Average Medicaid Office Visit Payments in St Cloud, MN: $77.50
Avg. Paid
$77.50
Range
$35.10 – $233.62
Total Claims
48,822
Providers
78
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 St Cloud, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Maureen L Kemper
1900 Centracare Cir, #1450 |
$72.54 | 6,703 | 6,568 |
|
Lina Daugela
251 County Road 120 |
$69.32 | 1,683 | 1,630 |
|
Hani Shaban Alkhatib
1900 Centracare Cir, #1600 |
$70.74 | 1,656 | 1,231 |
|
Daniel Robert Smith
1520 Whitney Ct |
$67.06 | 1,648 | 1,597 |
|
Theresa Marie Mccabe Lau
1900 Centra Care Cir |
$103.81 | 1,631 | 1,013 |
|
Rebecca Ann Hukriede
251 County Rd 120 |
$133.24 | 1,600 | 917 |
|
Eileen D Dauer
1528 Northway Drive |
$65.74 | 1,551 | 1,478 |
|
Kevin R Switzer
1555 Northway Drive |
$72.65 | 1,506 | 1,450 |
|
Penny L Rubesh
1555 Northway Drive |
$76.08 | 1,457 | 1,284 |
|
Jean Kay Kirk
1900 Centracare Circle #2475 |
$114.61 | 1,361 | 1,233 |
|
Dennis L Peterson
1555 Northway Drive |
$72.72 | 1,345 | 1,302 |
|
Lisa Ann Horner
1555 Northway Drive #110 |
$64.57 | 1,343 | 1,299 |
|
Nicole Ann Ouke
1555 Northway Drive |
$72.86 | 1,314 | 1,254 |
|
Hilary Ikenna Ufearo
1900 Centracare Circle, #1600 |
$85.61 | 1,219 | 950 |
|
Gina Marie Wippler
1555 Northway Drive #100 |
$67.20 | 1,156 | 1,129 |
|
Janelle L Johnson
1900 Centracare Circle |
$69.55 | 1,058 | 1,040 |
|
Kathleen A. Rieke
1200 Sixth Ave No |
$71.05 | 997 | 980 |
|
Thomas John Satre
1555 Northway Drive |
$73.61 | 986 | 953 |
|
Dahlia Hosni Elkadi
1900 Centracare Cir, #1600 |
$96.38 | 914 | 625 |
|
Jill Lynn Amsberry
1900 Centracare Cir #1300 |
$65.54 | 904 | 890 |
|
Mary Elizabeth Lunde
1406 6Th Avenue North |
$109.26 | 864 | 839 |
|
Sarah E Ransom
251 Cty Rd 120 |
$63.83 | 798 | 778 |
|
Jacqueline Polipnick
1301 33Rd St S |
$65.61 | 794 | 760 |
|
Matthew Albert Peckskamp
1406 6Th Avenue North |
$63.28 | 729 | 713 |
|
Geri Newman Jacobson
1900 Centracare Cir #1300 |
$62.39 | 720 | 700 |
|
Jena J Swanson
1406 Sixth Ave N |
$81.92 | 707 | 693 |
|
Douglas S Brew
1520 Northway Court |
$65.99 | 698 | 678 |
|
Kevin Donnelly
1301 33Rd St S |
$65.15 | 690 | 663 |
|
Erika Kay Burggraff
St Cloud Hospital 1406 6Th Ave N |
$59.32 | 633 | 583 |
|
Gati Niranjan Dhroove
Centracare Clinic River Campus |
$63.93 | 620 | 569 |
|
Nora K. Tholl
1200 Sixth Ave N |
$77.84 | 594 | 563 |
|
Joshua Robert Ackerman
1406 6Th Avenue North |
$119.03 | 525 | 492 |
|
James Benjamin Christenson
1406 6Th Avenue North |
$81.21 | 523 | 496 |
|
Stacy Anne Quast
1200 Sixth Ave N |
$47.38 | 471 | 443 |
|
Elizabeth Kate Blixt
1900 Centracare Cir |
$76.43 | 467 | 455 |
|
Jun Manalo Herrera
1406 Sixth Avenue North |
$80.14 | 433 | 409 |
|
Cynthia A Sandberg
1406 6Th Ave N |
$233.62 | 360 | 304 |
|
Kelly B Fandel
1900 Centracare Circle |
$56.35 | 357 | 342 |
|
Aaron R Holmgren
1200 Sixth Ave No |
$95.13 | 347 | 292 |
|
Valery A. Hoover
1200 Sixth Ave No |
$61.38 | 346 | 306 |
|
Xiaofang Sheng-Tanner
1200 Sixth Ave N |
$72.38 | 335 | 314 |
|
Charles J Snow
1406 Sixth Ave N |
$35.10 | 302 | 125 |
|
Michael Leonard Schmitz
1520 Whitney Ct |
$73.42 | 285 | 265 |
|
Kathryn Ann Katka
1200 6Th Ave N |
$67.29 | 284 | 270 |
|
Walter Nicholas Ellis
106 Doctors Park |
$49.90 | 256 | 234 |
|
Rachel Wenner Ruzanic
1900 Centracare Circle |
$72.38 | 256 | 244 |
|
Thomas M Math
1200 6Th Ave N |
$70.42 | 256 | 251 |
|
James C Romanowsky
1200 Sixth Ave No |
$64.85 | 241 | 232 |
|
Milissa Sue Mcduffee
1200 Sixth Ave N |
$72.40 | 235 | 230 |
|
Katherine E Pillote
1900 Centracare Circle |
$73.43 | 219 | 213 |
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 St Cloud, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in St Cloud, MN is $77.50 per claim, based on 48,822 claims from 78 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 St Cloud, MN?
There are 78 Medicaid providers offering Office Visit related services in St Cloud, MN according to public payment data.
What is the price range for Office Visit in St Cloud, MN?
Medicaid reimbursement for Office Visit in St Cloud, MN ranges from $35.10 to $233.62 per claim, with an average of $77.50. 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 St Cloud, MN
Blood Work & Lab Tests
Avg $7.56
89,230 claims
Substance Abuse Treatment
Avg $178.38
44,995 claims
Emergency Room Visit
Avg $133.47
39,214 claims
EKG / ECG (Electrocardiogram)
Avg $5.90
14,813 claims
Physical Therapy
Avg $33.08
10,269 claims
Behavioral & Mental Health Therapy
Avg $282.18
8,198 claims
Psychiatric Evaluation
Avg $80.34
7,630 claims
Dental Cleaning & Exam
Avg $55.66
7,047 claims