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 |
|---|---|---|---|
|
William A Stuever
1619 N 5Th St |
$60.31 | 12 | 12 |
|
William R. Ford
215 N 3Rd St |
$150.02 | 12 | 12 |
|
Susanna V. Ulahannan
609 Virginia Ave |
$157.81 | 14 | 13 |
|
Courtney Dawn Beck
609 Virginia Ave |
$719.00 | 16 | 15 |
|
Kelly Christine Campbell
1619 N 5Th St |
$61.25 | 24 | 24 |
|
John Ground
121 Patton Dr |
$117.34 | 31 | 31 |
|
Jeff E Northcutt
1908 N 14Th St |
$29.30 | 47 | 43 |
|
Carrie Culver
1715 N 5Th St |
$76.71 | 68 | 67 |
|
Chadwick B. Ross
1900 N 14Th St |
$88.18 | 68 | 68 |
|
William Robert Howard
400 Fairview Ave |
$65.52 | 78 | 76 |
|
Timothy Charles Hoekstra
1908 N 14Th St Ste 203 |
$257.90 | 144 | 133 |
|
Alysa Kay Pressnall
2101 N 14Th St Ste 114 |
$105.16 | 198 | 194 |
|
James Michael Rebik
421 E. Hartford Ave. |
$109.03 | 275 | 271 |
|
Orele Shananae Ferguson
200 White Eagle Dr |
$698.66 | 296 | 252 |
|
Susan K Morgan
2508 Hummingbird Ln |
$28.41 | 359 | 330 |
|
Brad Alan Liston
1908 N 14Th St Ste 204 |
$36.94 | 362 | 355 |
|
Michael S Schiff
400 Fairview Ave Ste 19 |
$33.17 | 400 | 400 |
|
Tatyana Victoria Mayer
1722 N 4Th St Ste C |
$108.39 | 454 | 422 |
|
Malcolm Derek Smith
1700 N 5Th St |
$45.00 | 504 | 456 |
|
Sean Reid
1908 N 14Th St Ste 202B |
$126.05 | 532 | 512 |
|
Kalena Pate
200 White Eagle Dr |
$670.37 | 533 | 503 |
|
James R. Williams
200 White Eagle Dr |
$575.55 | 614 | 545 |
|
Sunil Menon
415 Fairview Ave # 202 |
$46.96 | 663 | 628 |
|
Nicki Carriere
2720 Homestead N |
$129.30 | 750 | 714 |
|
Pamela Michelle Smith
1715 N 5Th St |
$70.57 | 757 | 713 |
|
Mary Janelle Murray
1715 N 5Th St |
$68.12 | 789 | 746 |
|
Christen Denise Ground
1908 N 14Th St Ste 202 |
$46.51 | 834 | 776 |
|
Kimberly Kay Holt
200 White Eagle Dr |
$669.57 | 911 | 823 |
|
Lee Halvor Simpson
2225 N Union St. |
$3.39 | 951 | 945 |
|
Paul Bradley Plowman
517 Virginia Ave |
$58.33 | 955 | 903 |
|
Aaron Paul Wilcox
415 Fairview Ave Ste 201 |
$28.21 | 1,101 | 1,022 |
|
Jenna Specht
2501 N 14Th St |
$129.41 | 1,360 | 1,333 |
|
Candy Lee Sconyers Lindsey
415 Fairview Ave |
$49.74 | 1,611 | 1,398 |
|
Abby Parker
119 Patton Dr |
$155.35 | 1,861 | 1,612 |
|
Kari L Elliott
1908 N 14Th St Ste 207 |
$345.57 | 1,921 | 1,713 |
|
Monica Dawn Symes
2501 N 14Th St |
$306.33 | 1,958 | 1,875 |
|
Akinola O Ogundipe
609 Virginia Ave |
$53.21 | 2,143 | 2,001 |
|
Eva Case
1908 N 14Th St Ste 206 |
$96.77 | 2,232 | 2,143 |
|
Tracy Sue Ogden
1908 N 14Th St Ste 205 |
$94.37 | 2,234 | 2,045 |
|
Melinda Rother Allen
100 Elmwood Ave |
$52.34 | 2,247 | 2,153 |
|
Mark A Oatman
154 S Mccord Rd |
$84.05 | 2,421 | 2,263 |
|
Amy Casey
1201 E Hartford Ave |
$111.17 | 2,462 | 2,429 |
|
John W Holden
427 Fairview Ave |
$62.07 | 2,722 | 2,507 |
|
David Michael Sparks
415 Fairview Ave |
$65.87 | 2,799 | 2,667 |
|
Katie Biby
1201 E Hartford Ave |
$103.06 | 3,235 | 3,191 |
|
Guillermo Robles
1908 N 14Th St Ste 203 |
$194.78 | 3,821 | 2,991 |
|
Brittany Dawn Beier
2101 N 14Th St. #114 |
$104.57 | 4,004 | 3,878 |
|
Tammy Lynn Dexter
1908 N 14Th St Ste 203 |
$261.07 | 4,296 | 2,959 |
|
Parnell Ray Adams
2101 N 14Th St |
$95.07 | 4,367 | 4,257 |
|
Dawn Brown
2101 N 14Th St Ste 114 |
$105.40 | 5,195 | 5,071 |
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
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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
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Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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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