Average Medicaid Office Visit Payments in Brookville, IN: $53.46
Avg. Paid
$53.46
Range
$16.59 – $77.76
Total Claims
58,186
Providers
22
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 Brookville, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Allison M. Halcomb
11137 Us Highway 52 |
$39.22 | 11,072 | 7,938 |
|
Timothy Kyle Richmond
10058 Cooley Rd |
$77.43 | 7,024 | 6,816 |
|
Kenneth J Pahren
11137 Us Highway 52 |
$50.35 | 5,841 | 4,554 |
|
Darrell Monroe Brimhall
11137 Us Highway 52 |
$71.75 | 5,636 | 4,973 |
|
Joanne Guttman
11137 Us Highway 52 Ste B |
$43.80 | 5,445 | 4,682 |
|
Kimberly Joanne Cox
11137 Us Highway 52 |
$43.50 | 5,254 | 4,207 |
|
Scott G Marsteller
617 Main St Ste A |
$60.14 | 4,731 | 4,099 |
|
Katie M. Marker
617 Main St |
$65.89 | 2,665 | 2,289 |
|
Teresa Yvonne Wuestefeld
11137 Us Highway 52 |
$41.55 | 2,481 | 1,894 |
|
Richard A Turner
11137 Us Highway 52 |
$42.42 | 2,303 | 1,958 |
|
Christine E Romani
11137 Us Highway 52 |
$42.54 | 2,131 | 1,845 |
|
Ashley Nicole Partin
11137 Us Highway 52 |
$69.01 | 1,645 | 1,407 |
|
Mackenzie Speers
305 Main St |
$53.35 | 681 | 559 |
|
Lindsey Elizabeth Porta
11051 State Road 101 |
$77.76 | 388 | 318 |
|
George'S Family Pharmacy Inc
480 Main St |
$16.59 | 311 | 300 |
|
Stacy M Siefert
11137 Us Highway 52 |
$50.23 | 216 | 181 |
|
John Todd
11137 Us 52 |
$36.56 | 100 | 74 |
|
Douglas Engle
11137 Us 52 |
$74.13 | 85 | 76 |
|
Kayleigh Geiser
10058 Cooley Rd |
$38.01 | 74 | 51 |
|
Yonna Allen
8084 Whitcomb Rd |
$54.84 | 45 | 38 |
|
Victoria Backscheider
11137 Us 52 |
$66.23 | 32 | 31 |
|
Brett Schrank
305 Main St |
$65.52 | 26 | 24 |
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 Brookville, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Brookville, IN is $53.46 per claim, based on 58,186 claims from 22 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 Brookville, IN?
There are 22 Medicaid providers offering Office Visit related services in Brookville, IN according to public payment data.
What is the price range for Office Visit in Brookville, IN?
Medicaid reimbursement for Office Visit in Brookville, IN ranges from $16.59 to $77.76 per claim, with an average of $53.46. 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 Brookville, IN
Durable Medical Equipment (DME)
Avg $61.02
59,429 claims
Nursing Facility Care
Avg $14.80
15,825 claims
Blood Work & Lab Tests
Avg $4.46
14,627 claims
Emergency Room Visit
Avg $94.58
10,531 claims
Eye Exam
Avg $46.57
9,179 claims
Physical Therapy
Avg $22.36
6,449 claims
Vaccines & Immunizations
Avg $11.50
5,721 claims
Ambulance Transport
Avg $82.51
5,538 claims