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 |
|---|---|---|---|
|
Louis X Kattine
2819 Great Northern Loop Ste 200 |
$79.57 | 12 | 12 |
|
Coty John Holm
500 W Broadway St |
$31.47 | 12 | 12 |
|
Claude Tonnerre
500 W Broadway St |
$48.75 | 12 | 12 |
|
Gregory A Wood
500 W Broadway St Ste 320 |
$33.65 | 12 | 12 |
|
Providence Health & Services Mt
500 W Broadway St |
$0.00 | 12 | 12 |
|
Lauren Sarah Wilson
2827 Fort Missoula Rd |
$96.68 | 12 | 12 |
|
Christopher Thomas Caldwell
500 W Broadway |
$15.19 | 12 | 12 |
|
Timothy Gaffney
500 W Broadway St Ste 320 |
$92.96 | 13 | 12 |
|
Jenna Nicole Raff
700 W Kent Ave |
$61.20 | 13 | 13 |
|
Sarah Ann-Louise Koch
601 W Spruce St Ste J |
$91.68 | 13 | 13 |
|
Lindsey Elizabeth Gardner
1930 W Broadway St Ste A |
$75.78 | 13 | 13 |
|
Janel D Mccormick
500 W Broadway St |
$51.79 | 13 | 12 |
|
Kacia Bundle
500 W Broadway St |
$73.39 | 13 | 12 |
|
James Cameron Miller
900 N Orange St Ste 202 |
$0.00 | 14 | 12 |
|
Margaret Lillian Carnegie
900 N Orange St |
$63.86 | 14 | 12 |
|
Alexander Brockman Jehle
500 W Broadway St |
$79.14 | 14 | 13 |
|
Laurie Liang Carter
2827 Fort Missoula Rd |
$95.20 | 14 | 13 |
|
Elizabeth Wright
1600 W Sussex Ave |
$153.03 | 14 | 12 |
|
Laura Marx
610 N California St |
$58.59 | 14 | 12 |
|
Michelle Weaver Knowles
2825 Fort Missoula Rd Ste 113 |
$65.38 | 14 | 13 |
|
Danielle Chapin
500 W Broadway St Fl 4 |
$144.31 | 15 | 13 |
|
Rick Don Neumeister
2687 Palmer St Ste C2 |
$18.60 | 15 | 12 |
|
Aubrey Fox Barton
2360 Mullan Rd Ste C |
$36.91 | 15 | 13 |
|
Charles J Swannack
500 W Broadway |
$112.66 | 15 | 13 |
|
Janice A Givler
500 W Broadway St |
$105.53 | 16 | 16 |
|
Mark E Pirak
500 W Broadway St |
$52.02 | 16 | 14 |
|
Mariah Josephine Hill
2825 Fort Missoula Rd Ste 217 |
$81.79 | 16 | 13 |
|
Roger Furlong
700 W Kent Ave |
$28.15 | 16 | 15 |
|
Joshua Benjamin Christensen
500 West Broadway |
$48.10 | 16 | 14 |
|
Jessica Holtrop Balis
500 W Broadway St |
$71.27 | 17 | 15 |
|
Paul G Smith
2827 Fort Missoula Rd |
$0.00 | 17 | 14 |
|
Jill Aucoin
902 N Orange St |
$22.86 | 17 | 12 |
|
James Haldeman Armstrong
2819 Great Northern Loop |
$75.93 | 18 | 17 |
|
Eric Dees
3010 Sana Fe Court Pmb #0472 |
$128.17 | 19 | 12 |
|
Ruth M West
900 N Orange St |
$142.80 | 20 | 19 |
|
Michael J Rohrer
500 W Broadway St |
$10.93 | 21 | 16 |
|
Timothy Bradford Richards
2831 Fort Missoula Rd |
$29.78 | 23 | 14 |
|
Heather Schiedermayer
2831 Fort Missoula Rd Ste 206 |
$100.96 | 24 | 24 |
|
Sheryl Alexander
2831 Fort Missoula Rd |
$29.02 | 24 | 15 |
|
Jon Brant Mcgregor
500 W Broadway St Ste 320 |
$134.75 | 24 | 24 |
|
Diane M Yahn
500 West Broadway |
$17.16 | 26 | 25 |
|
Brandon Jaime Egner
500 W Broadway St Ste 320 |
$62.56 | 27 | 27 |
|
Jean Baumgardner
401 Railroad St W |
$658.37 | 27 | 24 |
|
Michelle Ann Proper
2827 Fort Missoula Rd |
$64.11 | 27 | 25 |
|
J Michael Caldwell
500 West Broadway |
$32.95 | 28 | 26 |
|
Lisa B Lovejoy
500 West Broadway |
$62.54 | 29 | 25 |
|
Nicole Marie Pressman-Schneider
500 W Broadway St |
$81.50 | 31 | 26 |
|
Janice R Gomersall
2835 Fort Missoula Rd |
$68.10 | 32 | 28 |
|
Karyn Regina Sande
500 W Broadway St Ste 320 |
$68.70 | 32 | 27 |
|
Carissa Marie Hintz
700 W Kent Ave |
$46.12 | 32 | 28 |
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