Average Medicaid Office Visit Payments in Rapid City, SD: $121.01
Avg. Paid
$121.01
Range
$0.00 – $654.70
Total Claims
523,138
Providers
90
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 Rapid City, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Monument Health Rapid City Hospital, Inc
353 Fairmont Blvd |
$47.25 | 75,629 | 65,700 |
|
Great Plains Tribal Chairmen'S Health Board
3200 Canyon Lake Dr |
$542.04 | 63,288 | 44,623 |
|
Black Hills Pediatrics, Llp
2905 5Th St |
$44.77 | 62,561 | 49,618 |
|
Rapid City Medical Center, Llp
2820 Mount Rushmore Rd |
$44.90 | 57,532 | 49,501 |
|
Community Health Center Of The Black Hills Inc
350 Pine St |
$116.27 | 52,923 | 45,693 |
|
Monument Health Rapid City Hospital, Inc.
640 Flormann St |
$47.17 | 38,575 | 33,974 |
|
Black Hills Orthopedic & Spine Center, Inc.
7220 Mount Rushmore Rd |
$44.75 | 22,248 | 20,055 |
|
Monument Health Rapid City Hospital, Inc.
1303 N Lacrosse St |
$41.15 | 21,421 | 17,961 |
|
Stephen Tamang Md Consulting Services Pc
625 Flormann St |
$60.48 | 13,245 | 7,086 |
|
Black Hills Surgical Hospital, Llc
1730 Haines Ave |
$36.19 | 11,034 | 8,929 |
|
Monument Health Rapid City Hospital, Inc.
2805 5Th St |
$43.18 | 10,683 | 9,622 |
|
Oglala Sioux Tribe
3200 Canyon Lake Dr |
$423.53 | 10,621 | 6,841 |
|
Monument Health Rapid City Hospital, Inc.
2116 Jackson Blvd |
$33.49 | 6,958 | 6,070 |
|
Behavior Management Systems, Inc.
350 Elk St |
$20.31 | 6,866 | 4,842 |
|
R. P. Renka, M.D.,P.C.
528 Quincy St |
$44.20 | 5,691 | 5,488 |
|
West River Anesthesiology Consultants Pc
353 Fairmont Blvd |
$30.65 | 5,196 | 4,848 |
|
Molly Catherine Schwab
725 Meade St |
$60.93 | 5,129 | 5,028 |
|
Rapid City Indian Health Service Hospital
3200 Canyon Lake Dr |
$95.99 | 4,850 | 3,960 |
|
Creekside Medical Clinic, Prof. Llc
2620 Jackson Blvd |
$37.74 | 4,717 | 4,135 |
|
Manlove Psychiatric Group, P.C.
636 Saint Anne St |
$28.99 | 4,531 | 3,635 |
|
Kay Kelts
717 Saint Francis St |
$59.37 | 3,421 | 3,246 |
|
Black Hills Regional Eye Institute, Llp
2800 3Rd St |
$44.35 | 2,823 | 2,284 |
|
Kathryn A Barrett
640 Flormann St |
$95.34 | 2,822 | 2,600 |
|
Black Hills Dermatology Pc
7236 Jordan Drive Suite 101 |
$27.19 | 2,801 | 2,502 |
|
Wendy Peterson
1730 Haines Ave |
$73.96 | 2,621 | 2,556 |
|
M & D Enterprises Pc
3641 Sturgis Rd |
$13.78 | 2,559 | 1,666 |
|
Elizabeth S Farnsworth
2820 Mount Rushmore Rd |
$99.50 | 2,419 | 2,010 |
|
Founders Park Clinic, Pllc
211 Founders Park Dr |
$46.87 | 2,271 | 2,046 |
|
The Rehab Doctors Pc
1136 Jackson Blvd |
$21.70 | 1,768 | 1,408 |
|
Monument Health Rapid City Hospital, Inc.
353 Fairmont Blvd |
$63.51 | 1,131 | 986 |
|
Monument Health Rapid City Hospital Inc
4150 5Th St |
$57.90 | 1,102 | 971 |
|
Black Hills Obstetrics And Gynecology Llp
677 Cathedral Drive |
$35.36 | 936 | 684 |
|
Advanced Ent And Allergy Center Of The Black Hills, Prof Llc
4940 5Th St Ste 2B |
$36.64 | 915 | 672 |
|
Dakota Psychiatry Clinic Pc
419 Quincy Street |
$44.00 | 780 | 687 |
|
Adam Wesley Dell
3200 Canyon Lake Dr |
$69.94 | 777 | 757 |
|
Melissa Ann Owens
1730 Haines Ave |
$43.36 | 716 | 594 |
|
Rapid City Mental Health Prof. Llc
3939 Canyon Lake Dr Ste A |
$34.29 | 603 | 473 |
|
Vaughan Richard Bowen
4447 S Canyon Rd Ste 6 |
$68.64 | 602 | 581 |
|
Jocelyn Oblizajek
350 Pine St |
$63.59 | 576 | 517 |
|
Maren Kelly Ness Gaul
705 Columbus St Fl 2 |
$72.74 | 555 | 523 |
|
West River Ear Nose And Throat, Prof., L.L.C.
4940 5Th St Ste 2B |
$51.69 | 526 | 472 |
|
Health Concepts Wellness Care Llc
5410 Sheridan Lake Rd |
$28.89 | 465 | 343 |
|
Katherine Jean Dolney
353 Fairmont Blvd |
$0.00 | 451 | 410 |
|
Anthony Doyon
1635 Caregiver Cir |
$26.01 | 428 | 349 |
|
Paulette A Kirby
811 Columbus St |
$53.59 | 387 | 356 |
|
Black Hills Obstetrics & Gynecology Llc
6015 Mount Rushmore Rd |
$45.05 | 369 | 296 |
|
Jacie Mccullar
353 Fairmont Blvd |
$37.19 | 351 | 342 |
|
Rapid City Obstetrics And Gynecology
7236 Jordan Dr |
$36.33 | 319 | 234 |
|
Sabrena L Anderson
2165 Promise Rd |
$54.30 | 302 | 279 |
|
Zachary Joe Berbos
2800 3Rd St |
$51.18 | 293 | 266 |
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 Rapid City, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Rapid City, SD is $121.01 per claim, based on 523,138 claims from 90 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 Rapid City, SD?
There are 90 Medicaid providers offering Office Visit related services in Rapid City, SD according to public payment data.
What is the price range for Office Visit in Rapid City, SD?
Medicaid reimbursement for Office Visit in Rapid City, SD ranges from $0.00 to $654.70 per claim, with an average of $121.01. 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 Rapid City, SD
Blood Work & Lab Tests
Avg $24.36
211,132 claims
Emergency Room Visit
Avg $76.07
172,907 claims
Vaccines & Immunizations
Avg $11.58
163,104 claims
X-Ray
Avg $10.58
123,372 claims
Physical Therapy
Avg $26.32
117,052 claims
Eye Exam
Avg $53.70
93,130 claims
Personal Care Services
Avg $66.47
91,424 claims
Home Health Visit
Avg $65.65
85,056 claims