Average Medicaid Office Visit Payments in North Sioux City, SD: $26.48
Avg. Paid
$26.48
Range
$0.05 – $74.28
Total Claims
8,227
Providers
5
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 North Sioux City, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
David Charles King
101 Tower Rd |
$26.36 | 7,759 | 6,998 |
|
Ida Lourdes Mazza
711 N Sioux Point Rd |
$28.43 | 355 | 305 |
|
Euclid Jerome St Hill
357 W Tower Rd |
$16.84 | 73 | 60 |
|
Jon Mark Grudem
575 N Sioux Point Rd |
$74.28 | 27 | 25 |
|
Adam Lowell Bobier
118 Gateway Dr |
$0.05 | 13 | 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 North Sioux City, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in North Sioux City, SD is $26.48 per claim, based on 8,227 claims from 5 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 North Sioux City, SD?
There are 5 Medicaid providers offering Office Visit related services in North Sioux City, SD according to public payment data.
What is the price range for Office Visit in North Sioux City, SD?
Medicaid reimbursement for Office Visit in North Sioux City, SD ranges from $0.05 to $74.28 per claim, with an average of $26.48. 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
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in North Sioux City, SD
Chiropractic Care
Avg $24.73
3,867 claims
Durable Medical Equipment (DME)
Avg $26.27
3,613 claims
Prescription Medications
Avg $610.09
696 claims
Blood Work & Lab Tests
Avg $6.65
595 claims
Speech Therapy
Avg $67.67
440 claims
EKG / ECG (Electrocardiogram)
Avg $6.70
272 claims
Dialysis
Avg $58.25
259 claims
Echocardiogram
Avg $43.31
82 claims