Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in St. Paul, MN: $73.94

Avg. Paid

$73.94

Range

$26.22 – $160.63

Total Claims

24,547

Providers

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. Paul, MN

Provider	Avg. Paid	Claims	Patients
Michael J Westerhaus 451 North Dunlap Street	$102.88	2,637	2,598
Jennifer Lee-Dupic Ohland 451 Dunlap St N	$67.50	2,344	2,234
Deborah Lynne Orman 2550 University Ave W	$58.59	2,297	1,786
Elizabeth A Reeve 640 Jackson St	$84.04	1,954	1,803
Asima Yasin 205 S Wabasha St	$75.84	1,695	1,648
Vathsala Ganeshan 205 S Wabasha St	$68.74	1,471	1,430
Kristin Lb Peterson Children'S Primary Clinic - Stpl	$57.88	1,315	1,253
Ann M Settgast 451 North Dunlap St-Mail Stop 32700A	$88.06	1,309	1,276
Venkata S Vundamati 205 S Wabasha St	$73.57	1,120	1,088
Angela Jw Smithson 1414 Maryland Ave E	$79.18	903	858
Michelle E Tomes 205 S Wabasha St	$71.54	757	719
Christopher Mark Schoonover 255 Smith Avenue No #100	$83.05	695	673
Brandon Walker 2004 Ford Parkway	$60.28	673	651
Ruth N Merid 205 S Wabasha St - Mail Stop 31300A	$71.12	664	630
Walter Huu Truong 200 University Ave E.	$37.19	523	499
Calley A. Lidle 233 Grand Avenue	$62.37	451	426
Andrew Lee Schakel 295 Phalen Blvd	$76.71	446	431
Jessica Jerich Wetterlin 435 Phalen Blvd	$79.08	431	405
Manuela Fina 401 Phalen Blvd - Ms 41104I	$62.51	378	370
Stephen J Lukasewycz 435 Phalen Blvd	$75.03	341	320
Seth C Janus 401 Phalen Blvd	$51.61	287	275
Gina L. Ruesch 435 Phalen Blvd - Ms 51103E	$62.62	285	274
Carrie Leigh Pettey 347 N Smith Avenue 302	$45.25	234	225
Melina Docto Canlas Koch 401 Phalen Blvd - Ms 41102D	$69.23	169	165
Abrina K Korman 401 Phalen Blvd	$69.63	165	164
Caitlin Marie Young 968 Grand Ave.	$53.47	148	144
Zachary Patrick Kaltenborn 640 Jackson Street	$160.63	133	104
Eva Marie Mcguire Parise 333 N Smith Ave	$88.23	131	130
Kristel A St. Ores 205 Wabasha St	$55.86	82	79
Steven E Mccormack 640 Jackson St	$71.73	71	69
Daniel James Miller 200 University Avenue East	$36.40	65	64
Jennifer Oldham 401 Phalen Blvd - Ms 41102A	$101.41	64	64
Nicholas Nelson Hoxmeier 1497 White Bear Ave	$55.91	51	51
Lori A Ranney 347 North Smith Avenue	$87.25	45	42
Janice F Chevrette 640 Jackson St - Ms 11105A	$59.09	42	27
Scott Merrill Yarosh 1600 University Avenue West	$106.31	40	37
Patrick S Inveen 205 S Wabasha St	$62.26	40	39
Debra A Weimerskirch 345 North Smith Avenue	$62.95	34	32
Open Cities Health Center, Inc. 409 N Dunlap Street	$26.22	16	14
Evan James Veire 401 Phalen Blvd - Ms 41102E	$63.26	15	13
Ryan Matthew Carlson 401 Phalen Blvd - Ms 41104A	$46.00	13	12
Jennifer C Koziol Wozniak 401 Phalen Blvd - Ms 41102A	$88.18	13	13

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. Paul, MN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in St. Paul, MN is $73.94 per claim, based on 24,547 claims from 42 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. Paul, MN?

There are 42 Medicaid providers offering Office Visit related services in St. Paul, MN according to public payment data.

What is the price range for Office Visit in St. Paul, MN?

Medicaid reimbursement for Office Visit in St. Paul, MN ranges from $26.22 to $160.63 per claim, with an average of $73.94. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in St. Paul, MN: $73.94

Providers Offering Office Visit in St. Paul, MN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

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Other Procedures in St. Paul, MN

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Home Health Visit

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Emergency Room Visit

Behavioral & Mental Health Therapy

Vaccines & Immunizations

EKG / ECG (Electrocardiogram)