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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Watertown, SD: $43.16

Avg. Paid

$43.16

Range

$19.58 – $208.73

Total Claims

107,626

Providers

20

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 Watertown, SD

Provider Avg. Paid Claims Patients
Brown Clinic Pllp

506 1St Ave Se

 $49.08 42,062 35,128
Sanford Clinic

901 4Th St Nw

 $41.02 25,302 21,569
Prairie Lakes Health Care System Inc

401 9Th Ave Nw

 $35.79 16,360 14,006
American Advanced Practice Network, P.C.

1056 29Th St Se

 $22.70 10,689 6,466
T & L Quick Care Pc

1056 29Th St Se

 $41.20 4,280 3,185
Human Service Agency

123 19Th St Ne

 $21.25 2,629 2,381
Jana Lyn Berends-Sletten

1056 29Th St Se

 $138.55 2,232 1,215
Innovative Pain Center Llc

1512 4Th St Ne

 $24.53 1,911 1,599
Lakeside Pain Center Prof. Llc

1512 4Th St Ne

 $40.33 749 682
Joseph Peter Oro

506 1St Ave Se

 $41.09 470 434
Joseph Bretschneider

401 9Th Ave Nw

 $161.46 262 149
Ravishankar V Kalaga

401 9Th Ave Nw

 $19.58 155 147
Salem N Maaliki

401 9Th Ave Nw

 $25.79 151 128
Richard B Evans

401 9Th Ave Nw

 $35.82 97 96
Miranda A Nygaard

511 14Th Ave Ne

 $104.73 82 45
Dr Casey D. Johnston Md Pc

401 9Th Ave Nw

 $20.52 49 41
Steven E Miller

401 9Th Ave Nw

 $41.63 48 41
Kari Jo E Fleming

401 9Th Ave Nw

 $208.73 45 43
Alternative Health Centers Pc

611 6Th St Se

 $71.66 38 37
Michael J Vener M D P C

401 9Th Ave Nw

 $43.91 15 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 Watertown, SD?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Watertown, SD is $43.16 per claim, based on 107,626 claims from 20 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 Watertown, SD?

There are 20 Medicaid providers offering Office Visit related services in Watertown, SD according to public payment data.

What is the price range for Office Visit in Watertown, SD?

Medicaid reimbursement for Office Visit in Watertown, SD ranges from $19.58 to $208.73 per claim, with an average of $43.16. 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 Watertown, SD

Physical Therapy

Avg $18.37

49,220 claims

Case Management Services

Avg $65.59

34,588 claims

Psychiatric Evaluation

Avg $84.90

33,400 claims

Emergency Room Visit

Avg $57.87

24,783 claims

Vaccines & Immunizations

Avg $9.46

24,169 claims

Blood Work & Lab Tests

Avg $7.97

20,155 claims

Eye Exam

Avg $44.92

14,677 claims

EKG / ECG (Electrocardiogram)

Avg $8.73

13,013 claims