Average Medicaid Office Visit Payments in Bay City, MI: $71.05
Avg. Paid
$71.05
Range
$0.00 – $227.27
Total Claims
425,745
Providers
62
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 Bay City, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Mclaren Bay Region
1900 Columbus Ave |
$47.09 | 88,819 | 81,268 |
|
Great Lakes Bay Health Centers
3884 Monitor Road |
$21.66 | 63,505 | 60,307 |
|
Bay-Arenac Behavioral Health
201 Mulholland |
$208.87 | 62,686 | 59,894 |
|
Recovery Pathways, Llc
1009 Washington Ave |
$92.02 | 20,790 | 18,570 |
|
Great Lakes Bay Health Centers
3175 W Professional Drive |
$19.99 | 20,228 | 17,386 |
|
Medical Practice Partners, Llc
712 S Trumbull St |
$63.75 | 18,822 | 15,976 |
|
Bay Pediatric Clinic
2110 16Th St |
$79.04 | 17,950 | 16,588 |
|
Great Lakes Medical Center Pllc
2110 16Th Street |
$56.54 | 15,634 | 14,043 |
|
Great Lakes Bay Health Centers
690 S Trumbull St |
$23.35 | 15,477 | 14,348 |
|
Euclid Medical Group Pc
4175 N Euclid Ave |
$55.30 | 12,870 | 12,403 |
|
Childrens Medical Group Of Saginaw Bay Pllc
248 Washington Ave |
$65.94 | 12,711 | 11,262 |
|
Total Family Healthcare, Pc
1111 S Euclid Ave |
$61.44 | 8,560 | 7,787 |
|
Sylvia Agnes Jacobs Exum
1010 N Madison Ave |
$22.97 | 8,131 | 7,047 |
|
Bay Area Health Clinic Pc
3720 Katalin Ct |
$68.40 | 7,958 | 7,549 |
|
Pinconning Medical Center P.C.
4175 N Euclid Ave Ste 3 |
$42.49 | 6,114 | 5,510 |
|
Richard J Horbal Md Pc
414 N Tuscola Rd |
$61.37 | 5,371 | 5,240 |
|
Baker Ear Nose & Throat Associates Plc
4175 N Euclid |
$60.52 | 5,315 | 5,179 |
|
County Of Bay
1200 Washington Avenue |
$35.19 | 4,446 | 4,131 |
|
Gary Baughman Dpm Inc
720 Livingston St |
$34.83 | 3,779 | 3,543 |
|
Mymichigan Medical Center Saginaw
4040B N . Euclid Ave |
$79.20 | 3,566 | 3,379 |
|
Sayyid S Raza
2108 16Th St |
$43.36 | 2,923 | 2,699 |
|
Mclaren Bay Region
690 S Trumbull St |
$40.76 | 2,340 | 2,075 |
|
Rajiv Kumar Sharma
1900 Columbus Ave Bay Region |
$60.89 | 1,961 | 1,734 |
|
Alexander A Horbal Do Plc
414 N Tuscola Rd |
$71.90 | 1,822 | 1,811 |
|
Revan Maragiri Md Plc
3720 Katalin Ct |
$76.45 | 1,439 | 1,367 |
|
Riverview Medical Associates,P.C.
901 S Henry St |
$25.11 | 1,339 | 1,206 |
|
Bay Eye Care Center, Pc
116 N Tuscola Rd |
$28.87 | 1,284 | 1,255 |
|
Seth Craft Dpm Plc
720 Livingston St |
$48.50 | 1,231 | 1,157 |
|
Great Lakes Bay Health Centers
1900 Columbus Ave |
$23.74 | 1,186 | 1,008 |
|
Seth Thomas Craft
720 Livingston St |
$38.98 | 808 | 660 |
|
Comprehensive Pain Specialists, Pllc
3190 E Midland Rd |
$44.14 | 775 | 753 |
|
Brandi S Brechtelsbauer Dpm Pllc
316 S Columbian St |
$53.75 | 655 | 643 |
|
List Psychological Services, Plc
126 Washington Ave |
$70.56 | 530 | 461 |
|
Paradigm Behavioral Health Inc
122 Uptown Dr |
$66.34 | 479 | 401 |
|
Mclaren Bay Region
640 S Trumbull St |
$42.01 | 413 | 396 |
|
Charlotte Zhong Yang
912 S Euclid Ave |
$50.31 | 394 | 360 |
|
Vc Reddy Md & Ss Dandamudi Md Pc
714 S Trumbull |
$60.40 | 357 | 323 |
|
Bay Psychological Associates Pc
3941 Traxler Court |
$34.10 | 346 | 329 |
|
Andrew Paul Meyer
1010 N Madison Ave |
$20.97 | 297 | 233 |
|
Venkat Talasila
200 S Wenona St |
$52.77 | 274 | 262 |
|
Integrated Kidney Services, Plc
2210 Neidhammer Dr |
$62.48 | 268 | 265 |
|
Charles E Kerr
1601 Marquette St |
$71.64 | 237 | 218 |
|
Japhet G Joseph
714 S Trumbull St |
$60.05 | 220 | 211 |
|
Lincoln Street Pediatrics Pllc
701 S Lincoln St |
$56.18 | 219 | 194 |
|
Mark C Stewart
4 Columbus Ave Ste 360 |
$39.38 | 193 | 182 |
|
Mohamed Hanafi Abuharaz
4818 W Professional Dr |
$22.99 | 145 | 124 |
|
Foot & Ankle Specialists Of Bay City, Pllc
3601 Wilder Rd |
$65.63 | 126 | 119 |
|
Subbarao Chavali
200 S Wenona St |
$57.40 | 111 | 107 |
|
Branislav D Behan Md Pllc
2117 16Th St |
$26.39 | 109 | 107 |
|
Wellness Family Practice P.C.
2110 16Th St |
$59.44 | 95 | 92 |
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 Bay City, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bay City, MI is $71.05 per claim, based on 425,745 claims from 62 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 Bay City, MI?
There are 62 Medicaid providers offering Office Visit related services in Bay City, MI according to public payment data.
What is the price range for Office Visit in Bay City, MI?
Medicaid reimbursement for Office Visit in Bay City, MI ranges from $0.00 to $227.27 per claim, with an average of $71.05. 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 Bay City, MI
Blood Work & Lab Tests
Avg $2.35
333,235 claims
Psychiatric Evaluation
Avg $99.21
240,929 claims
Physical Therapy
Avg $39.81
167,923 claims
Case Management Services
Avg $175.52
139,357 claims
Emergency Room Visit
Avg $153.28
121,432 claims
Vaccines & Immunizations
Avg $9.02
98,699 claims
Behavioral & Mental Health Therapy
Avg $169.32
75,780 claims
Dental Cleaning & Exam
Avg $55.56
70,040 claims