Average Medicaid Office Visit Payments in Sisseton, SD: $165.33
Avg. Paid
$165.33
Range
$0.00 – $873.46
Total Claims
43,613
Providers
22
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 Sisseton, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Kenneth Ransom
100 Lake Traverse Dr |
$11.50 | 13 | 12 |
|
David T Meadows
205 Orchard Dr |
$754.25 | 16 | 15 |
|
Linda R Peterson
205 Orchard Dr |
$53.53 | 17 | 14 |
|
Francine Louise Mousseau
100 Lake Traverse Dr |
$418.63 | 51 | 37 |
|
Stanley C Gallagher
205 Orchard Dr |
$70.89 | 54 | 51 |
|
Sherryl J. Tomboulian
205 Orchard Dr |
$873.46 | 67 | 62 |
|
Lawrence Steven Riemer
100 Lake Traverse Dr |
$0.00 | 72 | 69 |
|
Carmen Maria Redlin
100 Lake Traverse Dr |
$36.98 | 73 | 72 |
|
Munir Ahmed
100 Lake Traverse Dr |
$20.49 | 102 | 100 |
|
Monika Karen Botschner
100 Lake Traverse Dr |
$11.40 | 107 | 76 |
|
Brian F Hanley
100 Lake Traverse Dr |
$37.65 | 124 | 115 |
|
Neung R Kopter-Meredith
100 Lake Traverse Dr |
$86.87 | 193 | 178 |
|
Coteau Des Prairies Hospital
205 Orchard Dr |
$38.04 | 269 | 242 |
|
Douglas Leo Lasuer
100 Lake Traverse Dr |
$360.46 | 489 | 391 |
|
Kerri Beth Purkeypile
100 Lake Traverse Dr |
$46.79 | 693 | 588 |
|
Brenda R. Collins
100 Lake Traverse Dr |
$75.38 | 703 | 648 |
|
Jasmine Shanae Hypolite
100 Lake Traverse Dr |
$44.43 | 753 | 740 |
|
Faith Ann Phillips
100 Lake Traverse Dr |
$50.64 | 987 | 822 |
|
Jodie Webb
100 Lake Traverse Dr |
$77.99 | 1,703 | 1,599 |
|
Jennifer Elizabeth Hanson
100 Lake Traverse Dr |
$43.92 | 3,453 | 3,115 |
|
Woodrow Wilson Keeble Memorial Health Care Center
100 Lake Traverse Drive |
$427.89 | 9,733 | 8,772 |
|
Coteau Des Prairies Hospital
205 Orchard Drive |
$95.31 | 23,941 | 20,066 |
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 Sisseton, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sisseton, SD is $165.33 per claim, based on 43,613 claims from 22 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 Sisseton, SD?
There are 22 Medicaid providers offering Office Visit related services in Sisseton, SD according to public payment data.
What is the price range for Office Visit in Sisseton, SD?
Medicaid reimbursement for Office Visit in Sisseton, SD ranges from $0.00 to $873.46 per claim, with an average of $165.33. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
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Avg $71.20
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New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
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Chicago, IL
Avg $30.31
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Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Avg $54.47
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Other Procedures in Sisseton, SD
Blood Work & Lab Tests
Avg $58.77
19,046 claims
Emergency Room Visit
Avg $77.11
18,231 claims
Eye Exam
Avg $72.64
5,618 claims
Psychiatric Evaluation
Avg $158.16
5,339 claims
Vaccines & Immunizations
Avg $49.52
5,325 claims
Nursing Facility Care
Avg $104.91
3,824 claims
Non-Emergency Medical Transportation
Avg $36.06
3,186 claims
Urinalysis & Urine Tests
Avg $42.41
2,640 claims