Average Medicaid Office Visit Payments in Pratt, KS: $71.48
Avg. Paid
$71.48
Range
$3.88 – $119.48
Total Claims
26,758
Providers
24
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 Pratt, KS
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Pratt Family Practice Llc
203 Watson St |
$81.22 | 17,166 | 14,599 |
|
Pratt Regional Medical Center Corporation
420 Country Club Rd |
$52.08 | 2,936 | 2,625 |
|
Scott William Gordon
203 Watson St Ste 300 |
$3.88 | 1,632 | 950 |
|
Robin Lynne Shelton
10250 Country Club Rd |
$102.48 | 989 | 975 |
|
Lacie Dawn Werkmeister
1600 E 1St St |
$57.68 | 567 | 505 |
|
Steven R. Donnenwerth
203 Watson |
$88.96 | 535 | 434 |
|
Micha S Kessler
203 Watson |
$99.65 | 524 | 490 |
|
David L Sherraden
200 Commodore St |
$35.68 | 408 | 383 |
|
Kelli Marie Brown
1600 E 1St St |
$25.80 | 315 | 295 |
|
Hannah Vogt
203 Watson St |
$119.48 | 246 | 194 |
|
Eric Ryan Clarkson
203 Watson St Ste 200 |
$87.16 | 237 | 207 |
|
Sarah Ann Eubank
203 Watson St Ste 200 |
$110.93 | 215 | 206 |
|
Alexander Baxter Neel
203 Watson St Ste 300 |
$16.09 | 169 | 127 |
|
Renae Beshears
1600 E 1St St |
$23.84 | 159 | 152 |
|
Susan Slief
203 Watson St |
$80.95 | 141 | 128 |
|
Vicki Bortzer
124 Commodore St Ste B |
$20.31 | 126 | 110 |
|
Robert Boatwright Harris
124 Commodore St Ste B |
$26.80 | 114 | 96 |
|
Ritchey Susann Simon
143 Sw 20Th St |
$5.30 | 112 | 75 |
|
M'Kaylee Ann Kirby
920 E 1St St |
$24.31 | 45 | 43 |
|
Paul Casper
200 Commodore St |
$27.37 | 44 | 33 |
|
Kai Thomas Englert
10250 Country Club Rd |
$22.84 | 35 | 28 |
|
Luis E Espinoza
124 Commodore St Ste B |
$21.40 | 16 | 13 |
|
William E Cannata
203 Watson St |
$68.31 | 14 | 12 |
|
Hayley Noel Zink
206 S Main St |
$28.27 | 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 Pratt, KS?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pratt, KS is $71.48 per claim, based on 26,758 claims from 24 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 Pratt, KS?
There are 24 Medicaid providers offering Office Visit related services in Pratt, KS according to public payment data.
What is the price range for Office Visit in Pratt, KS?
Medicaid reimbursement for Office Visit in Pratt, KS ranges from $3.88 to $119.48 per claim, with an average of $71.48. 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 Pratt, KS
Blood Work & Lab Tests
Avg $1.36
10,681 claims
Speech Therapy
Avg $30.00
10,622 claims
Vaccines & Immunizations
Avg $20.08
6,511 claims
Eye Exam
Avg $18.48
5,272 claims
Durable Medical Equipment (DME)
Avg $20.50
3,844 claims
Dental Cleaning & Exam
Avg $28.82
3,255 claims
Emergency Room Visit
Avg $38.91
1,514 claims
Psychiatric Evaluation
Avg $48.10
1,368 claims