Average Medicaid Office Visit Payments in Yankton, SD: $38.77
Avg. Paid
$38.77
Range
$0.00 – $135.67
Total Claims
117,577
Providers
31
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 Yankton, SD
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Yankton Medical Clinic Pc
1104 W 8Th St |
$36.33 | 88,450 | 62,700 |
|
Lewis & Clark Behavioral Health Services, Inc.
3111 Shirley Bridge Ave |
$18.50 | 7,848 | 5,420 |
|
Sacred Heart Health Services
2525 Fox Run Pkwy Ste 200 |
$37.85 | 6,704 | 5,501 |
|
Horizon Health Care Inc
920 Broadway Ave Ste 2 |
$135.67 | 3,504 | 2,661 |
|
Sacred Heart Health Services
409 Summit St Ste 3300 |
$39.79 | 3,169 | 2,568 |
|
Sacred Heart Health Services
409 Summit St Ste 3200 |
$24.47 | 1,898 | 1,566 |
|
Elizabeth L Nicholas
1104 W 8Th St |
$72.59 | 1,342 | 1,326 |
|
Kristen Naomi Winterringer
1028 Walnut St |
$53.60 | 636 | 314 |
|
First Chiropractic Centers, Pc
2507 Fox Run Pkwy |
$25.73 | 584 | 499 |
|
David Joel Abbott
2525 Fox Run Pkwy |
$36.06 | 452 | 419 |
|
Lauri A Wolter
3515 Broadway Ave |
$30.38 | 333 | 298 |
|
Robert Nicholas
2525 Fox Run Pkwy Ste 101 |
$41.19 | 332 | 312 |
|
Denise Lynn Taggart
1104 W 8Th St |
$101.57 | 305 | 259 |
|
Heartland Psychological Services
904 W 23Rd St |
$47.98 | 295 | 281 |
|
Dawn M Larson
1104 W 8Th St |
$71.15 | 262 | 211 |
|
Sacred Heart Health Services
409 Summit St Ste 2600 |
$15.21 | 242 | 193 |
|
William J. Andrews
2525 Fox Run Pkwy Ste 204 |
$23.96 | 218 | 204 |
|
David W Withrow
1104 W 8Th St |
$72.49 | 176 | 159 |
|
Ear Nose And Throat Associates Pc
2525 Fox Run Pkwy |
$27.94 | 145 | 123 |
|
April Kay Willman
1104 W 8Th St |
$44.20 | 130 | 111 |
|
Kevin John Post
501 Summit St |
$22.28 | 119 | 107 |
|
Lucas Russell Rockne
409 Summit St Ste 3400 |
$29.35 | 109 | 88 |
|
Sacred Heart Health Services
409 Summit St Ste 2500 |
$24.82 | 78 | 49 |
|
Sacred Heart Health Services
409 Summit St Ste 3300 |
$47.04 | 57 | 50 |
|
Sara Pepper
1104 W 8Th St |
$55.26 | 45 | 45 |
|
Quality Health Clinic, Prof. Llc
2001 Broadway Ave |
$49.44 | 38 | 28 |
|
Spencer R Ferrell
1104 W 8Th St |
$0.00 | 33 | 29 |
|
Kevin B Bray
1104 W 8Th St |
$17.90 | 29 | 26 |
|
Byron S Nielsen
1104 W 8Th St |
$26.90 | 16 | 12 |
|
Jacklyn Logue
2525 Fox Run Pkwy |
$26.61 | 14 | 14 |
|
Stacy Kristin Kotalik
409 Summit St Ste 2500 |
$35.41 | 14 | 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 Yankton, SD?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Yankton, SD is $38.77 per claim, based on 117,577 claims from 31 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 Yankton, SD?
There are 31 Medicaid providers offering Office Visit related services in Yankton, SD according to public payment data.
What is the price range for Office Visit in Yankton, SD?
Medicaid reimbursement for Office Visit in Yankton, SD ranges from $0.00 to $135.67 per claim, with an average of $38.77. 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 Yankton, SD
Blood Work & Lab Tests
Avg $5.87
40,691 claims
Psychiatric Evaluation
Avg $79.68
26,762 claims
Vaccines & Immunizations
Avg $11.54
25,012 claims
Emergency Room Visit
Avg $63.07
14,825 claims
X-Ray
Avg $11.18
13,108 claims
Chiropractic Care
Avg $21.29
12,542 claims
Personal Care Services
Avg $70.95
10,840 claims
Eye Exam
Avg $56.47
10,127 claims