Average Medicaid Office Visit Payments in Wahpeton, ND: $72.53
Avg. Paid
$72.53
Range
$53.24 – $132.52
Total Claims
29,722
Providers
28
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 Wahpeton, ND
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Timothy Monari Nyarandi
332 2Nd Ave N |
$88.06 | 5,566 | 4,862 |
|
Cheri J Berge
332 2Nd Ave N |
$66.56 | 4,470 | 3,870 |
|
Mary Isom
332 2Nd Ave N |
$56.30 | 3,806 | 2,941 |
|
Brooke Rae Heitkamp Hills
332 2Nd Ave N |
$62.00 | 3,364 | 2,818 |
|
James Edward Halvorson
332 2Nd Ave N |
$68.29 | 2,522 | 2,302 |
|
Patrick E Emery
332 2Nd Ave N |
$72.61 | 1,751 | 1,518 |
|
Heather Alison Brekke
332 2Nd Ave N |
$71.78 | 1,202 | 1,025 |
|
Lisa R. Braun
332 2Nd Ave N |
$68.43 | 989 | 874 |
|
Danielle Jo Mullin
275 11Th St S |
$60.68 | 782 | 700 |
|
Christopher Sue
275 11Th St S |
$91.31 | 748 | 636 |
|
Mackenzie Jane Wieser
332 2Nd Ave N |
$90.64 | 690 | 369 |
|
Brandee Alexandra Rivard
332 2Nd Ave N |
$118.54 | 681 | 577 |
|
Kristina England
275 11Th St S |
$60.54 | 623 | 554 |
|
Bonita J Jenzen
275 11Th St S |
$80.95 | 501 | 464 |
|
Erin Nicole Jirak
275 11Th St S |
$81.87 | 468 | 382 |
|
Dylan M Torgerson
332 2Nd Ave N |
$53.53 | 351 | 209 |
|
Jordan J Coplin
275 11Th St S |
$76.72 | 307 | 276 |
|
Brian K Cooper
275 11Th St S |
$91.46 | 266 | 217 |
|
Meridith Leigh Biel
Essentia Health Wahpeton Clinic |
$53.24 | 173 | 148 |
|
Sean Core
332 2Nd Ave N |
$83.88 | 172 | 154 |
|
Megan J Biegler
275 11Th St S |
$114.97 | 109 | 102 |
|
Dawn R Mckinnon
275 11Th St S |
$62.53 | 56 | 55 |
|
Betty Ann Zimmerman
413 3Rd Ave N |
$89.11 | 44 | 43 |
|
Amy Falck
332 2Nd Ave N |
$53.42 | 28 | 24 |
|
Lucy B Malkasian
275 11Th St S |
$62.45 | 14 | 12 |
|
Garry A Mislan
332 2Nd Ave N |
$69.66 | 14 | 12 |
|
Jerome Matthew Guanciale
332 2Nd Ave N |
$132.52 | 13 | 13 |
|
Tristin Rae Dutton
275 11Th St S |
$80.98 | 12 | 12 |
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 Wahpeton, ND?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Wahpeton, ND is $72.53 per claim, based on 29,722 claims from 28 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 Wahpeton, ND?
There are 28 Medicaid providers offering Office Visit related services in Wahpeton, ND according to public payment data.
What is the price range for Office Visit in Wahpeton, ND?
Medicaid reimbursement for Office Visit in Wahpeton, ND ranges from $53.24 to $132.52 per claim, with an average of $72.53. 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 Wahpeton, ND
Speech Therapy
Avg $62.27
19,220 claims
Eye Exam
Avg $41.08
8,602 claims
Physical Therapy
Avg $35.81
8,194 claims
Blood Work & Lab Tests
Avg $6.92
7,505 claims
Psychiatric Evaluation
Avg $84.60
3,199 claims
Chiropractic Care
Avg $33.33
2,830 claims
Vaccines & Immunizations
Avg $13.48
2,088 claims
Substance Abuse Treatment
Avg $92.44
1,940 claims