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 |
|---|---|---|---|
|
Daniel Brent Leslie
1200 6Th Avenue North |
$68.76 | 12 | 12 |
|
Erin Y Scapanski
1900 Centracare Circle |
$75.35 | 13 | 12 |
|
Jennifer J Rogan
1900 Centracare Circle |
$36.57 | 14 | 12 |
|
Lydia M Wade
1900 Centra Care Circle |
$69.08 | 14 | 13 |
|
Troy A Payne
1200 Sixth Ave N |
$42.04 | 15 | 15 |
|
Jill T Stang
1520 Northway Court |
$56.13 | 40 | 39 |
|
Terri T Gerdes
1900 Centracare Circle |
$117.55 | 41 | 12 |
|
Amanda Lea Lovold
1520 Whitney Ct |
$80.72 | 41 | 40 |
|
Leah A Holmgren
1900 Centracare Circle |
$82.05 | 42 | 41 |
|
Christine Thomas Robinson Boese
1406 6Th Avenue North |
$76.70 | 43 | 42 |
|
Patrick Michael Lalley
1200 6Th Avenue North |
$59.46 | 45 | 42 |
|
Cassandra Irene Vajda
1900 Centra Care Cir #2300 |
$74.12 | 54 | 53 |
|
Thomas L Satterberg
3701 12Th Street N |
$57.64 | 74 | 70 |
|
Stephanie Jean Mcgreevy
1200 Sixth Ave N |
$52.84 | 80 | 79 |
|
Edward B Martin - Chafee
1200 Sixth Ave N |
$48.47 | 87 | 80 |
|
Benjamin Daniel Parker
1200 Sixth Ave N |
$74.28 | 94 | 93 |
|
Tammy L Meyerhofer
1520 Northway Court |
$65.15 | 100 | 97 |
|
Kristina O. Schaus
1900 Centra Care Circle |
$70.47 | 109 | 108 |
|
Joni Colleen Zehm-Steffens
1900 Centracare Circle #2300 |
$74.06 | 120 | 116 |
|
Janet Mary Handrigan
1520 Whitney Ct |
$66.01 | 131 | 127 |
|
Larae A. Lymer
1200 Sixth Ave N |
$70.35 | 134 | 127 |
|
Donna K Harris
1900 Centracare Circle |
$105.37 | 140 | 140 |
|
Marie Denise Alfonso Guanzon
1200 Sixth Ave N |
$71.11 | 143 | 134 |
|
Ann Marie Gustafson-Larson
1900 Centra Care Circle #2500 |
$90.54 | 144 | 143 |
|
Michael James Severson
1406 Sixth Ave N |
$57.16 | 168 | 153 |
|
Alexander J Schad
1200 Sixth Ave No |
$75.65 | 177 | 173 |
|
Kelly Winter
1900 Centra Care Circle |
$72.43 | 179 | 168 |
|
Tiffany Nicole Sande
1200 Sixth Ave N |
$70.74 | 191 | 174 |
|
Katherine E Pillote
1900 Centracare Circle |
$73.43 | 219 | 213 |
|
Milissa Sue Mcduffee
1200 Sixth Ave N |
$72.40 | 235 | 230 |
|
James C Romanowsky
1200 Sixth Ave No |
$64.85 | 241 | 232 |
|
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 |
|
Kathryn Ann Katka
1200 6Th Ave N |
$67.29 | 284 | 270 |
|
Michael Leonard Schmitz
1520 Whitney Ct |
$73.42 | 285 | 265 |
|
Charles J Snow
1406 Sixth Ave N |
$35.10 | 302 | 125 |
|
Xiaofang Sheng-Tanner
1200 Sixth Ave N |
$72.38 | 335 | 314 |
|
Valery A. Hoover
1200 Sixth Ave No |
$61.38 | 346 | 306 |
|
Aaron R Holmgren
1200 Sixth Ave No |
$95.13 | 347 | 292 |
|
Kelly B Fandel
1900 Centracare Circle |
$56.35 | 357 | 342 |
|
Cynthia A Sandberg
1406 6Th Ave N |
$233.62 | 360 | 304 |
|
Jun Manalo Herrera
1406 Sixth Avenue North |
$80.14 | 433 | 409 |
|
Elizabeth Kate Blixt
1900 Centracare Cir |
$76.43 | 467 | 455 |
|
Stacy Anne Quast
1200 Sixth Ave N |
$47.38 | 471 | 443 |
|
James Benjamin Christenson
1406 6Th Avenue North |
$81.21 | 523 | 496 |
|
Joshua Robert Ackerman
1406 6Th Avenue North |
$119.03 | 525 | 492 |
|
Nora K. Tholl
1200 Sixth Ave N |
$77.84 | 594 | 563 |
|
Gati Niranjan Dhroove
Centracare Clinic River Campus |
$63.93 | 620 | 569 |
|
Erika Kay Burggraff
St Cloud Hospital 1406 6Th Ave N |
$59.32 | 633 | 583 |
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