Seyfert
821 S Orange St |
$136.97 | 4,533 | 3,596 |
|
Partnership Health Center Inc
1150 Sherwood St |
$0.00 | 4,275 | 3,748 |
|
Evan Robert Thompson
2825 Stockyard Rd |
$109.62 | 4,267 | 3,190 |
|
Eric A. Ravitz
610 N California St |
$73.79 | 4,222 | 3,893 |
|
Joshua James Sticka
2835 Fort Missoula Rd |
$154.85 | 4,220 | 4,092 |
|
Dirk R Gottman
500 W Broadway St |
$86.09 | 4,190 | 3,846 |
|
Sherry L Martin
1315 Wyoming St |
$36.57 | 4,076 | 3,188 |
|
Iley Scott Copeland
900 N Orange St Ste 304 |
$31.31 | 4,004 | 3,733 |
|
Matt Ryan Mcnutt
2827 Fort Missoula Rd |
$53.75 | 4,002 | 3,112 |
|
Adeline May Wakeman
902 N Orange St |
$74.99 | 3,803 | 2,623 |
|
Ryan Barrett
2835 Fort Missoula Rd |
$79.25 | 3,762 | 3,405 |
|
Kinsey Fisher
1101 S 3Rd St W |
$106.68 | 3,721 | 3,410 |
|
William Charles Hastings
2825 Fort Missoula Rd Ste 201 |
$64.57 | 3,693 | 2,749 |
|
Denise Christine Kelley
4 Holiday Ln |
$21.40 | 3,535 | 3,318 |
|
Kimberly Claire Hogan
500 W Broadway St |
$98.39 | 3,354 | 3,231 |
|
Brandi Roman Glibbery
2835 Fort Missoula Rd Ste 303 |
$79.26 | 3,228 | 2,756 |
|
May Victor
1120 Cedar St |
$72.42 | 3,227 | 2,528 |
|
Brian Foster
3075 N Reserve St Ste Q |
$85.52 | 3,209 | 2,883 |
|
Elena Furrow
3017 Paxson St |
$91.44 | 3,183 | 2,909 |
|
Sarah Lynn Faaborg
323 E Front St |
$51.18 | 3,108 | 2,473 |
|
Kelly Polus
610 N California St |
$93.88 | 3,046 | 2,818 |
|
Sarah N Borge
2825 Fort Missoula Rd Ste 115 |
$94.96 | 3,044 | 2,741 |
|
Morgan Rochelle Roberts
2740 South Ave W Ste 201 |
$65.80 | 2,919 | 2,434 |
|
Jennifer K Hall
2835 Fort Missoula Rd Bldg 3 |
$88.16 | 2,905 | 2,621 |
|
Courtney Iverson Hathaway
2835 Fort Missoula Rd Ste 303 |
$86.22 | 2,848 | 2,447 |
|
Nicole Renee Murphy
1211 S Reserve St Ste 202 |
$83.91 | 2,781 | 2,548 |
|
Allison Young
2835 Fort Missoula Rd Ste 200 |
$100.06 | 2,780 | 2,539 |
|
Sandra Simmons
2835 Fort Missoula Rd |
$81.83 | 2,754 | 2,458 |
|
Blair Brown
500 W Broadway St Fl 4 |
$0.66 | 2,754 | 1,475 |
|
Todd Murdock
700 W Kent Ave |
$124.71 | 2,717 | 2,635 |
|
G Gregg Neibauer
1845 Bancroft St |
$45.72 | 2,673 | 1,983 |
|
Janine B Peterson-Hale
2901 Brooks St |
$105.86 | 2,649 | 2,567 |
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 Missoula, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Missoula, MT is $66.97 per claim, based on 613,504 claims from 431 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 Missoula, MT?
There are 431 Medicaid providers offering Office Visit related services in Missoula, MT according to public payment data.
What is the price range for Office Visit in Missoula, MT?
Medicaid reimbursement for Office Visit in Missoula, MT ranges from $0.00 to $658.37 per claim, with an average of $66.97. 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 Missoula, MT
Personal Care Services
Avg $98.11
18,071,820 claims
Home Health Visit
Avg $166.30
2,918,549 claims
Psychiatric Evaluation
Avg $64.41
600,296 claims
Case Management Services
Avg $71.87
580,764 claims
Blood Work & Lab Tests
Avg $3.59
542,377 claims
Behavioral & Mental Health Therapy
Avg $65.28
518,803 claims
Dental Cleaning & Exam
Avg $30.51
297,647 claims
Physical Therapy
Avg $36.81
241,727 claims