Average Medicaid Office Visit Payments in Adrian, MI: $85.57
Avg. Paid
$85.57
Range
$1.64 – $265.03
Total Claims
218,347
Providers
30
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 Adrian, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Acpc Pllc
142 E Maumee St Ste 3 |
$66.58 | 30,438 | 26,382 |
|
Adrian Urgent Care Pllc
715 N Main St |
$61.71 | 29,783 | 28,795 |
|
Lenawee Community Mental Health Authority
1040 S Winter St |
$265.03 | 29,055 | 27,855 |
|
Family Medical Center Of Michigan, Inc
1200 N Main St |
$1.64 | 27,648 | 25,387 |
|
Rajamathias Y Reddy Md, Pllc
901 Kimole Ln Ste B3 |
$78.35 | 24,010 | 22,182 |
|
A. Hajyousef, Md Pc
901 Kimole Ln |
$63.54 | 23,215 | 20,851 |
|
Lenawee Adult & Pediatric Medicine
4539 N Adrian Hwy |
$85.62 | 18,983 | 11,980 |
|
Main St Urgent Care Clinic And Walk In Clinic Pc
905 N Main St |
$69.65 | 6,459 | 6,253 |
|
Nuga Pediatrics Lenawee, Pllc
901 Kimole Ln |
$64.57 | 4,514 | 4,141 |
|
Sudha Bansal Md Pc
415 Mill Rd |
$55.27 | 4,503 | 4,254 |
|
Catholic Charities Of Michigan Incorporated
199 N Broad St |
$40.13 | 4,085 | 3,718 |
|
Dr Martins Foot And Ankle Clinic
1325 N Main St |
$46.59 | 3,709 | 3,313 |
|
Adrian Urgent Care Pllc
715 N Main St |
$67.79 | 3,558 | 3,418 |
|
Rebecca Sue Border
1200 N Main St |
$71.00 | 2,274 | 2,139 |
|
Joseph Paul Ocasio
777 Kimole Ln Ste 240 |
$60.72 | 1,213 | 1,156 |
|
Emily M Polus
142 E Maumee St |
$72.06 | 849 | 613 |
|
William Clark Decker
777 Kimole Ln Ste 100 |
$48.19 | 794 | 734 |
|
Nathaline Chiu
1200 N Main St |
$75.58 | 759 | 653 |
|
Andrew Smith
1548 W Maumee St |
$60.48 | 749 | 689 |
|
Mindy S Houpt
901 Kimole Ln Ste A4 |
$48.91 | 563 | 556 |
|
Steven Anthony Sherman
777 Kimole Ln |
$38.32 | 387 | 381 |
|
Emma L. Bixby Medical Center
5640 N Adrian Hwy |
$54.80 | 186 | 176 |
|
Hui Ling Chen
1136 Country Club Rd Unit C |
$44.41 | 185 | 178 |
|
Sudha Bansal
415 Mill Rd |
$78.10 | 145 | 136 |
|
Lisa Marie Coughlin
5640 N Adrian Hwy # C |
$67.60 | 86 | 75 |
|
Elizabeth J Szynkowski
901 Kimole Ln |
$41.33 | 61 | 59 |
|
Taylor Hennrick
142 E Maumee St Ste 3 |
$39.52 | 61 | 54 |
|
Dowling Chiropractic, Pc
1114 S Winter St |
$32.64 | 32 | 32 |
|
Rajamathias Y Reddy
901 Kimole Ln |
$66.57 | 26 | 26 |
|
Chandan Das
5640 N Adrian Hwy # C |
$35.91 | 17 | 16 |
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 Adrian, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Adrian, MI is $85.57 per claim, based on 218,347 claims from 30 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 Adrian, MI?
There are 30 Medicaid providers offering Office Visit related services in Adrian, MI according to public payment data.
What is the price range for Office Visit in Adrian, MI?
Medicaid reimbursement for Office Visit in Adrian, MI ranges from $1.64 to $265.03 per claim, with an average of $85.57. 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 Adrian, MI
Blood Work & Lab Tests
Avg $3.12
222,568 claims
Behavioral & Mental Health Therapy
Avg $43.52
171,645 claims
Emergency Room Visit
Avg $95.01
170,753 claims
Psychiatric Evaluation
Avg $87.39
121,959 claims
Case Management Services
Avg $128.90
110,253 claims
Urinalysis & Urine Tests
Avg $0.97
52,835 claims
Physical Therapy
Avg $24.98
49,819 claims
Vaccines & Immunizations
Avg $8.57
37,678 claims