Average Medicaid Office Visit Payments in Mitchell, SD: $66.87
Avg. Paid
$66.87
Range
$16.24 – $123.28
Total Claims
78,153
Providers
21
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 Mitchell, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Avera Queen Of Peace
625 N Foster St Ste 108 |
$32.93 | 15 | 12 |
|
Ashley Faye Peters
625 N Foster St |
$36.40 | 28 | 27 |
|
Avera Queen Of Peace
1900 Grassland Dr |
$22.41 | 79 | 70 |
|
Michael Jon Jesch
1900 Grassland Dr |
$47.04 | 99 | 93 |
|
Dawn Boender
625 N Foster St |
$62.65 | 195 | 184 |
|
Dakota Family Chiropractic Of Mitchell Pc
708 E Kay Ave |
$31.02 | 217 | 198 |
|
Avera Queen Of Peace
625 N Foster St Ste 203 |
$63.99 | 263 | 211 |
|
Tiffany Dot Thiesse
1224 N Sanborn Blvd |
$17.23 | 294 | 278 |
|
Avera Queen Of Peace
1900 Grassland Dr |
$20.40 | 333 | 273 |
|
Avera Queen Of Peace
525 N Foster St |
$40.83 | 564 | 145 |
|
Avera Queen Of Peace
1900 Grassland Dr |
$34.42 | 1,242 | 911 |
|
Jeffrey R Schmidt
501 S Ohlman St |
$30.08 | 1,367 | 1,300 |
|
Graham Ear, Nose & Throat P.C.
625 N Foster St Ste 203 |
$38.45 | 1,487 | 1,233 |
|
Avera Queen Of Peace
1900 Grassland Dr |
$26.12 | 1,894 | 1,568 |
|
Avera Queen Of Peace
1900 Grassland Dr |
$40.26 | 3,672 | 3,038 |
|
Avera Queen Of Peace
625 N Foster St Ste 200 |
$46.42 | 4,178 | 3,442 |
|
Avera Queen Of Peace
1900 Grassland Dr |
$33.85 | 4,559 | 3,846 |
|
Dakota Counseling Institute, Inc.
910 W Havens St |
$16.24 | 5,159 | 2,713 |
|
Mitchell Clinic Ltd
818 W Havens St |
$38.07 | 8,220 | 6,635 |
|
Sanford Clinic
2100 Highland Way Ste K |
$41.15 | 16,997 | 13,619 |
|
Rural Health Care, Inc
1900 Grassland Dr Ste 103 |
$123.28 | 27,291 | 22,745 |
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 Mitchell, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Mitchell, SD is $66.87 per claim, based on 78,153 claims from 21 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 Mitchell, SD?
There are 21 Medicaid providers offering Office Visit related services in Mitchell, SD according to public payment data.
What is the price range for Office Visit in Mitchell, SD?
Medicaid reimbursement for Office Visit in Mitchell, SD ranges from $16.24 to $123.28 per claim, with an average of $66.87. 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 Mitchell, SD
Home Health Visit
Avg $77.83
134,745 claims
Personal Care Services
Avg $69.47
78,728 claims
Case Management Services
Avg $58.02
33,582 claims
Vaccines & Immunizations
Avg $8.23
27,339 claims
Physical Therapy
Avg $21.76
23,837 claims
Blood Work & Lab Tests
Avg $6.30
23,260 claims
Psychiatric Evaluation
Avg $106.19
20,206 claims
Eye Exam
Avg $40.80
16,637 claims