Average Medicaid Office Visit Payments in Ponca City, OK: $116.37
Avg. Paid
$116.37
Range
$3.39 – $719.00
Total Claims
133,750
Providers
56
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 Ponca City, OK
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Peter Marcus Sinton
415 Fairview Ave Ste 100 |
$93.90 | 16,803 | 15,445 |
|
Brenda Lee Peters
415 Fairview Ave Ste 100 |
$87.85 | 13,563 | 12,510 |
|
Lacey Mcnett
415 Fairview Ave |
$89.78 | 13,271 | 12,202 |
|
Michael Stephen Walker
415 Fairview Ave Ste 100 |
$89.06 | 12,105 | 10,899 |
|
Megan Lawver
415 Fairview Ave Ste 202 |
$114.09 | 6,385 | 6,170 |
|
Taylor Lewis
2703 N 14Th St |
$121.08 | 5,982 | 5,582 |
|
Dawn Brown
2101 N 14Th St Ste 114 |
$105.40 | 5,195 | 5,071 |
|
Parnell Ray Adams
2101 N 14Th St |
$95.07 | 4,367 | 4,257 |
|
Tammy Lynn Dexter
1908 N 14Th St Ste 203 |
$261.07 | 4,296 | 2,959 |
|
Brittany Dawn Beier
2101 N 14Th St. #114 |
$104.57 | 4,004 | 3,878 |
|
Guillermo Robles
1908 N 14Th St Ste 203 |
$194.78 | 3,821 | 2,991 |
|
Katie Biby
1201 E Hartford Ave |
$103.06 | 3,235 | 3,191 |
|
David Michael Sparks
415 Fairview Ave |
$65.87 | 2,799 | 2,667 |
|
John W Holden
427 Fairview Ave |
$62.07 | 2,722 | 2,507 |
|
Amy Casey
1201 E Hartford Ave |
$111.17 | 2,462 | 2,429 |
|
Mark A Oatman
154 S Mccord Rd |
$84.05 | 2,421 | 2,263 |
|
Melinda Rother Allen
100 Elmwood Ave |
$52.34 | 2,247 | 2,153 |
|
Tracy Sue Ogden
1908 N 14Th St Ste 205 |
$94.37 | 2,234 | 2,045 |
|
Eva Case
1908 N 14Th St Ste 206 |
$96.77 | 2,232 | 2,143 |
|
Akinola O Ogundipe
609 Virginia Ave |
$53.21 | 2,143 | 2,001 |
|
Monica Dawn Symes
2501 N 14Th St |
$306.33 | 1,958 | 1,875 |
|
Kari L Elliott
1908 N 14Th St Ste 207 |
$345.57 | 1,921 | 1,713 |
|
Abby Parker
119 Patton Dr |
$155.35 | 1,861 | 1,612 |
|
Candy Lee Sconyers Lindsey
415 Fairview Ave |
$49.74 | 1,611 | 1,398 |
|
Jenna Specht
2501 N 14Th St |
$129.41 | 1,360 | 1,333 |
|
Aaron Paul Wilcox
415 Fairview Ave Ste 201 |
$28.21 | 1,101 | 1,022 |
|
Paul Bradley Plowman
517 Virginia Ave |
$58.33 | 955 | 903 |
|
Lee Halvor Simpson
2225 N Union St. |
$3.39 | 951 | 945 |
|
Kimberly Kay Holt
200 White Eagle Dr |
$669.57 | 911 | 823 |
|
Christen Denise Ground
1908 N 14Th St Ste 202 |
$46.51 | 834 | 776 |
|
Mary Janelle Murray
1715 N 5Th St |
$68.12 | 789 | 746 |
|
Pamela Michelle Smith
1715 N 5Th St |
$70.57 | 757 | 713 |
|
Nicki Carriere
2720 Homestead N |
$129.30 | 750 | 714 |
|
Sunil Menon
415 Fairview Ave # 202 |
$46.96 | 663 | 628 |
|
James R. Williams
200 White Eagle Dr |
$575.55 | 614 | 545 |
|
Kalena Pate
200 White Eagle Dr |
$670.37 | 533 | 503 |
|
Sean Reid
1908 N 14Th St Ste 202B |
$126.05 | 532 | 512 |
|
Malcolm Derek Smith
1700 N 5Th St |
$45.00 | 504 | 456 |
|
Tatyana Victoria Mayer
1722 N 4Th St Ste C |
$108.39 | 454 | 422 |
|
Michael S Schiff
400 Fairview Ave Ste 19 |
$33.17 | 400 | 400 |
|
Brad Alan Liston
1908 N 14Th St Ste 204 |
$36.94 | 362 | 355 |
|
Susan K Morgan
2508 Hummingbird Ln |
$28.41 | 359 | 330 |
|
Orele Shananae Ferguson
200 White Eagle Dr |
$698.66 | 296 | 252 |
|
James Michael Rebik
421 E. Hartford Ave. |
$109.03 | 275 | 271 |
|
Alysa Kay Pressnall
2101 N 14Th St Ste 114 |
$105.16 | 198 | 194 |
|
Timothy Charles Hoekstra
1908 N 14Th St Ste 203 |
$257.90 | 144 | 133 |
|
William Robert Howard
400 Fairview Ave |
$65.52 | 78 | 76 |
|
Carrie Culver
1715 N 5Th St |
$76.71 | 68 | 67 |
|
Chadwick B. Ross
1900 N 14Th St |
$88.18 | 68 | 68 |
|
Jeff E Northcutt
1908 N 14Th St |
$29.30 | 47 | 43 |
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 Ponca City, OK?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Ponca City, OK is $116.37 per claim, based on 133,750 claims from 56 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 Ponca City, OK?
There are 56 Medicaid providers offering Office Visit related services in Ponca City, OK according to public payment data.
What is the price range for Office Visit in Ponca City, OK?
Medicaid reimbursement for Office Visit in Ponca City, OK ranges from $3.39 to $719.00 per claim, with an average of $116.37. 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
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Ponca City, OK
Blood Work & Lab Tests
Avg $7.91
58,541 claims
Vaccines & Immunizations
Avg $16.45
44,955 claims
Eye Exam
Avg $63.18
32,512 claims
Substance Abuse Treatment
Avg $82.90
28,664 claims
Urinalysis & Urine Tests
Avg $3.16
25,230 claims
Psychiatric Evaluation
Avg $57.99
23,620 claims
Case Management Services
Avg $33.48
21,329 claims
Ambulance Transport
Avg $119.77
14,024 claims