Average Medicaid Office Visit Payments in Berkley, MI: $57.30
Avg. Paid
$57.30
Range
$38.56 – $296.66
Total Claims
73,203
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 Berkley, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Berkley Urgent Care Pllc
3270 Greenfield Rd |
$58.39 | 49,508 | 43,609 |
|
Berkley Medical Centers Pc
3345 Coolidge Hwy |
$52.02 | 12,155 | 11,294 |
|
Asadulla Mohammed Md Pc
27901 Woodward Ave Ste 220 |
$50.40 | 2,752 | 2,690 |
|
Foot And Ankle Specialists Of Michigan Pllc
27901 Woodward Ave |
$42.56 | 2,681 | 2,523 |
|
Associated Physicians Group Plc
1695 W 12 Mile Rd |
$58.53 | 1,783 | 1,633 |
|
New Life Alternatives Llc
3281 Coolidge Hwy |
$56.84 | 1,193 | 1,105 |
|
Royal Oak Surgical Associates Pc
1695 12 Mile Rd |
$80.79 | 935 | 929 |
|
Colin J Colter
1964 W 11 Mile Rd Ste 1 |
$38.56 | 644 | 590 |
|
Nephrology Consultants, Pc
27901 Woodward Ave |
$56.13 | 565 | 560 |
|
Michigan Physicians Group, Pc
2905 12 Mile Rd |
$43.18 | 395 | 366 |
|
John C Stephens
27901 Woodward Ave Ste 300 |
$120.36 | 235 | 216 |
|
Amie Sankareh
3270 Greenfield Rd |
$296.66 | 169 | 169 |
|
Georgina Leamon
1949 12 Mile Rd Ste 100 |
$102.98 | 144 | 141 |
|
Woodward Gastroenterology Pc
1695 12 Mile Rd |
$88.95 | 27 | 27 |
|
Art Of Dermatology Pllc
28903 Woodward Ave |
$105.99 | 17 | 17 |
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 Berkley, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Berkley, MI is $57.30 per claim, based on 73,203 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 Berkley, MI?
There are 15 Medicaid providers offering Office Visit related services in Berkley, MI according to public payment data.
What is the price range for Office Visit in Berkley, MI?
Medicaid reimbursement for Office Visit in Berkley, MI ranges from $38.56 to $296.66 per claim, with an average of $57.30. 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 Berkley, MI
Dental Cleaning & Exam
Avg $24.96
27,728 claims
Psychiatric Evaluation
Avg $76.32
25,985 claims
Blood Work & Lab Tests
Avg $2.66
16,065 claims
Emergency Room Visit
Avg $88.83
10,888 claims
Urinalysis & Urine Tests
Avg $2.04
10,558 claims
EKG / ECG (Electrocardiogram)
Avg $6.42
5,407 claims
Substance Abuse Treatment
Avg $59.42
4,838 claims
X-Ray
Avg $12.86
3,418 claims