Average Medicaid Office Visit Payments in Pierre, SD: $64.60
Avg. Paid
$64.60
Range
$0.00 – $469.32
Total Claims
65,440
Providers
15
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 Pierre, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Avera St Marys
801 E Sioux Ave |
$42.69 | 54,515 | 44,106 |
|
South Dakota Urban Indian Health, Inc. Sduih
339 S Pierre St |
$114.17 | 3,731 | 3,017 |
|
Jim L Minder
100 Mac Lane |
$440.13 | 1,840 | 1,200 |
|
Sanford Clinic
521 E Sioux Ave |
$36.63 | 1,043 | 862 |
|
Ranni Mikael Hopkins
1209 E Erskine St |
$104.28 | 966 | 895 |
|
Rising Hope Counseling, Llc
420 S Henry St |
$53.76 | 867 | 785 |
|
Avera St. Mary'S
801 E Sioux Ave |
$112.43 | 851 | 726 |
|
Dale E Vizcarra
100 Mac Lane |
$415.75 | 375 | 319 |
|
Cindi J Pochop
100 Mac Lane |
$432.39 | 349 | 264 |
|
Capital Area Counseling Service, Inc
2001 Eastgate |
$15.53 | 341 | 340 |
|
Teresa Jo Bormann
521 E Sioux Ave |
$64.94 | 309 | 291 |
|
Rodney T Vizcarra
100 Mac Lane |
$469.32 | 99 | 96 |
|
Kathryn Ann Hettinger
1714 Abbey Rd |
$0.00 | 82 | 73 |
|
Central Dakota Eyecare, Llp
640 E Sioux Ave |
$43.49 | 42 | 36 |
|
Central South Dakota Psychiatry Pllc
1205 N Harrison Ave Ste 100 |
$87.83 | 30 | 25 |
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 Pierre, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pierre, SD is $64.60 per claim, based on 65,440 claims from 15 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 Pierre, SD?
There are 15 Medicaid providers offering Office Visit related services in Pierre, SD according to public payment data.
What is the price range for Office Visit in Pierre, SD?
Medicaid reimbursement for Office Visit in Pierre, SD ranges from $0.00 to $469.32 per claim, with an average of $64.60. 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 Pierre, SD
Case Management Services
Avg $49.00
189,992 claims
Vaccines & Immunizations
Avg $6.88
85,622 claims
Personal Care Services
Avg $113.81
82,560 claims
Home Health Visit
Avg $51.96
51,954 claims
Psychiatric Evaluation
Avg $92.49
42,414 claims
Eye Exam
Avg $52.24
17,956 claims
Emergency Room Visit
Avg $63.02
15,403 claims
X-Ray
Avg $9.37
12,933 claims