Average Medicaid Office Visit Payments in West St Paul, MN: $65.51
Avg. Paid
$65.51
Range
$20.26 – $86.16
Total Claims
13,055
Providers
17
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 St Paul, MN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Katelin Nicole Varnson
149 Thompson Ave E Ste 150 |
$47.52 | 2,133 | 1,740 |
|
Emily Anne Miller
149 Thompson Ave E Ste 150 |
$68.74 | 1,801 | 1,606 |
|
Elizabeth Placzek
963 Robert St S |
$69.85 | 1,476 | 1,383 |
|
Melissa Baughman
150 Emerson Ave E |
$78.94 | 1,091 | 1,033 |
|
Alexis Ann Vosooney
150 Emerson Ave E |
$76.68 | 951 | 900 |
|
Lindsay Nicole Williams Palaniappan
150 Emerson Ave E |
$79.83 | 919 | 855 |
|
Lucas William Boyle-Milroy
150 Emerson Ave E |
$74.58 | 893 | 839 |
|
Timothy Louis Gendron
149 Thompson Ave E Ste 150 |
$20.26 | 836 | 588 |
|
Emily Anne Kvasnicka Friedrichsen
150 Emerson Ave E |
$80.40 | 773 | 721 |
|
Cora Walsh
150 Emerson Ave E |
$75.30 | 477 | 432 |
|
Jenna Rossow
1471 Robert St S |
$74.33 | 409 | 393 |
|
Vivian Fischer
150 Emerson Ave E |
$44.60 | 385 | 361 |
|
Emma S Ostby
150 Emerson Ave E |
$86.16 | 359 | 344 |
|
Andrea Lynn Somers
149 Thompson Ave E Ste 150 |
$51.53 | 324 | 300 |
|
Nicole Lynn Larson
149 Thompson Ave E Ste 150 |
$81.23 | 164 | 155 |
|
Nicholas Lawson
1880 Livingston Ave Ste 102 |
$69.05 | 50 | 48 |
|
Nora Elizabeth Mulloy
1880 Livingston Ave Ste 102 |
$66.29 | 14 | 14 |
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 St Paul, MN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in West St Paul, MN is $65.51 per claim, based on 13,055 claims from 17 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 St Paul, MN?
There are 17 Medicaid providers offering Office Visit related services in West St Paul, MN according to public payment data.
What is the price range for Office Visit in West St Paul, MN?
Medicaid reimbursement for Office Visit in West St Paul, MN ranges from $20.26 to $86.16 per claim, with an average of $65.51. 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 St Paul, MN
Case Management Services
Avg $74.71
79,821 claims
Non-Emergency Medical Transportation
Avg $38.88
31,455 claims
Dental Cleaning & Exam
Avg $49.81
14,411 claims
Psychiatric Evaluation
Avg $73.06
7,311 claims
Emergency Room Visit
Avg $139.13
5,559 claims
Behavioral & Mental Health Therapy
Avg $130.05
4,149 claims
Blood Work & Lab Tests
Avg $6.84
3,954 claims
Eye Exam
Avg $45.03
3,333 claims