Average Medicaid Office Visit Payments in Plymouth, MN: $70.95
Avg. Paid
$70.95
Range
$10.91 – $242.73
Total Claims
39,242
Providers
116
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 Plymouth, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jyothsna R Rayadurg
2855 Campus Dr |
$75.75 | 12 | 12 |
|
Jonathan R Ray
3007 Harbor Ln N |
$101.31 | 12 | 12 |
|
Daniela T Ouzounova
2855 Campus Dr |
$92.00 | 13 | 12 |
|
Katie Leigh Ehlen
15700 37Th Ave N Ste 150 |
$68.37 | 13 | 12 |
|
Alfred P. Chiang
2700 Campus Dr |
$52.50 | 15 | 14 |
|
Harold R Oster
2855 Campus Dr |
$93.38 | 15 | 15 |
|
Sally H Engebretson
15655 37Th Ave N Ste 100 |
$33.35 | 16 | 13 |
|
Erin Sellinger
2 Carlson Pkwy N |
$46.98 | 16 | 13 |
|
Christopher John Reynolds
16800 37Th Pl N Ste 200 |
$62.27 | 16 | 15 |
|
Erica N. Roberson
15700 37Th Ave N |
$52.13 | 17 | 15 |
|
David Howard Strothman
15700 37Th Ave N Ste 150 |
$39.80 | 24 | 24 |
|
Thomas John Kaminsky
15700 37Th Ave N Ste 300 |
$63.69 | 26 | 24 |
|
Joel A Sagedahl
1495 Hwy 101 N |
$94.29 | 27 | 26 |
|
Kelsey Lane Overman
15700 37Th Ave N Ste 150 |
$58.49 | 28 | 25 |
|
Van Pham
4140 County Road 101 N |
$46.13 | 29 | 28 |
|
Andrew Brooks
15700 37Th Ave N Ste 150 |
$38.26 | 29 | 27 |
|
Natalie A Rehm
1495 County Road 101 N |
$64.56 | 38 | 37 |
|
Alexander Wilson
2855 Campus Dr |
$93.63 | 39 | 39 |
|
Jenikka Lee Tomashek
2805 Campus Dr Ste 115 |
$53.20 | 40 | 38 |
|
Kristina Ann Bohm
4155 County Road 101 N |
$75.00 | 42 | 41 |
|
Isabelle Lacosse
6050 Sycamore Ln N |
$55.77 | 44 | 39 |
|
Michelle Spies Haggerty
12105 29Th Ave N |
$242.73 | 47 | 44 |
|
Edward Rainier Gamboa Santos
15700 37Th Ave N Ste 150 |
$48.35 | 50 | 43 |
|
Allison K Buth
6050 Sycamore Ln N |
$49.92 | 51 | 51 |
|
Catherine K Robinson
15700 37Th Ave N Ste 150 |
$60.34 | 52 | 49 |
|
Erik J Ekstrom
15700 37Th Ave N Ste 150 |
$53.75 | 55 | 54 |
|
Pathamas Chantaracherd Mittman
3475 Plymouth Blvd Ste 200 |
$68.16 | 56 | 52 |
|
Emily Samborn
2805 Campus Dr Ste 115 |
$132.82 | 57 | 56 |
|
Angela Wermerskirchen
12805 Highway 55 |
$79.52 | 58 | 54 |
|
Amy Kay Bostic
15655 37Th Ave N Ste 100 |
$54.45 | 60 | 55 |
|
Mark E Zelent
2805 Campus Dr |
$86.72 | 61 | 56 |
|
James Paul Campbell
15700 37Th Ave N Ste 300 |
$61.98 | 68 | 66 |
|
Beth Edwards
2855 Campus Dr Ste 400 |
$83.54 | 69 | 67 |
|
Plymouth Psych Group, Llc
3021 Harbor Ln N |
$61.95 | 71 | 62 |
|
Brian Lee Walters
15700 37Th Ave N Ste 150 |
$54.03 | 72 | 62 |
|
Melanie A Hoiland
1495 Hwy 101 N |
$58.65 | 87 | 83 |
|
John M Rozman
15700 37Th Ave N Ste 150 |
$48.53 | 91 | 87 |
|
Lawrence Gale Richmond
4155 County Road 101 N |
$80.23 | 94 | 88 |
|
Jessica Bridgeford
12805 Highway 55 Ste 111 |
$58.08 | 96 | 93 |
|
Kristin Lynn Spencer
3007 Harbor Lane North |
$82.64 | 112 | 93 |
|
Dina Khaled
15700 37Th Ave N Ste 300 |
$67.44 | 119 | 113 |
|
Gail T Griffin
4155 County Road 101 N |
$61.00 | 125 | 123 |
|
Eric Englund
3655 Plymouth Blvd Ste 110 |
$46.91 | 135 | 123 |
|
Robert A Cure
2855 Campus Dr |
$92.16 | 144 | 140 |
|
Leila Ann Pollock
15700 37Th Ave N Ste 150 |
$60.65 | 149 | 139 |
|
Sara Fitzgerald
2735 Everest Ln N |
$21.89 | 155 | 154 |
|
Mia Amao Yang
2800 Campus Dr Ste 44 |
$235.44 | 156 | 148 |
|
Adam Olsson
2855 Campus Dr |
$81.60 | 156 | 151 |
|
James R Fricton
3475 Plymouth Blvd Ste 200 |
$75.16 | 159 | 137 |
|
Elizabeth Hall
14440 28Th Pl N |
$76.42 | 160 | 155 |
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 Plymouth, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Plymouth, MN is $70.95 per claim, based on 39,242 claims from 116 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 Plymouth, MN?
There are 116 Medicaid providers offering Office Visit related services in Plymouth, MN according to public payment data.
What is the price range for Office Visit in Plymouth, MN?
Medicaid reimbursement for Office Visit in Plymouth, MN ranges from $10.91 to $242.73 per claim, with an average of $70.95. 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 Plymouth, MN
Non-Emergency Medical Transportation
Avg $18.45
120,164 claims
Home Health Visit
Avg $79.70
60,864 claims
Dental Cleaning & Exam
Avg $42.87
28,177 claims
Personal Care Services
Avg $48.84
27,477 claims
Emergency Room Visit
Avg $160.09
25,286 claims
X-Ray
Avg $7.26
19,178 claims
Blood Work & Lab Tests
Avg $9.45
18,865 claims
Substance Abuse Treatment
Avg $220.47
17,381 claims