Average Medicaid Office Visit Payments in Whitefish, MT: $88.30
Avg. Paid
$88.30
Range
$0.00 – $134.94
Total Claims
50,319
Providers
39
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 Whitefish, MT
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
John N Kalbfleisch
1111 Baker Ave |
$96.04 | 6,558 | 5,559 |
|
Courtney Anne Austin
1111 Baker Ave |
$89.02 | 4,185 | 3,879 |
|
John Muir
2004 Hospital Way |
$123.67 | 3,692 | 3,553 |
|
Deven Duus Robinson
1111 Baker Ave Ste 3 |
$111.92 | 3,674 | 3,274 |
|
Kathryn H Neff
1111 Baker Ave |
$79.62 | 3,220 | 2,964 |
|
Jon Miller
1111 Baker Ave |
$80.48 | 2,825 | 2,587 |
|
Daniel E Munzing
1111 Baker Ave |
$80.19 | 2,604 | 2,259 |
|
Karen Elise Vesely
1111 Baker Ave |
$97.98 | 2,439 | 2,196 |
|
Bayne Andre Lee French
1111 Baker Ave |
$89.32 | 2,419 | 2,263 |
|
Jeremy Jennings
1111 Baker Ave |
$83.70 | 2,147 | 2,006 |
|
Shannon Boese
1111 Baker Ave |
$73.43 | 1,566 | 1,478 |
|
Megan Groh
1111 Baker Ave |
$92.88 | 1,553 | 1,430 |
|
Jennie Walker Eckstrom
1111 Baker Ave |
$91.78 | 1,548 | 1,446 |
|
Brooke Adams
1111 Baker Ave |
$92.81 | 1,525 | 1,400 |
|
Logan Health - Whitefish
1600 Hospital Way |
$0.00 | 1,394 | 1,232 |
|
Naomi Colleen Taylor
1111 Baker Ave |
$66.55 | 1,310 | 1,212 |
|
Stephanie Shipko
1111 Baker Ave |
$99.56 | 1,135 | 1,058 |
|
Claire A Francoeur
911 Wisconsin Ave Ste 202 |
$89.00 | 1,113 | 999 |
|
Brandom Jones Price
1111 Baker Ave |
$58.87 | 1,037 | 1,004 |
|
Jay S Erickson
1111 Baker Ave |
$87.14 | 819 | 715 |
|
Amber Jewel Dean
2004 Hospital Way |
$93.08 | 710 | 636 |
|
Todd A Bergland
844 Baker Avenue |
$68.39 | 599 | 547 |
|
Robert Torrance Cale
374 Oettiker Creek Rd |
$36.92 | 588 | 448 |
|
Andrew Burbine
1111 Baker Ave |
$99.38 | 503 | 474 |
|
Keyna I Schlup
5938 Us Highway 93 S |
$76.30 | 243 | 200 |
|
Helen Weems
737 Spokane Ave. |
$93.17 | 212 | 191 |
|
Bradley Lawrence Kasavana
2002 Hospital Way |
$77.54 | 207 | 183 |
|
Jamie Kimball
903 Spokane Ave Ste 4 |
$35.40 | 146 | 135 |
|
Jennifer Lewis
1600 Hospital Way |
$111.72 | 117 | 108 |
|
Patricia Martens Cole
5938 Us Highway 93 S |
$125.08 | 58 | 53 |
|
Eric J Gislason
5875 Hwy 93 South |
$45.28 | 35 | 31 |
|
Tessa Lynn Winterton
2002 Hospital Way |
$134.94 | 27 | 25 |
|
Anita L Beach
1111 Baker Ave |
$58.38 | 27 | 26 |
|
Dennis Randall Beach
2002 Hospital Way |
$118.69 | 16 | 15 |
|
Jason Leep
500 Kaeding Creek Rd |
$68.50 | 15 | 12 |
|
Ryan Thomas Gunlikson
2000 Hospital Way |
$91.61 | 14 | 12 |
|
Logan Health - Whitefish
2004 Hospital Way |
$0.00 | 14 | 14 |
|
Kathleen M Lewison
2002 Hospital Way |
$42.16 | 13 | 13 |
|
Mirna D Bowden
2002 Hospital Way |
$82.07 | 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 Whitefish, MT?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Whitefish, MT is $88.30 per claim, based on 50,319 claims from 39 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 Whitefish, MT?
There are 39 Medicaid providers offering Office Visit related services in Whitefish, MT according to public payment data.
What is the price range for Office Visit in Whitefish, MT?
Medicaid reimbursement for Office Visit in Whitefish, MT ranges from $0.00 to $134.94 per claim, with an average of $88.30. 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 Whitefish, MT
Blood Work & Lab Tests
Avg $0.59
86,972 claims
Physical Therapy
Avg $26.80
59,678 claims
Emergency Room Visit
Avg $40.26
33,036 claims
Psychiatric Evaluation
Avg $81.46
22,998 claims
Urinalysis & Urine Tests
Avg $0.45
22,157 claims
Behavioral & Mental Health Therapy
Avg $73.09
17,820 claims
Speech Therapy
Avg $51.18
15,872 claims
Chiropractic Care
Avg $40.95
13,452 claims