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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Polson, MT: $12.60

Avg. Paid

$12.60

Range

$0.00 – $137.49

Total Claims

108,416

Providers

32

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 Polson, MT

Provider Avg. Paid Claims Patients
Providence St Joseph Medical Center

6 13Th Ave E

 $0.00 69,867 60,545
St Lukes Community Hospital

107 Ridgewater Dr, Ste A

 $0.00 13,687 11,980
St. Lukes Community Hospital

104 Rufus Ln

 $0.00 7,452 6,475
Stephen Andrew Shepro

104 Rufus Ln

 $88.24 3,315 3,067
Taylor M Lies

106 Ridgewater Dr Ste A

 $53.45 1,680 1,381
Amy M. Johnson

#5 4Th Ave. E.

 $88.00 1,480 1,320
Terry A Smith

106 Ridgewater Dr Ste A

 $73.51 1,324 1,178
Heidi Woxland

106 Ridgewater Dr

 $70.17 1,137 968
Michael Patrick Wright

6 13Th Ave E

 $91.14 988 913
Joshua Russell

106 Ridgewater Dr Ste A

 $73.56 883 814
Cindy Rae Young

106 Ridgewater Dr Ste A

 $84.78 862 746
Eric M Schallock

107 Ridgewater Dr

 $80.53 772 719
Monica Lyn Franklin

106 Ridgewater Dr Ste A

 $94.99 757 706
Daniel P Rausch

106 Ridgewater Dr Ste A

 $81.34 756 663
Christina Safron Marchion

104 Rufus Ln

 $88.22 692 613
Donald Paul Ericksen

6 13Th Ave E

 $71.18 675 551
Jamie Michael Engeldrum

107 Ridgewater Dr

 $84.55 509 488
Andrew Crompton Yazman

6 13Th Ave E

 $59.29 409 402
Paul D Gochis

107 Ridgewater Dr

 $63.69 248 230
Kelli Anne Larson

107 Ridgewater Dr

 $73.84 188 178
Shamyne Hover Dumouchel

106 Ridgewater Dr Ste A

 $137.49 186 160
Kelly D Jenne

314 1St St E

 $54.78 155 134
Jeffrey Donald Heninger

203A Ridgewater Dr

 $45.01 98 94
Providence St Joseph Medical Center

6 13Th Ave E

 $0.00 88 60
Adam T Smith

106 Ridgewater Dr Ste A

 $55.54 47 39
Bernadette N. Corum

5 4Th Ave E

 $0.00 46 44
Tanner Ryan Staley

104 Rufus Ln

 $92.95 29 29
Lorina Kay Massey

6 13Th Ave E

 $12.10 19 18
James G Clough

104 Rufus Ln

 $41.79 19 12
Jamie Gogal Straub

6 13Th Ave E

 $45.48 18 12
Justin Monroe Morgan

107 Ridgewater Dr

 $0.00 17 17
Pamela S Sandall

801 4Th Ave E

 $40.53 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 Polson, MT?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Polson, MT is $12.60 per claim, based on 108,416 claims from 32 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 Polson, MT?

There are 32 Medicaid providers offering Office Visit related services in Polson, MT according to public payment data.

What is the price range for Office Visit in Polson, MT?

Medicaid reimbursement for Office Visit in Polson, MT ranges from $0.00 to $137.49 per claim, with an average of $12.60. 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 Polson, MT

Blood Work & Lab Tests

Avg $0.76

75,615 claims

Dental Cleaning & Exam

Avg $34.34

43,585 claims

Emergency Room Visit

Avg $58.08

41,370 claims

Psychiatric Evaluation

Avg $78.85

36,401 claims

Physical Therapy

Avg $23.05

34,244 claims

Behavioral & Mental Health Therapy

Avg $59.19

19,165 claims

Urinalysis & Urine Tests

Avg $0.53

18,428 claims

Vaccines & Immunizations

Avg $3.20

14,431 claims