Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Bloomington, IN: $60.78

Avg. Paid

$60.78

Range

$0.89 – $159.22

Total Claims

683,299

Providers

446

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 Bloomington, IN

Provider	Avg. Paid	Claims	Patients
Melissa Marie Watters 1010 W 2Nd St	$159.22	12	12
Marshall M. Poor 700 S College Ave	$37.23	12	12
Allison M Brown 350 S Landmark Ave	$58.65	13	13
Samuel W Kimani 550 S Landmark Ave	$99.61	13	13
Amar Antony Godwin Pinto 550 Landmark Ave	$103.58	13	13
Fadi Haddad 822 W 1St St	$63.28	13	13
James F Dupler 2651 E Discovery Pkwy	$55.44	14	13
Heather Lynn Hambrick 1175 S College Mall Rd	$12.57	14	14
Amartyadeb Goswami 601 W 2Nd St	$39.84	14	12
David R Northcutt 1791 W 3Rd St	$22.38	15	12
Erin Elizabeth Barnett 550 S Landmark Ave	$26.08	16	13
James P Caughlin 995 S Clarizz Blvd	$91.39	16	12
Heather A Dickerson 5921 W State Road 46	$10.10	16	13
Amanda S Rennie 1520 S Liberty Dr	$53.29	16	14
Sarah M Ragonese 5414 W Stonewood Dr	$39.41	16	13
David E Joyce 601 W 2Nd St	$51.18	17	14
Duangnapa S. Cuddy 550 S Landmark Ave	$75.06	17	14
Brandon Matthew Osmon 1332 W Arch Haven Ave Ste C	$55.40	18	13
Ahmed M Saleh 2651 E Discovery Pkwy	$61.20	19	13
Miala R Oliger 2605 E Creeks Edge Dr	$23.83	19	12
Elizabeth Ann Newman 1105 S College Mall Rd	$48.94	20	12
Orthopedics Of South Central Indiana Llc 583 S Clarizz Blvd	$64.91	20	18
Centerstone Of Indiana, Inc. 645 S Rogers St	$26.50	21	13
John Brian O'Donnell 1920 E 3Rd St	$34.01	23	14
Jason Winfield Kennard 421 W 1St St	$116.76	26	25
Jennifer A Sayers 601 W 2Nd St	$48.52	27	25
Sarah Suzanne Hartung 995 S Clarizz Blvd	$43.59	27	18
Michael Ryskin 1010 W 2Nd St	$90.28	27	25
Elizabeth Thies Mcdaniel 1010 W 2Nd St	$40.75	27	27
Vanessa Gisela Tseng 2651 E Discovery Pkwy	$74.36	28	28
Mary Mahern 642 S Walker St	$102.25	28	24
Kellie Lyn Dunkin 451 S Park Ridge Rd	$88.58	29	20
Hayley Rose Wible 1302 S Rogers St	$34.78	30	27
Brigitte Shezelle Reina 583 S Clarizz Blvd	$28.75	31	27
Lisa Marie Ruiz 2620 N Walnut St Ste 905	$48.92	31	15
Jonathan W Surdam 1302 S Rogers St	$63.06	32	30
Erika H Poehm 2651 E Discovery Pkwy	$30.42	32	32
Magali Letizia Bacci 2112 S Azalea Ln	$34.83	32	28
Daniel Alexander Selo 550 S Landmark Ave	$71.82	32	27
Navya Reddy Alugubelli 2651 E Discovery Pkwy	$74.04	33	30
Ashton Jacobs 822 W 1St St Ste 5	$32.60	34	32
Robert Stone 514 W 2Nd St	$75.70	34	28
Megan Leigh Willis 995 S Clarizz Blvd	$44.98	35	28
Derrick T Ferguson 2651 E Discovery Pkwy	$62.59	35	32
Lauren Marie Hardisty 5921 W State Road 46	$25.73	35	31
Tiberiu Gheorghe Moga 550 S Landmark Ave	$81.05	36	27
Kyleigh Michelle Strickland 2651 E Discovery Pkwy	$41.44	36	31
Kayla Minniear 1332 W Arch Haven Ave Ste C	$82.50	36	33
Jordan D Wood 550 S Landmark Ave	$89.65	39	37
John Gabriel Maijub 2651 E Discovery Pkwy	$39.37	42	36

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 Bloomington, IN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bloomington, IN is $60.78 per claim, based on 683,299 claims from 446 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 Bloomington, IN?

There are 446 Medicaid providers offering Office Visit related services in Bloomington, IN according to public payment data.

What is the price range for Office Visit in Bloomington, IN?

Medicaid reimbursement for Office Visit in Bloomington, IN ranges from $0.89 to $159.22 per claim, with an average of $60.78. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Bloomington, IN: $60.78

Providers Offering Office Visit in Bloomington, IN

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Bloomington, IN

Blood Work & Lab Tests

Emergency Room Visit

Psychiatric Evaluation

Vaccines & Immunizations

Durable Medical Equipment (DME)

EKG / ECG (Electrocardiogram)

Physical Therapy

Urinalysis & Urine Tests