Average Medicaid Office Visit Payments in Sidney, MT: $51.84
Avg. Paid
$51.84
Range
$0.09 – $480.90
Total Claims
19,439
Providers
26
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 Sidney, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sidney Health Center
216 14Th Ave Sw |
$0.09 | 5,277 | 2,467 |
|
Joshua M Deschaine
216 14Th Ave Sw |
$79.64 | 2,203 | 1,925 |
|
Maria Marchenko
216 14Th Ave Sw |
$76.00 | 2,108 | 2,007 |
|
George E Scordalakes
214 14Th Ave Sw |
$47.78 | 1,779 | 1,458 |
|
Orin Pete Council
214 14Th Ave Sw |
$71.10 | 1,647 | 1,282 |
|
Shannon Elizabeth Shepherd
216 14Th Ave Sw |
$34.14 | 1,318 | 895 |
|
Adrianne Bryant
216 14Th Ave Sw |
$100.61 | 1,242 | 1,127 |
|
Susan Marie Swayne
216 14Th Ave Sw |
$65.08 | 998 | 913 |
|
Sarah Farrow
214 14Th Ave Sw |
$99.03 | 768 | 704 |
|
Joan L Turek
214 14Th Ave Sw |
$111.44 | 678 | 633 |
|
Robert Harold Joseph
216 14Th Ave Sw |
$31.19 | 260 | 194 |
|
Michael D Lapan
214 14Th Ave Sw |
$55.62 | 235 | 181 |
|
Wendy K Wiltzen
214 14Th Ave Sw |
$51.36 | 148 | 117 |
|
Patricia Irene Era
214 14Th Ave Sw |
$23.41 | 139 | 113 |
|
Malua Tambi Iya
214 14Th Ave Sw |
$1.74 | 108 | 67 |
|
Watson Mark Gutowski
214 14Th Ave Sw |
$38.19 | 108 | 102 |
|
Barbara Catherine Lundemo
214 14Th Ave Sw |
$62.51 | 86 | 69 |
|
Patricia E Cantrell
214 14Th Ave Sw |
$48.92 | 73 | 52 |
|
Brett Russell Bennion
214 14Th Ave Sw |
$54.52 | 52 | 40 |
|
Chloe Lane Senn
216 14Th Ave Sw |
$480.90 | 45 | 40 |
|
Noel Nguewoun Herve
216 14Th Ave Sw |
$146.74 | 45 | 44 |
|
Janie R Darby
214 14Th Ave Sw Ste 108 |
$35.80 | 38 | 27 |
|
Eric Sigmond
214 14Th Ave Sw |
$92.23 | 33 | 27 |
|
Gilbert Earl Lepel
214 14Th Ave Sw |
$54.55 | 21 | 13 |
|
Peter Gerard Deveaux
216 14Th Ave Sw |
$28.14 | 18 | 13 |
|
Paul Pfennig
309 S Central Ave |
$40.23 | 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 Sidney, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sidney, MT is $51.84 per claim, based on 19,439 claims from 26 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 Sidney, MT?
There are 26 Medicaid providers offering Office Visit related services in Sidney, MT according to public payment data.
What is the price range for Office Visit in Sidney, MT?
Medicaid reimbursement for Office Visit in Sidney, MT ranges from $0.09 to $480.90 per claim, with an average of $51.84. 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 Sidney, MT
Blood Work & Lab Tests
Avg $1.07
52,207 claims
Emergency Room Visit
Avg $27.35
18,142 claims
Psychiatric Evaluation
Avg $71.06
17,165 claims
Vaccines & Immunizations
Avg $17.20
10,199 claims
X-Ray
Avg $4.41
8,480 claims
Urinalysis & Urine Tests
Avg $1.29
7,529 claims
Durable Medical Equipment (DME)
Avg $48.15
6,294 claims
Dental Cleaning & Exam
Avg $32.92
5,820 claims