Average Medicaid Office Visit Payments in Sweet Home, OR: $73.67
Avg. Paid
$73.67
Range
$24.26 – $112.16
Total Claims
39,988
Providers
15
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 Sweet Home, OR
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Meaghan Norvell
1289 49Th Ave |
$79.74 | 5,510 | 5,091 |
|
Carl F Hoogesteger
1289 49Th Ave |
$67.36 | 5,353 | 4,474 |
|
Tessa Kathleen Reff
1289 49Th Ave |
$73.33 | 5,338 | 4,730 |
|
Juliette Roldan Asuncion
1289 49Th Ave |
$72.17 | 4,270 | 3,716 |
|
Samuel Blechman Milstein
1023 Main St |
$86.82 | 3,187 | 2,992 |
|
Kris Helphinstine
1023 Main St |
$81.35 | 2,923 | 2,672 |
|
Elizabeth Gienger
1023 Main St |
$96.37 | 2,869 | 2,597 |
|
Sarah Crowe May
1289 49Th Ave |
$70.00 | 2,473 | 2,148 |
|
Michael Wayne Stoner
2245 Long St |
$33.32 | 2,062 | 975 |
|
Timothy E Hindmarsh
1023 Main St |
$62.45 | 1,695 | 1,624 |
|
May A. Hindmarsh
1023 Main St |
$76.74 | 1,283 | 1,259 |
|
Kathleen J. Thompson
1023 Main St |
$24.26 | 1,161 | 983 |
|
Chad Tyler
1023 Main St |
$112.16 | 806 | 734 |
|
Tyler Roth Larson
1289 49Th Ave |
$81.41 | 787 | 761 |
|
Diana Jerline Scott
1023 Main St |
$97.78 | 271 | 251 |
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 Sweet Home, OR?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Sweet Home, OR is $73.67 per claim, based on 39,988 claims from 15 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 Sweet Home, OR?
There are 15 Medicaid providers offering Office Visit related services in Sweet Home, OR according to public payment data.
What is the price range for Office Visit in Sweet Home, OR?
Medicaid reimbursement for Office Visit in Sweet Home, OR ranges from $24.26 to $112.16 per claim, with an average of $73.67. 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 Sweet Home, OR
Blood Work & Lab Tests
Avg $15.74
23,217 claims
Ambulance Transport
Avg $115.35
11,457 claims
Psychiatric Evaluation
Avg $103.15
4,653 claims
Eye Exam
Avg $44.47
2,014 claims
Emergency Room Visit
Avg $73.85
1,721 claims
Vaccines & Immunizations
Avg $16.19
1,656 claims
Substance Abuse Treatment
Avg $86.31
648 claims
Urinalysis & Urine Tests
Avg $8.43
348 claims