Average Medicaid Office Visit Payments in Sheridan, AR: $38.66
Avg. Paid
$38.66
Range
$1.17 – $62.32
Total Claims
58,997
Providers
21
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 Sheridan, AR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Martha Victoria Hobson
651 Heritage Dr |
$26.38 | 13,013 | 11,137 |
|
David Bagley
201 S Rose St |
$53.55 | 11,222 | 10,680 |
|
Scott David Winston
506 Little Creek Cut Off Rd |
$45.26 | 6,975 | 6,354 |
|
William Artis Highsmith
21 Opportunity Dr |
$36.26 | 6,687 | 5,877 |
|
Mollye Jenay Koonce
506 Little Creek Cut Off Rd |
$44.73 | 6,670 | 5,785 |
|
Tammy K Pope
651 Heritage Dr |
$34.75 | 6,046 | 5,252 |
|
Randi Leann Beard
506 Little Creek Cut Off Rd |
$43.46 | 1,015 | 903 |
|
Laura Susan Hensley
506 Little Creek Cut Off Rd |
$32.92 | 937 | 883 |
|
Brittney Hensley
506 Little Creek Cut Off Rd |
$39.26 | 893 | 845 |
|
Amber Carol Webb
506 Little Creek Cut Off Rd |
$29.16 | 856 | 797 |
|
Garrett Wade Krisell
810 S Rock St |
$25.72 | 760 | 677 |
|
John B Simpson
651 Heritage Dr |
$16.34 | 693 | 484 |
|
Jessica Lunsford
651 Heritage Dr |
$24.81 | 659 | 586 |
|
Bhc Pinnacle Pointe Hospital
1933 Shoemaker Rd Ste D |
$48.82 | 573 | 498 |
|
Lesia Pratt
810 S Rock St |
$32.44 | 469 | 378 |
|
Bridget Michele Williams
506 Little Creek Cut Off Rd |
$27.36 | 395 | 374 |
|
Mainline Health Systems Inc
506 Little Creek Cut Off Rd |
$1.17 | 378 | 143 |
|
Holley Elizabeth Skinner
201 W Holly St |
$62.32 | 364 | 346 |
|
Melissa Gail Drake-Rowe
Sheridan Family Clinic |
$22.32 | 214 | 177 |
|
Lauren Garner
506 Little Creek Cut Off Rd |
$32.75 | 148 | 141 |
|
Kimberly Gartman
13911 Highway 270 |
$28.67 | 30 | 26 |
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 Sheridan, AR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sheridan, AR is $38.66 per claim, based on 58,997 claims from 21 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 Sheridan, AR?
There are 21 Medicaid providers offering Office Visit related services in Sheridan, AR according to public payment data.
What is the price range for Office Visit in Sheridan, AR?
Medicaid reimbursement for Office Visit in Sheridan, AR ranges from $1.17 to $62.32 per claim, with an average of $38.66. 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 Sheridan, AR
Psychiatric Evaluation
Avg $79.91
42,517 claims
Behavioral & Mental Health Therapy
Avg $74.39
20,938 claims
Speech Therapy
Avg $22.37
16,661 claims
Dental Cleaning & Exam
Avg $33.97
7,882 claims
Physical Therapy
Avg $39.58
7,213 claims
Substance Abuse Treatment
Avg $89.71
3,129 claims
Blood Work & Lab Tests
Avg $1.51
3,031 claims
Eye Exam
Avg $27.11
1,998 claims