Average Medicaid Office Visit Payments in Alpena, MI: $96.60
Avg. Paid
$96.60
Range
$0.30 – $266.23
Total Claims
121,651
Providers
26
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 Alpena, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
District Health Department No. 4
100 Woods Cir |
$24.01 | 29 | 28 |
|
Jedd Jack Audry
1501 W Chisholm St |
$40.49 | 35 | 29 |
|
Jason L Beatty
165 N State Ave |
$57.03 | 41 | 39 |
|
Alpena Express Care And Family Practice, Plc
109 S 13Th Ave |
$70.12 | 83 | 76 |
|
James F Van Wagnen
1035 Us 23 N |
$13.32 | 96 | 90 |
|
Bella Rose Skin Care Pllc
114 E Oldfield St |
$47.14 | 127 | 117 |
|
Jessica Bruning
114 E Oldfield St |
$53.02 | 149 | 141 |
|
Michael Gunnar Johnson
401 Long Rapids Plz |
$24.42 | 159 | 130 |
|
Shari Froelich
1185 Us Highway 23 N |
$56.57 | 198 | 192 |
|
Alcona Citizens For Health, Inc.
1209 Us Highway 23 North |
$4.52 | 346 | 329 |
|
Mymichigan Medical Center Alpena
1501 W Chisholm St |
$35.99 | 462 | 455 |
|
Mymichigan Medical Center Alpena
401 Long Rapids Plz |
$45.36 | 480 | 461 |
|
Healthwise Medical Clinic Pllc
101 Oxbow Drive |
$52.78 | 484 | 428 |
|
Alcona Citizens For Health, Inc.
309 W Lake St |
$9.21 | 517 | 473 |
|
Jorge Tirador Gonzalez
601 W Chisholm St |
$55.22 | 706 | 688 |
|
Thunder Bay Clinic Management Inc
1065 Us 23 North |
$60.06 | 706 | 698 |
|
Docs Pllc
165 N State Ave |
$70.38 | 870 | 709 |
|
Northern Michigan Heart Center, Pllc
2079 Us Highway 23 S |
$58.34 | 1,173 | 1,126 |
|
Mymichigan Medical Center Alpena
346 Long Rapids Plz |
$48.20 | 2,541 | 2,330 |
|
Alcona Citizens For Health, Inc.
1185 Us Highway 23 N |
$0.30 | 3,128 | 2,898 |
|
Alcona Citizens For Health, Inc.
346 Long Rapids Plz |
$13.48 | 5,034 | 4,847 |
|
Northern Foot & Ankle Centers P.C.
321 Long Rapids Plz |
$49.78 | 5,068 | 4,779 |
|
Robert M. Currier, D.O, P.C.
127 Park Pl |
$52.38 | 5,624 | 5,338 |
|
Mymichigan Medical Center Alpena
211 Long Rapids Rd |
$15.72 | 18,918 | 17,691 |
|
Northeast Michigan Community Mental Health Authority
400 Johnson St |
$266.23 | 31,429 | 28,864 |
|
Mymichigan Medical Center Alpena
1501 West Chisholm Street |
$46.85 | 43,248 | 40,423 |
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 Alpena, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Alpena, MI is $96.60 per claim, based on 121,651 claims from 26 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 Alpena, MI?
There are 26 Medicaid providers offering Office Visit related services in Alpena, MI according to public payment data.
What is the price range for Office Visit in Alpena, MI?
Medicaid reimbursement for Office Visit in Alpena, MI ranges from $0.30 to $266.23 per claim, with an average of $96.60. 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 Alpena, MI
Blood Work & Lab Tests
Avg $1.94
161,950 claims
Home Health Visit
Avg $150.92
139,554 claims
Emergency Room Visit
Avg $97.56
117,680 claims
Case Management Services
Avg $365.35
109,618 claims
Psychiatric Evaluation
Avg $113.98
107,820 claims
Physical Therapy
Avg $23.79
94,449 claims
Substance Abuse Treatment
Avg $92.14
41,338 claims
X-Ray
Avg $23.82
35,959 claims