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 |
|---|---|---|---|
|
Minxin Fu
651 S Clarizz Blvd |
$64.86 | 19,981 | 15,029 |
|
Paul Stanley Taraska
645 S Rogers St Ste A |
$51.21 | 17,880 | 13,997 |
|
Earl J Craig
717 S Rogers St |
$49.74 | 17,009 | 14,770 |
|
Gregory Ervie Hanson
350 S Landmark Ave |
$73.46 | 11,860 | 10,239 |
|
Jeremy Mescher
350 S Landmark Ave |
$92.63 | 11,468 | 9,055 |
|
Katherine E Deer
203 W 1St St |
$83.80 | 10,691 | 7,349 |
|
Allan Alexander Mackay
100 N Curry Pike |
$31.40 | 10,525 | 7,928 |
|
Scot B Moore
350 S Landmark Ave |
$98.11 | 10,328 | 8,835 |
|
Jason Harold Simmonds
4935 W Arlington Rd |
$89.04 | 9,534 | 8,320 |
|
Dan Liviu Dusleag
3209 W Reddy Way |
$55.16 | 9,174 | 6,671 |
|
Anne M Leach
645 S Rogers St |
$41.38 | 8,184 | 5,864 |
|
Angela Vogt
601 W 2Nd St |
$69.21 | 8,084 | 5,845 |
|
Lia R Kettenis
645 S Rogers St |
$57.89 | 7,951 | 6,758 |
|
Vickie L Vandeventer
4935 W Arlington Rd |
$57.17 | 7,702 | 7,120 |
|
Richard K Malone
651 S Clarizz Blvd |
$83.76 | 7,546 | 6,724 |
|
Marina Bota
645 S Rogers St |
$56.34 | 7,541 | 6,651 |
|
Bridget Rund
645 S Rogers St |
$44.42 | 7,370 | 5,969 |
|
Amy Ruth Ratliff Kessens
4935 W Arlington Rd |
$84.34 | 7,099 | 6,128 |
|
Bryce Cameron Mckee
350 S Landmark Ave |
$84.67 | 7,040 | 6,161 |
|
Stephanie Frye
2920 S Mcintire Dr Ste 350 |
$46.10 | 6,403 | 5,309 |
|
Crista Lynn Virtue
350 S Landmark Ave |
$84.64 | 6,382 | 5,484 |
|
Ursula Sue Mccormick
645 S Rogers St |
$46.47 | 6,323 | 5,307 |
|
Nishanie Gunawardane
645 S Rogers St |
$66.53 | 6,230 | 5,137 |
|
Dreama Michelle Harvey
2701 E 3Rd St |
$68.69 | 5,951 | 4,292 |
|
Cerina Marie Cunningham
524 N Fairview St |
$82.82 | 5,935 | 3,368 |
|
Heather M Franklin
651 S Clarizz Blvd |
$87.40 | 5,869 | 5,071 |
|
David C Esarey
350 S Landmark Ave |
$54.53 | 5,846 | 5,434 |
|
Elizabeth Mcknight
811 W 2Nd St |
$54.56 | 5,601 | 4,894 |
|
Paul C Mattox
500 S Liberty Dr Ste 482 |
$46.08 | 5,570 | 4,748 |
|
Kenneth Wesley Oglesby
583 S Clarizz Blvd |
$43.29 | 5,545 | 5,051 |
|
Joel Harold Griffith
645 S Rogers St |
$64.13 | 5,489 | 4,035 |
|
Stacey Elizabeth Hughes
500 S Liberty Dr |
$56.97 | 5,479 | 5,258 |
|
Sarah Donaldson-Vargha
645 S Rogers St |
$55.34 | 5,368 | 4,383 |
|
Brian Harold Moore
813 W 2Nd St |
$39.95 | 5,356 | 4,722 |
|
Kevin Nelson Moore
501 S Madison St Ste 105 |
$50.34 | 5,222 | 4,534 |
|
Leeann Rachelle Roberts
5921 W State Road 46 |
$52.22 | 5,194 | 4,628 |
|
William Parker Rusche
3209 W Reddy Way Ste A |
$43.95 | 4,986 | 4,378 |
|
Audra Janice Kunzman-Mazdzer
350 S Landmark Ave |
$84.34 | 4,718 | 4,231 |
|
Emmanuel N Espinosa
Po Box 4780 |
$68.03 | 4,627 | 4,132 |
|
Karen Lorraine Reid-Renner
1403 E Atwater Ave |
$46.47 | 4,349 | 3,220 |
|
Brooke Colleen Barada
350 S Landmark Ave |
$63.38 | 4,288 | 3,945 |
|
Amanda Regester
654 S Walker St |
$50.48 | 4,135 | 3,840 |
|
William L Latimer
2605 E Creeks Edge Dr |
$62.15 | 4,123 | 3,736 |
|
Tamra R Robertson
350 S Landmark Ave |
$52.22 | 4,119 | 3,901 |
|
Brechin Marie Newby
350 S Landmark Ave |
$83.97 | 4,017 | 3,481 |
|
Nicole Swann
601 W 2Nd St |
$47.43 | 4,008 | 3,403 |
|
Jamie Carol Bales
813 W 2Nd St |
$38.07 | 4,007 | 3,540 |
|
Kathryn Gramlich
3211 W Reddy Way |
$55.65 | 3,899 | 3,071 |
|
Nichole Hickman
350 S Landmark Ave |
$53.84 | 3,818 | 3,562 |
|
William J Schmalz
3209 W Fullerton Pike |
$29.93 | 3,531 | 2,186 |
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.
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 Bloomington, IN
Blood Work & Lab Tests
Avg $7.61
379,488 claims
Emergency Room Visit
Avg $110.18
347,588 claims
Psychiatric Evaluation
Avg $57.97
205,962 claims
Vaccines & Immunizations
Avg $10.73
164,676 claims
Durable Medical Equipment (DME)
Avg $22.32
130,220 claims
EKG / ECG (Electrocardiogram)
Avg $20.80
119,589 claims
Physical Therapy
Avg $33.46
119,387 claims
Urinalysis & Urine Tests
Avg $2.16
112,538 claims