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 |
|---|---|---|---|
|
Barbara J Merriman
2929 5Th St |
$52.35 | 13 | 13 |
|
Natalie Peterson
353 Fairmont Blvd |
$90.50 | 13 | 12 |
|
Rodney Mark Samuelson
1635 Caregiver Cir |
$55.95 | 15 | 15 |
|
Luanne Uriel
211 E Fairmont Blvd |
$104.35 | 15 | 15 |
|
Jack Robert Schleiffarth
4940 5Th St Ste 2B |
$455.00 | 15 | 15 |
|
Kinsey A Shultz Piatz
2920 W Main St |
$64.00 | 17 | 12 |
|
Brian Dwight Shelmadine
1635 Caregiver Cir |
$128.24 | 20 | 18 |
|
James A Aurand
350 Pine St |
$0.00 | 24 | 24 |
|
Stephen Paul Manlove
636 Saint Anne St |
$114.02 | 27 | 23 |
|
Ryan V Swenson
610 East Blvd |
$47.24 | 29 | 26 |
|
Jeanie Lembke
717 Saint Francis St |
$59.89 | 29 | 29 |
|
Amanda Lynn Sauer
2820 Mount Rushmore Rd |
$55.53 | 29 | 26 |
|
Fromm Dermatology, P.C.
4447 S Canyon Rd Ste 6 |
$29.84 | 30 | 28 |
|
Elizabeth Sutton
3006 Tower Rd |
$51.58 | 30 | 26 |
|
Dakota West Radiation Oncology Pc
353 Fairmont Blvd |
$14.49 | 32 | 25 |
|
Michele Renee Cain
350 Pine St |
$39.60 | 34 | 25 |
|
Lecy Chiropractic Pc
1406 Mt. Rushmore Rd |
$50.44 | 37 | 29 |
|
Koch Medicine Llc
4447 S Canyon Rd |
$28.06 | 38 | 14 |
|
Advanced Dermatology Center, Pc
710 Saint Anne Street |
$17.69 | 40 | 30 |
|
Black Hills Health And Wellness Center Of Rapid Ci
1220 Mt Rushmore Rd |
$41.86 | 42 | 39 |
|
Slingsby & Huot Eye Associates Prof
240 Minnesota St |
$39.92 | 51 | 38 |
|
Dakota Premier Medical Clinic, Llc
2006 Mount Rushmore Rd Ste 2 |
$47.60 | 54 | 41 |
|
Colin E Brown Pllc
240 Minnesota St |
$31.50 | 54 | 41 |
|
Vital Life Chiropractic
811 Disk Drive |
$16.68 | 61 | 58 |
|
Alicia Palmer Hooten
2905 5Th St |
$44.52 | 64 | 59 |
|
Lindsey Gayle Raymond
2201 Jackson Blvd Ste 100 |
$48.20 | 65 | 63 |
|
Rushmore Ob-Gyn Pc
3006 Tower Rd |
$31.56 | 83 | 54 |
|
Taylor J. Slingsby
240 Minnesota St |
$15.98 | 96 | 88 |
|
Childrens Home Society Of South Dakota
5301 Us-16 West |
$92.68 | 103 | 89 |
|
Robert C. Stelzle Md
101 E Minnesota St |
$76.57 | 104 | 92 |
|
Black Hills Surgical Hospital, Llp
1868 Lombardy Dr |
$44.07 | 105 | 93 |
|
Patrick Britton
3200 Canyon Lake Dr |
$654.70 | 123 | 115 |
|
Sujan Pathak
640 Flormann St |
$67.09 | 151 | 150 |
|
Tatia Marie Call
640 Flormann St |
$105.89 | 199 | 183 |
|
Tiffany Ann Frederickson
8412 Kitt Peak Rd |
$17.58 | 217 | 205 |
|
Troy N Thompson
353 Fairmont Blvd |
$57.86 | 228 | 218 |
|
Anna Bruce
741 Mt View Rd |
$94.24 | 255 | 245 |
|
Loretta M Flaitz
2926 Yale Ct |
$35.45 | 265 | 253 |
|
Tricia Mccarthy
502 E Monroe St |
$59.26 | 266 | 239 |
|
Jason Michael Reese
353 Fairmont Blvd |
$63.16 | 278 | 265 |
|
Zachary Joe Berbos
2800 3Rd St |
$51.18 | 293 | 266 |
|
Sabrena L Anderson
2165 Promise Rd |
$54.30 | 302 | 279 |
|
Rapid City Obstetrics And Gynecology
7236 Jordan Dr |
$36.33 | 319 | 234 |
|
Jacie Mccullar
353 Fairmont Blvd |
$37.19 | 351 | 342 |
|
Black Hills Obstetrics & Gynecology Llc
6015 Mount Rushmore Rd |
$45.05 | 369 | 296 |
|
Paulette A Kirby
811 Columbus St |
$53.59 | 387 | 356 |
|
Anthony Doyon
1635 Caregiver Cir |
$26.01 | 428 | 349 |
|
Katherine Jean Dolney
353 Fairmont Blvd |
$0.00 | 451 | 410 |
|
Health Concepts Wellness Care Llc
5410 Sheridan Lake Rd |
$28.89 | 465 | 343 |
|
West River Ear Nose And Throat, Prof., L.L.C.
4940 5Th St Ste 2B |
$51.69 | 526 | 472 |
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