Average Medicaid Office Visit Payments in Pryor, OK: $125.76
Avg. Paid
$125.76
Range
$7.72 – $202.19
Total Claims
58,149
Providers
28
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 Pryor, OK
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ellen Hoelscher
4115 Redden |
$169.68 | 8,208 | 7,822 |
|
Shuaib Muhammad Suhail
562 South Elliott Street |
$179.63 | 7,679 | 6,997 |
|
John Watson
510 S Elliott St |
$49.58 | 5,457 | 4,857 |
|
Tana M Stutzman
14 S Vann St |
$66.17 | 4,320 | 4,004 |
|
Jason Charles Joice
1301 Ne 1St St |
$58.03 | 3,295 | 3,043 |
|
David Roy Ring
562 S Elliott St |
$148.94 | 2,548 | 2,367 |
|
Christopher J Delong
111 N Bailey St |
$94.99 | 2,500 | 2,489 |
|
Lynzi Marie Morgan
1301 Ne 1St St Ste 400 |
$202.19 | 2,417 | 2,265 |
|
Michael Gerard Gietzen
562 S Elliott St |
$152.85 | 2,330 | 2,082 |
|
Darin Alan Gwartney
1301 Ne 1St St |
$143.40 | 2,297 | 2,145 |
|
Johnie Louis Owens
562 S Elliott St |
$165.83 | 2,186 | 2,019 |
|
Stephen John Griffin
1301 Ne 1St St Ste 100 |
$19.80 | 2,131 | 1,660 |
|
Kaleb Lee Vaughn
562 S Elliott St |
$178.74 | 1,983 | 1,775 |
|
Dawn M Lovins
111 N Bailey St |
$159.33 | 1,941 | 1,877 |
|
Amanda Diane Griffin
1301 Ne 13Th St |
$60.65 | 1,683 | 1,634 |
|
Joshua A Redmond
1301 Ne 1St St |
$175.20 | 1,229 | 1,176 |
|
Paul Edward Battles
562 S Elliott St |
$132.67 | 1,209 | 1,103 |
|
Tracy Lynn Martin
211 S Mill St |
$99.32 | 1,112 | 1,049 |
|
Karli Ophern Bowles
109 Steve Barry Blvd |
$94.86 | 1,025 | 1,017 |
|
Heidi Renee Hoffman-Fuh
562 S Elliott St |
$185.30 | 1,018 | 956 |
|
Brent Brewer
231 E Graham Ave |
$7.72 | 636 | 634 |
|
Khalid Saad Aly
562 S Elliott St |
$53.14 | 320 | 281 |
|
Saran Desiree Oliver
111 N Bailey St |
$39.21 | 286 | 286 |
|
Sheree L. Caldwell
111 Ne 1St St |
$66.71 | 202 | 202 |
|
Ramona L Whitehurst
1400 Willow Road |
$28.51 | 57 | 52 |
|
Dale Coulson Huntington
562 S Elliott St |
$141.13 | 40 | 37 |
|
Samantha Sweeney
562 S Elliott St |
$164.34 | 28 | 27 |
|
Rachel Kersker
24 Quail Dr Ste A |
$61.33 | 12 | 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 Pryor, OK?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Pryor, OK is $125.76 per claim, based on 58,149 claims from 28 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 Pryor, OK?
There are 28 Medicaid providers offering Office Visit related services in Pryor, OK according to public payment data.
What is the price range for Office Visit in Pryor, OK?
Medicaid reimbursement for Office Visit in Pryor, OK ranges from $7.72 to $202.19 per claim, with an average of $125.76. 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 Pryor, OK
Substance Abuse Treatment
Avg $51.91
42,598 claims
Ambulance Transport
Avg $161.20
16,221 claims
Speech Therapy
Avg $63.48
14,339 claims
Vaccines & Immunizations
Avg $10.92
13,366 claims
Eye Exam
Avg $65.62
10,981 claims
Blood Work & Lab Tests
Avg $5.21
8,978 claims
Durable Medical Equipment (DME)
Avg $53.54
8,880 claims
Emergency Room Visit
Avg $151.38
8,500 claims