Average Medicaid Office Visit Payments in Sidney, NE: $90.58
Avg. Paid
$90.58
Range
$16.76 – $179.03
Total Claims
18,559
Providers
20
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, NE
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Dwaine Smith
1000 Pole Creek Xing |
$152.62 | 13 | 12 |
|
Robert F Graves
1000 Pole Creek Xing |
$16.76 | 19 | 15 |
|
Brooke Schoening
1000 Pole Creek Xing |
$134.19 | 94 | 89 |
|
Andrew Stieb
1000 Pole Creek Xing |
$31.22 | 102 | 80 |
|
Sara M Sholar
1000 Pole Creek Xing |
$154.78 | 188 | 180 |
|
Rebecca L Allard
1000 Pole Creek Xing Ste 1 |
$139.10 | 228 | 223 |
|
James Kenneth Popovich
1000 Pole Creek Xing Ste 1 |
$140.09 | 338 | 299 |
|
Nicole Linton
1000 Pole Creek Xing |
$135.69 | 432 | 395 |
|
Heike Petersen
1000 Pole Creek Xing |
$76.17 | 749 | 639 |
|
Steven A Rolls
1000 Pole Creek Xing |
$126.62 | 787 | 726 |
|
Leah Barjenbruch
1000 Pole Creek Xing |
$69.71 | 1,043 | 922 |
|
Ariel F Soriano
1000 Pole Creek Xing |
$42.71 | 1,104 | 879 |
|
Michael L Matthews
1625 Dorwart Dr |
$76.86 | 1,174 | 1,049 |
|
Brenna Ogley
610 Glover Rd Ste 4 |
$179.03 | 1,203 | 1,152 |
|
Kyle Alan Brown
830 Pine St |
$44.36 | 1,290 | 1,198 |
|
Rebecca Rae Clouse
610 Glover Rd |
$177.46 | 1,380 | 1,320 |
|
Angela T Robb
1625 Dorwart Dr |
$48.50 | 1,577 | 1,415 |
|
Cheyenne County Hospital Association Inc
1000 Pole Creek Crossing |
$21.53 | 1,854 | 1,497 |
|
Cheyenne County Hospital Association Inc
1000 Pole Creek Xing |
$103.30 | 2,226 | 1,982 |
|
Haley J Ford
1625 Dorwart Dr Ste B |
$96.29 | 2,758 | 2,635 |
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, NE?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sidney, NE is $90.58 per claim, based on 18,559 claims from 20 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, NE?
There are 20 Medicaid providers offering Office Visit related services in Sidney, NE according to public payment data.
What is the price range for Office Visit in Sidney, NE?
Medicaid reimbursement for Office Visit in Sidney, NE ranges from $16.76 to $179.03 per claim, with an average of $90.58. 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, NE
Blood Work & Lab Tests
Avg $13.20
10,580 claims
Physical Therapy
Avg $67.62
5,051 claims
Emergency Room Visit
Avg $129.32
5,021 claims
Psychiatric Evaluation
Avg $106.74
3,985 claims
Urinalysis & Urine Tests
Avg $15.25
1,069 claims
Durable Medical Equipment (DME)
Avg $52.81
810 claims
Speech Therapy
Avg $115.38
589 claims
Eye Exam
Avg $35.90
514 claims