Average Medicaid Office Visit Payments in Sioux Falls, SD: $50.32
Avg. Paid
$50.32
Range
$0.00 – $687.82
Total Claims
948,639
Providers
260
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 Sioux Falls, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maddie Jans
1301 S Cliff Ave Ste 506 |
$55.90 | 12 | 12 |
|
Bridges Chiropractic, Inc
5015 S Western Ave |
$63.05 | 12 | 12 |
|
Odland Chiropractic Clinic Pc
3600 S Marion Rd |
$63.30 | 12 | 12 |
|
Adam Tomasz Stys
1305 W 18Th St |
$64.96 | 12 | 12 |
|
Samantha Leigh Rozeboom
1301 S Cliff Ave Ste 610 |
$33.69 | 12 | 12 |
|
Adam Peterson
4500 N Lewis Ave |
$654.00 | 12 | 12 |
|
Megan Sampson
1305 W 18Th St |
$73.15 | 12 | 12 |
|
Amit Jain
1600 W 22Nd St |
$53.14 | 13 | 12 |
|
Anthony Jerome Rupp
1205 S Grange Ave |
$53.75 | 13 | 13 |
|
Noelle Marie Mcgee
1600 W 22Nd St |
$79.35 | 13 | 13 |
|
Ricky C Jensen
1310 W 22Nd St |
$18.01 | 13 | 13 |
|
Adam Hailes Nichols
1210 W 18Th St |
$45.34 | 13 | 13 |
|
Cassandra Kay Jones
1210 W 18Th St Ste G01 |
$41.12 | 13 | 12 |
|
Joshua Austin Katz
116 W 69Th St |
$63.99 | 14 | 14 |
|
Midwest Wellness Institute, Pllc
4308 S Arway Dr |
$34.91 | 14 | 12 |
|
Gerard Roque David
1205 S Grange Ave |
$0.00 | 14 | 13 |
|
Kareem Halim
1310 W 22Nd St Fl 1 |
$5.68 | 14 | 14 |
|
Laura Ann Hua
1417 S. Cliff Ave |
$80.59 | 14 | 14 |
|
Jennifer A. Schriever
4405 E 26Th St |
$87.66 | 14 | 14 |
|
Benjamin H. Oien
600 W 37Th St |
$25.76 | 14 | 13 |
|
Heather A. Johnson
1600 W 22Nd St |
$34.68 | 14 | 14 |
|
John Herbert Bannwarth
4501 E Arrowhead Pkwy |
$19.65 | 15 | 15 |
|
Ashley Lynn Jansen
4510 N Lewis Ave |
$253.55 | 16 | 14 |
|
Jennifer Anne Waller
1508 W 22Nd St |
$25.22 | 17 | 16 |
|
Allison Wierda Suttle
1500 W 22Nd St |
$18.90 | 17 | 15 |
|
Avera Mckennan
911 E 20Th St Ste 510 |
$39.81 | 18 | 12 |
|
Irena Chernatinski
6100 S Louise Ave Ste 3100 |
$36.08 | 18 | 15 |
|
Angie Humpal
1325 S Cliff Ave |
$32.24 | 18 | 18 |
|
Midwestern Endocrinology Ltd
3926 S Western Ave |
$14.96 | 20 | 12 |
|
Edward L Burkhalter
1417 S. Cliff Ave. |
$36.41 | 21 | 19 |
|
Houman Nourkeyhani
1000 E 23Rd St Ste 230 |
$33.44 | 22 | 15 |
|
Karen Ann Hanisch
1600 W 22Nd St |
$57.24 | 24 | 24 |
|
Alicia Drotzman
4000 N Hercules Ave Ste 100 |
$23.11 | 25 | 19 |
|
Sreekanth Chavour
1305 W 18Th St |
$35.72 | 25 | 25 |
|
Nathan William Skelley
1210 W 18Th St Ste G01 |
$90.03 | 26 | 26 |
|
Donald Albert Bennett
2315 W 57Th St |
$62.39 | 26 | 24 |
|
Sanford Clinic
1210 W 18Th St |
$50.43 | 27 | 25 |
|
Eugenio B Matos
1210 W 18Th St |
$41.99 | 28 | 25 |
|
Shalome Maria Dsouza
1600 W 22Nd St |
$86.67 | 28 | 26 |
|
Bertha S. Ayi
1205 S Grange Ave Ste 401 |
$99.10 | 28 | 28 |
|
Deborah Renee Hickman
1600 W 22Nd St |
$22.54 | 28 | 26 |
|
Midwest Medical Care Pc
1905 W 57Th St Ste 1 |
$20.45 | 29 | 25 |
|
Leading Edge Chiropractic And Acupuncture, P.C.
2520 E River Ridge Pl |
$19.43 | 29 | 25 |
|
Cinthya Del Castillo Lemos
1420 W 22Nd St Ste 307 |
$0.00 | 30 | 17 |
|
Anna Marie Sonstegard
1310 W 22Nd St |
$55.30 | 31 | 27 |
|
Huan Zhang
1310 W 22Nd St |
$38.53 | 32 | 30 |
|
Kelli Marie Smith
1305 W 18Th St |
$36.94 | 34 | 32 |
|
Michael L. Olson
6110 S Minnesota Ave |
$46.76 | 35 | 34 |
|
Anoop Jose Thoppil
1305 W 18Th St |
$81.66 | 35 | 34 |
|
Arvin Lopez Santos
1205 S Grange Ave Ste 201 |
$9.19 | 35 | 24 |
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 Sioux Falls, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sioux Falls, SD is $50.32 per claim, based on 948,639 claims from 260 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 Sioux Falls, SD?
There are 260 Medicaid providers offering Office Visit related services in Sioux Falls, SD according to public payment data.
What is the price range for Office Visit in Sioux Falls, SD?
Medicaid reimbursement for Office Visit in Sioux Falls, SD ranges from $0.00 to $687.82 per claim, with an average of $50.32. 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 Sioux Falls, SD
Blood Work & Lab Tests
Avg $10.61
501,187 claims
Vaccines & Immunizations
Avg $11.07
358,214 claims
Psychiatric Evaluation
Avg $63.31
349,102 claims
X-Ray
Avg $9.88
280,494 claims
Emergency Room Visit
Avg $92.67
213,799 claims
Personal Care Services
Avg $119.40
213,761 claims
Speech Therapy
Avg $21.62
173,302 claims
Home Health Visit
Avg $98.45
161,116 claims