Average Medicaid Office Visit Payments in Bluffton, IN: $60.50
Avg. Paid
$60.50
Range
$11.70 – $102.06
Total Claims
84,641
Providers
38
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 Bluffton, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Noel T Moore
1 Caylor Nickel Sq |
$90.03 | 11,753 | 10,610 |
|
Deborah S Baker
1115 S Main St |
$70.83 | 11,303 | 9,974 |
|
Carol J Butler
303 S Main St |
$63.43 | 8,681 | 4,660 |
|
Yadagiri R Jonna
303 S Main St |
$44.79 | 7,686 | 5,178 |
|
Stephen A Morse
125 E Cherry St |
$61.93 | 6,187 | 5,053 |
|
Joyce Ls Fischer
303 S Main St |
$60.86 | 6,068 | 3,276 |
|
Amy Lai
1169 N Main St |
$61.29 | 4,197 | 3,488 |
|
Austin J Finklea
1026 S Main St |
$72.22 | 3,737 | 3,038 |
|
Kayla Brianne Jesse
125 E Cherry St |
$39.18 | 3,281 | 2,708 |
|
Harish P Ardeshna
303 S Main St |
$36.91 | 3,236 | 2,681 |
|
Michael Paul Volpe
125 E Cherry St |
$63.29 | 2,601 | 2,185 |
|
Pekkakuzhiyil M Mathew
303 S Main St Ste 300 |
$43.59 | 2,232 | 1,535 |
|
Frederica Ann Nodine
360 N Main St |
$29.37 | 2,135 | 1,541 |
|
David J Wittbrodt
1169 N Main St Ste 7 |
$43.07 | 1,432 | 1,190 |
|
Russel Jerome Legreid
1026 S Main St |
$51.91 | 1,319 | 1,090 |
|
Mary C Donley
303 S Main St |
$49.01 | 1,208 | 775 |
|
Shezad Sanaullah
303 S Main St |
$22.77 | 1,137 | 940 |
|
Jose G Panszi
303 S Main St |
$19.36 | 1,066 | 745 |
|
Tamara K Troutt
1980 N Main St |
$44.43 | 869 | 701 |
|
Bettie Ann Shawler
1529 W Lancaster St |
$47.50 | 559 | 467 |
|
Amy M Kiel
125 E Cherry St |
$62.14 | 551 | 494 |
|
Roger D. Lemmen
360 N Main St |
$22.45 | 470 | 395 |
|
Eric P Purdy
303 S Main St |
$40.54 | 430 | 359 |
|
John J Greenman
117 S. Main St |
$49.42 | 375 | 319 |
|
Jessica M Morse
125 E Cherry St |
$63.02 | 352 | 283 |
|
Edward V Schultz
303 S Main St |
$63.79 | 345 | 294 |
|
Lindsey Garber
1010 N Main St |
$102.06 | 335 | 300 |
|
Norman D Means
125 E Cherry St |
$45.15 | 271 | 181 |
|
Veronica Rupel
125 E Cherry St |
$64.66 | 159 | 149 |
|
Jessica Lynn Ross
303 S Main St |
$57.06 | 137 | 121 |
|
Margaret R Pahmier
303 S Main St |
$39.29 | 111 | 90 |
|
Emmett Meiss
360 N Main St Ste A |
$52.38 | 105 | 100 |
|
Larry G Jones
303 S Main St |
$11.70 | 76 | 39 |
|
Ma. Luisa S Sumabat
117 S Main St |
$45.24 | 63 | 44 |
|
Erica Snyder
125 E Cherry St |
$48.68 | 49 | 41 |
|
Ryan Christopher Gustus
980 N Main St |
$58.63 | 45 | 39 |
|
Robert Dale Bleza
303 S Main St |
$65.68 | 44 | 39 |
|
Washington Ocampo Sumabat
117 S Main St |
$79.15 | 36 | 32 |
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 Bluffton, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Bluffton, IN is $60.50 per claim, based on 84,641 claims from 38 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 Bluffton, IN?
There are 38 Medicaid providers offering Office Visit related services in Bluffton, IN according to public payment data.
What is the price range for Office Visit in Bluffton, IN?
Medicaid reimbursement for Office Visit in Bluffton, IN ranges from $11.70 to $102.06 per claim, with an average of $60.50. 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 Bluffton, IN
Substance Abuse Treatment
Avg $347.80
57,755 claims
Blood Work & Lab Tests
Avg $4.01
41,722 claims
Physical Therapy
Avg $54.20
32,551 claims
Vaccines & Immunizations
Avg $8.11
15,640 claims
Speech Therapy
Avg $45.51
13,717 claims
Eye Exam
Avg $42.57
11,511 claims
Emergency Room Visit
Avg $107.82
11,501 claims
Urinalysis & Urine Tests
Avg $3.70
10,884 claims