Average Medicaid Office Visit Payments in Benton Harbor, MI: $57.07
Avg. Paid
$57.07
Range
$3.96 – $195.14
Total Claims
201,484
Providers
15
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 Benton Harbor, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Lisas Advanced Practice Primary Care Staffing Corp
756 Pipestone St |
$57.57 | 29 | 26 |
|
Grades Podiatric Group, Pllc
185 E Main St Ste 408 |
$38.96 | 30 | 30 |
|
Bonita L Jones
960 Agard Ave |
$14.91 | 137 | 130 |
|
Donald J Tynes
756 Pipestone St |
$67.36 | 224 | 192 |
|
Dawn Renee Schreckengust
1850 Pipestone Ave. |
$72.26 | 383 | 354 |
|
Intercare Community Health Network
1485 M 139 |
$4.19 | 566 | 531 |
|
County Of Berrien Michigan
2149 East Napier Avenue |
$12.63 | 1,894 | 1,863 |
|
Gregory S Wallin
1986 Mall Pl |
$55.86 | 2,065 | 1,712 |
|
Intercare Community Health Network
870 Colfax Ave |
$8.55 | 2,274 | 1,965 |
|
Eastgate Internal Medicine Ltd
1686 Colfax Ave |
$55.94 | 2,780 | 1,922 |
|
Intercare Community Health Network
796 Highway M-139 |
$3.96 | 6,010 | 5,673 |
|
Benton Harbor Health Center Pllc
687 E Empire Ave |
$60.15 | 10,115 | 8,601 |
|
Harbortown Treatment Center Pllc
1022 E Main St |
$75.33 | 14,096 | 10,668 |
|
Berrien Mental Health Authority
1485 S. M-139 |
$195.14 | 46,053 | 44,519 |
|
Intercare Community Health Network
800 M-139 |
$3.96 | 114,828 | 106,737 |
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 Benton Harbor, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Benton Harbor, MI is $57.07 per claim, based on 201,484 claims from 15 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 Benton Harbor, MI?
There are 15 Medicaid providers offering Office Visit related services in Benton Harbor, MI according to public payment data.
What is the price range for Office Visit in Benton Harbor, MI?
Medicaid reimbursement for Office Visit in Benton Harbor, MI ranges from $3.96 to $195.14 per claim, with an average of $57.07. 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 Benton Harbor, MI
Substance Abuse Treatment
Avg $16.31
521,461 claims
Psychiatric Evaluation
Avg $108.74
120,235 claims
Vaccines & Immunizations
Avg $1.86
117,240 claims
Case Management Services
Avg $337.01
74,384 claims
Home Health Visit
Avg $73.64
57,654 claims
Dental Cleaning & Exam
Avg $64.95
56,442 claims
Ambulance Transport
Avg $106.05
47,408 claims
Durable Medical Equipment (DME)
Avg $50.33
28,766 claims