Average Medicaid Office Visit Payments in Oneill, NE: $69.91
Avg. Paid
$69.91
Range
$10.13 – $136.33
Total Claims
22,010
Providers
17
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 Oneill, NE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Avera St Anthonys Hospital
300 N 2Nd St |
$90.66 | 6,774 | 5,417 |
|
Sharon L. Spencer
300 N 2Nd St |
$40.71 | 4,571 | 4,354 |
|
Gary D Cuddy
300 N 2Nd St |
$72.85 | 2,026 | 1,935 |
|
Elkhorn Valley Family Medicine, Pc
304 E Douglas St |
$67.46 | 1,982 | 1,535 |
|
Michael Ryan Zimmerman
300 N 2Nd St |
$33.32 | 1,390 | 1,268 |
|
Robyn L Heiser
304 E Douglas St |
$57.05 | 1,151 | 1,113 |
|
Philip Lyle Gildersleeve
612 N 4Th St |
$33.31 | 1,096 | 849 |
|
Theresa A Petersen
300 N 2Nd St |
$124.24 | 595 | 576 |
|
Anna Elizabeth Novak
300 N 2Nd St |
$123.18 | 593 | 527 |
|
Heather A Pardun
304 E Douglas St |
$91.65 | 522 | 438 |
|
Rachel Wecker
304 E Douglas St |
$136.33 | 384 | 347 |
|
Jenna M. Kaup
304 E Douglas St |
$87.86 | 317 | 268 |
|
Kacindra Jo Kopf
304 E Douglas St |
$10.13 | 227 | 202 |
|
Matthew G Winkelbauer
300 N 2Nd St |
$114.59 | 216 | 201 |
|
Daniel Wayne Nekolite
403 E Hynes Ave |
$22.91 | 81 | 81 |
|
Bree S. Almgren
304 E Douglas St |
$41.08 | 54 | 51 |
|
Peter D Lueninghoener
304 E Douglas St |
$82.44 | 31 | 27 |
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 Oneill, NE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Oneill, NE is $69.91 per claim, based on 22,010 claims from 17 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 Oneill, NE?
There are 17 Medicaid providers offering Office Visit related services in Oneill, NE according to public payment data.
What is the price range for Office Visit in Oneill, NE?
Medicaid reimbursement for Office Visit in Oneill, NE ranges from $10.13 to $136.33 per claim, with an average of $69.91. 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 Oneill, NE
Eye Exam
Avg $25.04
8,500 claims
Dental Cleaning & Exam
Avg $26.48
6,879 claims
Psychiatric Evaluation
Avg $114.51
5,958 claims
Chiropractic Care
Avg $24.45
4,698 claims
Blood Work & Lab Tests
Avg $6.32
636 claims
Nursing Facility Care
Avg $8.19
332 claims
X-Ray
Avg $20.07
238 claims
Emergency Room Visit
Avg $58.95
174 claims