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 |
|---|---|---|---|
|
Michaela A Besold
8244 E Us Highway 36 |
$78.60 | 12 | 12 |
|
Blair S Dina
1115 Ronald Reagan Pkwy Ste 266 |
$63.40 | 13 | 12 |
|
Kimberly J Mills
8244 E Us Highway 36 |
$104.92 | 13 | 13 |
|
Jessica E Knopp
1111 N Ronald Reagan Pkwy |
$85.18 | 13 | 13 |
|
Laura Christine Wright
7990 E Us Highway 36 |
$62.49 | 14 | 14 |
|
Brittany Renee Montgomery
6845 E Us Highway 36 Ste 600 |
$66.22 | 14 | 13 |
|
Adrian Sauder
1111 Ronald Reagan Pkwy |
$0.00 | 14 | 14 |
|
Antoinette A Mensah
8244 E Us Highway 36 Ste 120 |
$77.67 | 15 | 13 |
|
Michael Charles Mondheim
1115 Ronald Reagan Pkwy Ste 266 |
$113.14 | 15 | 12 |
|
Ann Shackelford Reeves
1115 Ronald Reagan Pkwy |
$58.00 | 15 | 12 |
|
Wendy Allison Mason
8244 E Us Highway 36 |
$52.70 | 15 | 13 |
|
Delaney Ann Hartman
120 Avon Marketplace |
$20.85 | 16 | 12 |
|
Stephen H Pollom
1115 Ronald Reagan Pkwy |
$62.02 | 17 | 13 |
|
Anthony S Rose
1115 Ronald Reagan Pkwy |
$39.28 | 21 | 18 |
|
Travis A Richardson
1111 Ronald Reagan Pkwy Ste 1400 |
$69.16 | 25 | 25 |
|
Ruth Ann Baird
1115 Ronald Reagan Pkwy Ste 141 |
$58.07 | 26 | 24 |
|
Mark A Unroe
1115 N Ronald Reagan Pkwy |
$61.00 | 27 | 26 |
|
Charles P Rogers
6845 E Us Highway 36 |
$99.92 | 28 | 28 |
|
Katsiaryna Sergeevna Tsarova
1111 Ronald Reagan Pkwy |
$53.21 | 29 | 26 |
|
Heidi J Coher
8607 E Us Highway 36 # 100 |
$48.42 | 31 | 28 |
|
Chad S Smith
8244 E Us Highway 36 Ste 1270 |
$99.07 | 31 | 28 |
|
Kylene K Huler
5250 E Us Highway 36 |
$12.79 | 37 | 27 |
|
Melissa Ann Chriswell
7990 E Us Highway 36 |
$42.63 | 39 | 29 |
|
Angela A Debord Henriksen
1115 Ronald Reagan Pkwy |
$67.73 | 40 | 36 |
|
Martin Julius Andersen
1115 Ronald Reagan Pkwy Ste 206 |
$58.76 | 43 | 40 |
|
Tiffany J Fan
1115 Ronald Reagan Pkwy Ste 266 |
$63.66 | 43 | 42 |
|
Mary Rebecca Haak
1111 Ronald Reagan Pkwy Ste C1400 |
$39.75 | 44 | 40 |
|
Lisa Ann Palazzolo
7990 E Us Highway 36 |
$6.21 | 45 | 29 |
|
Amelia S Bruner
7990 E Us Highway 36 |
$46.04 | 45 | 38 |
|
Miriam Tyndall Krober
1111 Ronald Reagan Pkwy Ste C1400 |
$56.37 | 46 | 39 |
|
Amy Wynn Hardin
1115 Ronald Reagan Pkwy Ste 266 |
$13.15 | 54 | 36 |
|
Kyle Reece Mackey
1111 Ronald Reagan Pkwy Ste C1400 |
$79.37 | 61 | 56 |
|
Eric B. Sputh
8244 E Us Highway 36 Ste 200 |
$103.72 | 62 | 57 |
|
Amy M Miller-Smith
1115 Ronald Reagan Pkwy Ste 141 |
$36.06 | 66 | 53 |
|
Emily Murphy
10853 E Us Highway 36 |
$67.38 | 68 | 66 |
|
Brittany Labonte
8244 E Us Highway 36 Ste 1100 |
$58.10 | 69 | 65 |
|
Seyed Hamid Sayar
1111 Ronald Reagan Pkwy |
$71.91 | 70 | 66 |
|
Patricia Sue Bittinger Mansfield
6655 E Us Highway 36 |
$11.18 | 72 | 41 |
|
Jeanne M Armstrong
8244 E Us Highway 36 |
$47.65 | 77 | 70 |
|
Jill Suzanne Dana
6845 E Us Highway 36 Ste 600 |
$107.51 | 83 | 73 |
|
Antonio Martinnez Turner
5201 E Us Highway 36 |
$70.88 | 84 | 82 |
|
Ronald S Suh
120 Avon Marketplace Ste 200 |
$32.98 | 92 | 76 |
|
Kalen Farr
8607 E Us Highway 36 Ste 100 |
$53.81 | 102 | 93 |
|
Charles H Tripple
8244 E Us Highway 36 |
$38.49 | 107 | 79 |
|
Kathy Gretton
1675 Rosewood Dr |
$42.30 | 112 | 67 |
|
Jillian Westerhausen
301 Satori Pkwy Ste 200 |
$95.56 | 114 | 102 |
|
Michael D Gabbard
1115 Ronald Reagan Pkwy Ste 148 |
$94.16 | 115 | 102 |
|
Jessica Mae Healey
1115 Ronald Reagan Pkwy |
$56.79 | 119 | 108 |
|
Marian L Longo
7900 E Us Highway 36 |
$66.55 | 122 | 99 |
|
Daniel John-Martin Carroll
7388 Business Center Dr |
$56.45 | 127 | 119 |
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
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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