Average Medicaid Office Visit Payments in Shoreview, MN: $47.39
Avg. Paid
$47.39
Range
$3.99 – $95.47
Total Claims
16,320
Providers
31
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 Shoreview, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kyra Ischer
4194 Lexington Ave N |
$3.99 | 4,853 | 4,340 |
|
Larissa M Dimitrov
4166 Lexington Ave N |
$72.84 | 2,337 | 2,105 |
|
Suchitra Rondla
3585 Lexington Avenue North |
$59.79 | 1,907 | 1,852 |
|
Luke Bennett Rylander
4166 Lexington Ave N |
$72.46 | 1,496 | 1,460 |
|
Temitope Abiola Dawodu
4570 Churchill St Ste 140 |
$65.61 | 1,318 | 1,244 |
|
Janice Chua Go
3585 Lexington Ave N |
$54.95 | 682 | 657 |
|
Charles K Dunham
4194 Lexington Ave N |
$65.84 | 665 | 656 |
|
Kristin M Hansen
4194 Lexington Ave N |
$74.94 | 501 | 475 |
|
Robert D Kingsbury
4194 Lexington Ave N |
$68.36 | 375 | 346 |
|
Bruce H Leppink
404 Highway 96 W |
$76.46 | 283 | 262 |
|
Morgan Kelly Gamm
4166 Lexington Ave N |
$25.07 | 244 | 237 |
|
Sarah Karalus Ryan
4194 Lexington Ave N |
$86.08 | 234 | 219 |
|
Mae Petrangelo
870 Dawn Ave |
$12.59 | 202 | 82 |
|
Matthew C Monteiro
404 Highway 96 W |
$74.62 | 169 | 159 |
|
Lynn Elrod
404 Highway 96 W |
$65.15 | 165 | 149 |
|
Courtney L Messerly
4194 Lexington Ave N |
$63.20 | 143 | 140 |
|
Sarah Beth Schifsky
5640 Turtle Lake Rd |
$15.27 | 93 | 83 |
|
Azra Weber
4194 Lexington Ave N |
$62.05 | 93 | 90 |
|
Wendy Marion Nelms Mccabe
3585 Lexington Ave N |
$59.46 | 84 | 81 |
|
Chad Joseph Parsons
4194 Lexington Ave N |
$72.71 | 83 | 81 |
|
Nathan Philip Hinrichs
4166 Lexington Ave N |
$89.99 | 82 | 81 |
|
Lizabeth Kaku
4194 Lexington Ave N |
$86.08 | 77 | 76 |
|
Cynthia M Frane
404 Highway 96 W |
$74.19 | 68 | 62 |
|
Sejal S Peckosh
4194 Lexington Ave N |
$66.14 | 44 | 42 |
|
David M Casement
4194 Lexington Ave N |
$60.06 | 27 | 26 |
|
Lauren Brodzinski
520 Highway 96 W Ste 200 |
$12.29 | 25 | 24 |
|
Ekan J Ekong
157 Grass Lake Pl Apt 104 |
$80.88 | 19 | 16 |
|
Elise H Johnson
4194 Lexington Ave N |
$62.83 | 14 | 13 |
|
Kimberly A Fischer
4194 Lexington Ave N |
$88.76 | 13 | 13 |
|
Elizabeth Rose Hofbauer
4194 Lexington Ave N |
$95.47 | 12 | 12 |
|
Andrew David Forsgren
3800 Lexington Ave N |
$62.32 | 12 | 12 |
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 Shoreview, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Shoreview, MN is $47.39 per claim, based on 16,320 claims from 31 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 Shoreview, MN?
There are 31 Medicaid providers offering Office Visit related services in Shoreview, MN according to public payment data.
What is the price range for Office Visit in Shoreview, MN?
Medicaid reimbursement for Office Visit in Shoreview, MN ranges from $3.99 to $95.47 per claim, with an average of $47.39. 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 Shoreview, MN
Home Health Visit
Avg $83.76
1,352,702 claims
Personal Care Services
Avg $92.00
458,961 claims
Speech Therapy
Avg $39.02
27,599 claims
Physical Therapy
Avg $32.47
19,648 claims
Dental Cleaning & Exam
Avg $29.96
9,065 claims
Ambulance Transport
Avg $2,114
8,867 claims
Psychiatric Evaluation
Avg $109.77
6,953 claims
Vaccines & Immunizations
Avg $12.19
5,852 claims