Average Medicaid Office Visit Payments in Avon, IN: $60.50
Avg. Paid
$60.50
Range
$0.00 – $121.58
Total Claims
241,128
Providers
188
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 Avon, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Steven A Fekete
6655 E Us Highway 36 |
$62.90 | 33,024 | 28,918 |
|
Stuart B Mannon
6655 E Us Highway 36 |
$46.76 | 8,556 | 6,526 |
|
Kerry Lee Hensley
7376 Business Center Dr |
$65.19 | 6,769 | 6,093 |
|
Stephen J Hartsock
1115 Ronald Reagan Pkwy |
$93.62 | 6,644 | 5,063 |
|
Clement Joseph Mcdonald
1115 Ronald Reagan Pkwy |
$63.62 | 6,115 | 5,491 |
|
Donald J Mcintire
9723 E Us Highway 36 |
$55.48 | 5,685 | 4,655 |
|
Melissa Anne Pyatskowit
1111 Ronald Reagan Pkwy |
$61.03 | 5,174 | 4,257 |
|
Carolyn M Harris
6845 E Us Highway 36 |
$69.46 | 4,994 | 4,494 |
|
Andrew Kapsalis
8607 E Us Highway 36 Ste 100 |
$41.25 | 4,629 | 3,834 |
|
Michael W Myers
1115 Ronald Reagan Pkwy |
$48.48 | 4,434 | 3,947 |
|
Jennifer Denise White
1111 Ronald Reagan Pkwy |
$44.97 | 4,382 | 3,019 |
|
Drew A Kepple
1351 Ronald Reagan Pkwy Ste B |
$87.84 | 4,269 | 3,483 |
|
Jeffrey R Ihlendorf
1115 N Ronald Reagan Pkwy |
$77.74 | 4,011 | 3,369 |
|
Sridhar Reddy Bolla
8244 E Us Highway 36 Ste 1340 |
$47.90 | 3,963 | 3,070 |
|
Julie Davis
8244 E Us Highway 36 Ste 1100 |
$55.12 | 3,868 | 3,574 |
|
Keith T Huff
8244 E Us Highway 36 Ste 1100 |
$47.53 | 3,246 | 2,644 |
|
Philip Pifer
8244 E Us Highway 36 Ste 1100 |
$57.71 | 3,193 | 3,000 |
|
Nicole Amber Kestufskie
8244 E Us Highway 36 Ste 1100 |
$51.41 | 3,191 | 2,911 |
|
Romesh Ghanshyam Dhaduk
1115 Ronald Reagan Pkwy Ste 336 |
$46.34 | 3,143 | 2,633 |
|
Daniel Kevin Storey
8607 E Us Highway 36 Ste 100 |
$70.72 | 3,123 | 2,663 |
|
David W Harvey
1115 Ronald Reagan Pkwy Ste 141 |
$72.12 | 3,067 | 2,645 |
|
Caleb Huber
7376 Business Center Dr Ste A1 |
$57.65 | 3,057 | 2,578 |
|
Manjit Kaur
301 Satori Pkwy Ste 150 |
$31.28 | 2,956 | 2,521 |
|
Christi Lynn Crimmins
7975 E Us Highway 36 |
$77.05 | 2,851 | 2,475 |
|
David Lawrence Fryman
1115 Ronald Reagan Pkwy |
$93.22 | 2,781 | 2,336 |
|
Lauren E Surfus
8244 E Us Highway 36 Ste 1100 |
$55.68 | 2,651 | 2,428 |
|
Xiusheng Qin
8244 E Us Highway 36 Ste 1340 |
$39.01 | 2,436 | 1,788 |
|
Ashton Nichole Hamilton
7990 E Us Highway 36 |
$53.74 | 2,253 | 2,001 |
|
Audra Lucille Page
8244 E Us Highway 36 Ste 1100 |
$49.08 | 2,152 | 1,953 |
|
Charles D. Hodges
8244 E Us Highway 36 Ste 1100 |
$53.17 | 2,124 | 1,620 |
|
Karen Nelson
8607 E Us Highway 36 Ste 100 |
$53.10 | 2,069 | 1,518 |
|
Valerie A Ball
1115 North Ronald Reagan Parkway |
$64.69 | 2,056 | 1,831 |
|
Jamie R Ulbrich
301 Satoril Pkwy |
$80.38 | 2,047 | 1,804 |
|
Haley N Trambaugh
301 Satoril Pkwy |
$76.20 | 2,005 | 1,792 |
|
Sarah R Eli
1111 Ronald Reagan Pkwy |
$48.40 | 1,949 | 1,220 |
|
David Levi Nathan
8244 E Us Highway 36 |
$69.21 | 1,932 | 1,582 |
|
Mark A. Booher
301 Satori Pkwy |
$77.55 | 1,903 | 1,682 |
|
Brian J Leffler
301 Satori Pkwy |
$71.03 | 1,783 | 1,605 |
|
Bridget C Thorne
1111 Ronald Reagan Pkwy |
$89.35 | 1,774 | 1,586 |
|
Alicia R Yilmaz
1351 Ronald Reagan Pkwy Ste B |
$74.05 | 1,763 | 1,462 |
|
Scott M Hoffman
8607 E Us Highway 36 |
$56.25 | 1,740 | 1,503 |
|
Theresa S Henderson
8244 E Us Highway 36 |
$62.12 | 1,730 | 1,541 |
|
Lars Optimus Logdberg
1111 Ronald Reagan Pkwy |
$69.81 | 1,726 | 1,629 |
|
Namrata Shah
1111 Ronald Reagan Pkwy Ste B1500 |
$39.84 | 1,645 | 1,323 |
|
William B Solik
8244 E Us Highway 36 |
$50.55 | 1,634 | 1,504 |
|
Thomas L Rohde
6658 English Oak Ln |
$22.28 | 1,584 | 1,432 |
|
Anne P Jones
9723 E Us Highway 36 |
$69.47 | 1,521 | 1,249 |
|
Francis X Hussey
1115 Ronald Reagan Pkwy |
$71.97 | 1,512 | 1,194 |
|
Timothy Dale Howard
1115 Ronald Reagan Pkwy Ste 336 |
$27.53 | 1,507 | 1,313 |
|
Melissa Grimes
8607 E Us Highway 36 Ste 300 |
$49.81 | 1,475 | 1,306 |
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 Avon, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Avon, IN is $60.50 per claim, based on 241,128 claims from 188 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 Avon, IN?
There are 188 Medicaid providers offering Office Visit related services in Avon, IN according to public payment data.
What is the price range for Office Visit in Avon, IN?
Medicaid reimbursement for Office Visit in Avon, IN ranges from $0.00 to $121.58 per claim, with an average of $60.50. 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 Avon, IN
Behavioral & Mental Health Therapy
Avg $118.17
483,788 claims
Psychiatric Evaluation
Avg $51.44
353,769 claims
Case Management Services
Avg $39.52
256,079 claims
Blood Work & Lab Tests
Avg $6.28
177,490 claims
Emergency Room Visit
Avg $116.74
171,821 claims
Substance Abuse Treatment
Avg $72.70
56,481 claims
Physical Therapy
Avg $32.63
53,503 claims
EKG / ECG (Electrocardiogram)
Avg $28.29
49,678 claims