Average Medicaid Office Visit Payments in Saint Paul, MN: $86.72
Avg. Paid
$86.72
Range
$0.00 – $680.54
Total Claims
635,726
Providers
927
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 Saint Paul, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sudha M Chadalawada
2635 University Ave W |
$2.66 | 14,300 | 8,751 |
|
Bobby Khue Yang
1047 University Ave W Ste 101 |
$1.02 | 13,000 | 12,447 |
|
Phua Xiong
1239 Payne Ave |
$89.39 | 11,325 | 9,635 |
|
William Robert Barker
233 Grand Ave |
$35.50 | 9,199 | 8,757 |
|
West Side Community Health Services, Inc
153 Cesar Chavez St |
$196.75 | 8,618 | 6,497 |
|
West Side Community Health Services, Inc.
895 7Th St E |
$203.61 | 6,875 | 5,489 |
|
Chukwuemeka Alexander Anyake
640 Jackson St |
$102.47 | 6,700 | 4,689 |
|
Hassan Hussein Sirat
1068 Raymond Ave Apt 204 |
$75.33 | 6,472 | 5,939 |
|
Mohamud D Afgarshe
451 Dunlap St N |
$75.73 | 6,049 | 5,097 |
|
Alana Sasaki
45 10Th St W |
$117.70 | 5,755 | 3,990 |
|
Makenzie Ann Orning
777 Raymond Ave |
$131.40 | 5,585 | 3,728 |
|
Gillette Children'S Specialty Healthcare
200 University Ave E |
$29.09 | 5,217 | 4,555 |
|
Richard Gordon Picha
1919 University Ave W |
$23.24 | 4,836 | 4,802 |
|
Megan Simonet
777 Raymond Ave |
$120.04 | 4,685 | 3,164 |
|
Wesley Nathan Wormington
777 Raymond Ave |
$160.41 | 4,453 | 3,079 |
|
Christine Park
347 Smith Ave N |
$59.41 | 4,341 | 4,115 |
|
Shaun Sava
153 Cesar Chavez St |
$127.32 | 4,148 | 2,208 |
|
Gabriel Alan Goldfien
205 Wabasha St S |
$4.93 | 4,112 | 2,357 |
|
Emily Margaret Andrisevic
200 University Ave E |
$54.53 | 4,099 | 3,984 |
|
Allison Rose Berger Newman
580 Rice St |
$36.84 | 3,793 | 3,097 |
|
James Nhiakao Vang
225 University Ave W |
$39.16 | 3,759 | 3,744 |
|
Martin C Umeh
1021 Bandana Blvd E |
$75.79 | 3,746 | 3,656 |
|
Ashley Esse
1611 County Road B W |
$83.77 | 3,675 | 2,918 |
|
Sadia A Jama
451 Dunlap St N |
$77.96 | 3,618 | 3,460 |
|
Mai Lee Chang
1544 Timberlake Rd |
$185.49 | 3,586 | 2,995 |
|
Safiya N Ahmed
438 Dorothy Day Pl |
$214.46 | 3,571 | 2,827 |
|
Victor Davis
625 Snelling Ave N Ste A |
$88.96 | 3,539 | 2,092 |
|
Theang T. Ho
1983 Sloan Pl Ste 1 |
$90.64 | 3,434 | 3,304 |
|
Kathleen M Gang
451 Dunlap St N |
$71.30 | 3,380 | 3,220 |
|
Ramon Nola
1001 Johnson Pkwy Ste A1 |
$72.58 | 3,301 | 3,192 |
|
Ellen Catherine Ratts
911 Maryland Ave E |
$73.36 | 3,297 | 3,115 |
|
Aneudy Nicolas Nunez Pena
451 Dunlap St N |
$106.20 | 3,258 | 3,123 |
|
Amy Crawford Blitzer
153 Cesar Chavez St |
$131.33 | 3,255 | 1,288 |
|
Amanda Weinmann
580 Rice St |
$81.18 | 3,236 | 3,061 |
|
Lisa M Vollmer
280 Smith Ave N |
$108.88 | 3,212 | 2,846 |
|
Tonia L Hoggarth
205 Wabasha St S |
$62.87 | 3,168 | 2,988 |
|
Maher Alainawi
451 Dunlap St N |
$67.41 | 3,089 | 2,997 |
|
Paokou Marcus Yang
1504 White Bear Ave N |
$58.32 | 3,058 | 2,718 |
|
Sivilai Vang
1239 Payne Ave |
$71.77 | 2,925 | 2,506 |
|
Kent W Wegmann
347 Smith Ave N |
$68.00 | 2,850 | 2,727 |
|
Charlene K Ulstad-Warkentien
980 Rice St |
$77.72 | 2,816 | 2,689 |
|
Roger R Laroche
777 Raymond Ave |
$112.21 | 2,732 | 1,826 |
|
Povi Dzodzoe Folivi
317 York Ave |
$107.74 | 2,729 | 2,350 |
|
Samantha Min Min Ngaw
451 Dunlap St N |
$95.20 | 2,655 | 2,537 |
|
Lamin Jaiteh
625 Snelling Ave N Ste A |
$97.51 | 2,650 | 1,889 |
|
Sapna Prabhakaran
1700 University Ave W |
$67.99 | 2,643 | 2,371 |
|
Malinda Marie Jorgensen
451 Dunlap St N |
$71.41 | 2,568 | 2,474 |
|
Natalya V Lyadova
2500 Como Ave |
$99.78 | 2,528 | 2,363 |
|
Juliana Huber
205 Wabasha St S |
$51.59 | 2,455 | 2,129 |
|
Chee Vang
2550 University Ave W Ste 130N |
$90.01 | 2,412 | 2,242 |
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 Saint Paul, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Saint Paul, MN is $86.72 per claim, based on 635,726 claims from 927 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 Saint Paul, MN?
There are 927 Medicaid providers offering Office Visit related services in Saint Paul, MN according to public payment data.
What is the price range for Office Visit in Saint Paul, MN?
Medicaid reimbursement for Office Visit in Saint Paul, MN ranges from $0.00 to $680.54 per claim, with an average of $86.72. 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 Saint Paul, MN
Home Health Visit
Avg $78.16
1,708,936 claims
Blood Work & Lab Tests
Avg $18.48
1,642,043 claims
Case Management Services
Avg $154.70
1,271,971 claims
Substance Abuse Treatment
Avg $156.45
1,054,606 claims
Personal Care Services
Avg $54.99
717,737 claims
Non-Emergency Medical Transportation
Avg $72.25
455,309 claims
Emergency Room Visit
Avg $164.20
394,514 claims
Ambulance Transport
Avg $275.62
333,588 claims