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 |
|---|---|---|---|
|
Irfan Khan Sandozi
2550 University Ave W |
$74.08 | 12 | 12 |
|
Lara K Hilliard
640 Jackson St |
$70.04 | 12 | 12 |
|
Cortney D White
280 Snelling Ave N |
$80.09 | 12 | 12 |
|
Christopher Edward Cantoria Garces
225 Smith Ave N Ste 300 |
$162.74 | 12 | 12 |
|
Amy F Larson
295 Phalen Blvd |
$88.47 | 12 | 12 |
|
Sara Marie Hugoson
1385 Phalen Blvd |
$7.15 | 12 | 12 |
|
Diane Christine Cassady
333 Smith Ave N |
$87.75 | 12 | 12 |
|
Sandy Chen Liu
345 Smith Ave N |
$118.87 | 12 | 12 |
|
Amy C Heilman
2550 University Ave W |
$67.67 | 12 | 12 |
|
Catherine Mae Bledsoe
233 Grand Ave |
$106.14 | 12 | 12 |
|
Der-Chen Tim Huang
640 Jackson St |
$52.31 | 12 | 12 |
|
Knut Eichhorn
401 Phalen Blvd |
$29.17 | 12 | 12 |
|
Sarah C Hanson
640 Jackson St |
$93.86 | 12 | 12 |
|
Margaret Lauseng
640 Jackson St |
$53.17 | 12 | 12 |
|
Yeng M Yang
205 Wabasha St S |
$98.31 | 12 | 12 |
|
Ramachandra Prasad Tummala
310 Smith Ave N Ste 440 |
$56.50 | 12 | 12 |
|
Elizabeth Anne Frankman
1021 Bandana Blvd E Ste 100 |
$122.35 | 12 | 12 |
|
Samantha May Delacey
401 Phalen Blvd |
$69.76 | 12 | 12 |
|
Drew Alexander Holm
225 Smith Ave N Ste 200 |
$65.93 | 12 | 12 |
|
Gregory Siwek
401 Phalen Blvd |
$70.99 | 12 | 12 |
|
Richard L Manka
2500 Como Ave |
$59.02 | 12 | 12 |
|
Lauren H Massopust
401 Phalen Blvd |
$49.72 | 12 | 12 |
|
Jana M Ostrand
295 Phalen Blvd |
$68.15 | 12 | 12 |
|
Heather Lunning
345 Sherman St Ste 100 |
$80.99 | 12 | 12 |
|
Fairview Express Care
1700 University Ave W |
$76.99 | 13 | 12 |
|
Benjamin Aaron Willenbring
640 Jackson St |
$50.67 | 13 | 13 |
|
David Garett Perdue
2550 University Ave W |
$48.25 | 13 | 12 |
|
Randi Michelle Pitzen
225 Smith Ave N Ste 200 |
$26.71 | 13 | 13 |
|
Mollie Lyle Alpern
401 Phalen Blvd |
$99.06 | 13 | 12 |
|
Jared Arthur Tomlinson
640 Jackson St |
$119.29 | 13 | 13 |
|
Brenna Aden Rutherford
333 Smith Ave N |
$73.64 | 13 | 12 |
|
Henry G Riter
225 Smith Ave N Ste 400 |
$100.09 | 13 | 13 |
|
Bethany K Hoffman
1020 Bandana Blvd W |
$39.10 | 13 | 12 |
|
Sara Kay Johnstone
347 Smith Ave N |
$64.99 | 13 | 13 |
|
Jennifer Angela Haas
401 Phalen Blvd # Ms 41104A |
$124.00 | 13 | 13 |
|
Katherine Marie Mcdaniels Peltz
200 University Ave E |
$51.13 | 13 | 13 |
|
Kaci Rae Mccleary
295 Phalen Blvd |
$88.85 | 13 | 12 |
|
Erica Jane Gauger
401 Phalen Blvd |
$44.25 | 13 | 12 |
|
Mark Leon Willenbring
745 Victoria St S |
$124.09 | 13 | 12 |
|
Brittany Katherine Schmidt
730 Cleveland Ave S |
$0.00 | 13 | 13 |
|
Elizabeth Ann Moses
295 Phalen Blvd |
$103.44 | 13 | 13 |
|
Rhamy Nabil Magid
347 Smith Ave N |
$109.55 | 13 | 13 |
|
Salwa Amin Nubani
280 Smith Ave N Ste 450 |
$122.42 | 13 | 12 |
|
Catherine Colleen Compton
2155 Ford Pkwy |
$60.79 | 13 | 13 |
|
Rachel Verby
17 Exchange St W Ste 622 |
$56.35 | 13 | 12 |
|
Dulcey Amaia Van Calligan
1983 Sloan Pl Ste 11 |
$90.49 | 13 | 12 |
|
Andrea Combs
401 Phalen Blvd |
$48.60 | 13 | 13 |
|
Kim M Loria
45 10Th St W |
$100.18 | 13 | 13 |
|
Kelly K Frisch
2635 University Ave W Ste 160 |
$93.71 | 13 | 12 |
|
Mia Wintheiser
1919 University Ave W |
$124.19 | 13 | 13 |
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