Average Medicaid Office Visit Payments in West Fargo, ND: $109.35
Avg. Paid
$109.35
Range
$22.16 – $343.81
Total Claims
18,054
Providers
33
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 West Fargo, ND
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sanford Medical Center Fargo
1220 Sheyenne St |
$76.71 | 4,926 | 4,002 |
|
Aubrey Claire Mowery Decoteau
3150 Sheyenne St Ste 240 |
$343.81 | 2,004 | 1,729 |
|
Steven Lee Roseno
1220 Sheyenne St |
$70.02 | 1,287 | 1,232 |
|
Robyn Lynn King
1401 13Th Ave E |
$42.47 | 1,159 | 1,060 |
|
Jess Belling
1220 Sheyenne St |
$75.40 | 929 | 874 |
|
Sarah Kennelly
1220 Sheyenne St |
$94.76 | 918 | 821 |
|
Jenna Rose Wallace
1220 Sheyenne St |
$102.49 | 889 | 824 |
|
Brandon Meyer
1220 Sheyenne St |
$81.61 | 888 | 868 |
|
Anna Joy Miller
750 23Rd Ave E |
$121.15 | 636 | 591 |
|
Cynthia Nicole Vingelen
1220 Sheyenne St |
$108.60 | 620 | 577 |
|
Marlena J Mckee
1401 13Th Ave E |
$89.31 | 602 | 564 |
|
Ashley Grace Huot
1220 Sheyenne St |
$82.61 | 601 | 569 |
|
Erica Argall
1220 Sheyenne St Dept Of |
$70.81 | 423 | 307 |
|
Rory Ratzlaff
1220 Sheyenne St |
$100.68 | 402 | 377 |
|
Matthew James Mcleod
1220 Sheyenne St |
$77.65 | 340 | 313 |
|
Jamie Lyn Zink
1401 13Th Ave E |
$77.77 | 340 | 321 |
|
Koree Vivatson
1401 13Th Ave E |
$59.69 | 260 | 247 |
|
Josalyn J Grueneich
1401 13Th Ave E |
$63.07 | 182 | 172 |
|
Erin Anjanet Huber
1220 Sheyenne St |
$57.89 | 104 | 97 |
|
Susan C Nordquist
505 32Nd Ave E Ste B |
$74.02 | 83 | 83 |
|
Kyle D Johnson
350 23Rd Avenue E |
$78.09 | 57 | 55 |
|
Rathin N Vora
1401 13Th Ave E |
$44.46 | 51 | 51 |
|
Tiffany D Swenson
1401 13Th Ave E |
$92.48 | 50 | 50 |
|
Joanne Ruth Montgomery
567 32Nd Ave E Ste 100 |
$77.72 | 41 | 39 |
|
Katherine L Neubauer
1401 13Th Ave E |
$110.09 | 39 | 39 |
|
Molly Christine Mcmanus
1401 13Th Avenue East |
$52.18 | 39 | 38 |
|
Jon D Dangerfield
1220 Sheyenne St |
$74.48 | 38 | 24 |
|
Shanon Mark Sell
1401 13Th Ave E |
$125.01 | 36 | 36 |
|
Jenna R Zaffke
1401 13Th Ave E |
$55.67 | 32 | 27 |
|
Lesley A Soine
350 23Rd Ave E Ste 102 |
$74.79 | 26 | 24 |
|
Andrew Joseph Burgard
1220 Sheyenne St |
$95.51 | 25 | 25 |
|
Terry N Block
1401 13Th Ave E |
$22.16 | 14 | 12 |
|
Innovis Health Llc
1401 13Th Ave E |
$202.44 | 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 West Fargo, ND?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West Fargo, ND is $109.35 per claim, based on 18,054 claims from 33 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 West Fargo, ND?
There are 33 Medicaid providers offering Office Visit related services in West Fargo, ND according to public payment data.
What is the price range for Office Visit in West Fargo, ND?
Medicaid reimbursement for Office Visit in West Fargo, ND ranges from $22.16 to $343.81 per claim, with an average of $109.35. 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 West Fargo, ND
Physical Therapy
Avg $36.52
31,042 claims
Speech Therapy
Avg $57.36
25,869 claims
Personal Care Services
Avg $147.83
16,452 claims
Eye Exam
Avg $74.52
7,557 claims
Behavioral & Mental Health Therapy
Avg $174.79
6,415 claims
Vaccines & Immunizations
Avg $13.20
5,000 claims
Chiropractic Care
Avg $49.03
4,515 claims
X-Ray
Avg $8.17
2,236 claims