Average Medicaid Office Visit Payments in Anderson, IN: $55.18
Avg. Paid
$55.18
Range
$3.65 – $296.15
Total Claims
815,544
Providers
282
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 Anderson, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jessilynn Reese Rose
2015 Jackson St |
$83.62 | 12 | 12 |
|
Heather Lane
1547 Ohio Ave |
$80.62 | 14 | 13 |
|
Kristin Janae Huber
1541 S Scatterfield Rd |
$52.30 | 14 | 13 |
|
Jessica Lee Lambert Moore
5541 S Scatterfield Rd |
$25.16 | 14 | 13 |
|
Zacarria Greene
2020 Meridian St Ste 220 |
$69.85 | 15 | 14 |
|
David Allen Lushinsky
2976 N Scatterfield Rd |
$88.30 | 15 | 13 |
|
David A Shapiro
1601 Medical Arts Blvd |
$51.88 | 16 | 12 |
|
Melissa A Matthews
2705 Enterprise Dr # 5 |
$53.28 | 18 | 16 |
|
Kenneth A Shaver
1601 Medical Arts Blvd |
$42.44 | 19 | 18 |
|
Meghan Price
1210 Medical Arts Blvd Ste 117 |
$34.82 | 19 | 12 |
|
Lawrence E Lloyd
2117 E 5Th St |
$3.65 | 26 | 25 |
|
Douglas A Scott
520 E 8Th St |
$51.02 | 27 | 24 |
|
Elias Khalaf
2015 Jackson St |
$51.70 | 27 | 25 |
|
Joseph Cerjak
1515 N Madison Ave |
$56.29 | 28 | 28 |
|
Carol P Magee
1601 Medical Arts Blvd |
$37.17 | 28 | 25 |
|
Tara Lynn Spivey
1210 Medical Arts Blvd Ste 203 |
$74.20 | 28 | 27 |
|
Kelly Sue Ann Peasley
2101 Jackson St Ste 8 |
$28.79 | 29 | 25 |
|
Donna Tisch
1130 Medical Arts Blvd |
$62.63 | 30 | 26 |
|
Nancy M Goodwine-Wozniak
2020 Meridian St Ste 220 |
$48.58 | 33 | 30 |
|
Shelby Fugate
2101 Jackson St Ste 205 |
$68.88 | 39 | 38 |
|
Brian F. Morris
325 W 38Th St |
$78.97 | 48 | 40 |
|
Shelly Renae Sparks
1515 N Madison Ave |
$21.18 | 49 | 43 |
|
Bradley James Rector
1210B Medical Arts Blvd |
$36.17 | 50 | 47 |
|
Vanessa Culver
2015 Jackson St |
$73.77 | 60 | 59 |
|
Gregory E Pugh
2015 Jackson St |
$73.69 | 66 | 61 |
|
Brian L Eddy
1629 Medical Arts Blvd Ste 120 |
$27.91 | 66 | 58 |
|
Kristin Golden
4610 S Madison Ave |
$44.53 | 71 | 49 |
|
Christina M Francis
2015 Jackson St |
$36.44 | 73 | 55 |
|
Christopher D Roundtree
2610 Enterprise Dr |
$30.55 | 73 | 56 |
|
Denise Cote Lashell
1537 S Scatterfield Rd |
$29.42 | 81 | 70 |
|
Joseph Conrad Copeland
1210 Medical Arts Blvd |
$38.34 | 84 | 76 |
|
Phillip Goshert
141 W 22Nd St Ste 311 |
$36.39 | 85 | 42 |
|
Jennifer Gayle Wilcox
1629 Medical Arts Blvd |
$23.25 | 89 | 51 |
|
Donald M Perez
141 W 22Nd St |
$24.04 | 92 | 76 |
|
Megan Christine Deaton
3800 S Scatterfield Rd |
$46.29 | 92 | 77 |
|
Nikia Beeson
2705 Enterprise Dr # 5 |
$44.43 | 92 | 86 |
|
Scott N Myers
2015 Jackson St |
$59.12 | 126 | 115 |
|
Andrew J Ritchison
2015 Jackson St |
$93.02 | 142 | 131 |
|
Francesca D Tekula
2610 Enterprise Dr |
$70.87 | 148 | 130 |
|
Susan M Anderson
1210 Medical Arts Blvd |
$24.99 | 152 | 130 |
|
Patrick Jamieson Kay
2610 Enterprise Dr |
$39.16 | 158 | 101 |
|
Brandon Aiman
2101 Jackson St |
$24.23 | 160 | 134 |
|
Mackenzie Gray
2210 Jackson St |
$72.01 | 163 | 149 |
|
Joyce Ann Davis
2009 Brown St |
$6.61 | 170 | 125 |
|
Kendal Elizabeth Parker
141 W 22Nd St Ste 109 |
$46.43 | 176 | 132 |
|
Natalie Dawn Mcclintick
2610 Enterprise Dr |
$296.15 | 182 | 178 |
|
Rei Christian Salinas Calma
1130 Medical Arts Blvd Ste 250 |
$58.74 | 187 | 156 |
|
Kristin Reedy
1210 Medical Arts Blvd |
$20.78 | 200 | 148 |
|
Jennifer Nemunaitis Keller
1130 Medical Arts Blvd Ste 250 |
$80.48 | 209 | 176 |
|
Tess Travers Leinauer
141 W 22Nd St Ste 210 |
$53.50 | 211 | 193 |
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 Anderson, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Anderson, IN is $55.18 per claim, based on 815,544 claims from 282 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 Anderson, IN?
There are 282 Medicaid providers offering Office Visit related services in Anderson, IN according to public payment data.
What is the price range for Office Visit in Anderson, IN?
Medicaid reimbursement for Office Visit in Anderson, IN ranges from $3.65 to $296.15 per claim, with an average of $55.18. 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 Anderson, IN
Blood Work & Lab Tests
Avg $13.33
440,276 claims
Psychiatric Evaluation
Avg $49.54
239,870 claims
Emergency Room Visit
Avg $100.24
224,378 claims
Vaccines & Immunizations
Avg $8.51
156,275 claims
Urinalysis & Urine Tests
Avg $2.47
93,727 claims
Physical Therapy
Avg $47.66
93,277 claims
EKG / ECG (Electrocardiogram)
Avg $19.33
77,987 claims
Ambulance Transport
Avg $88.42
74,720 claims