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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Burton, MI: $37.97

Avg. Paid

$37.97

Range

$0.00 – $94.79

Total Claims

310,719

Providers

27

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 Burton, MI

Provider Avg. Paid Claims Patients
Hamilton Community Health Network Inc.

G3375 S Saginaw St

 $11.20 110,409 94,785
Henry Ford Health Genesys Hospital

1460 N Center Rd

 $53.17 49,538 42,268
Burton Urgent Care Pllc

1501 S Center Rd Bldg A

 $64.50 34,527 33,517
Genesys Integrated Group Practice Pc

3495 S Center Rd

 $53.45 30,816 28,261
Hurley Medical Center

2065 S. Center Rd.

 $55.09 24,342 23,586
Genesee Ent Associates Pc

1501 S Center Rd

 $46.29 19,396 19,090
Genesee Health System

2298 S Center Rd

 $7.13 7,993 7,353
Ascension Medical Group Genesys

1096 S Belsay Rd Ste C

 $61.27 6,434 6,185
M Haitham Al-Midani Md Pc

4050 Walli Strasse Dr Ste 1

 $48.97 5,454 5,353
The Pediatric Place Pc

3020 S Genesee Rd

 $75.97 3,388 3,105
Samir Basata Md Pc

1501 S Center Rd

 $35.61 2,967 2,830
Genesee Family Care Pc

3020 South Genesee Rd

 $30.87 2,940 2,706
Mclaren Medical Group

1459 S Center Rd

 $48.45 2,865 2,658
Genesys Ambulatory Health Services, Inc.

1460 N Center Rd

 $51.99 2,076 1,841
Genesys Integrated Group Practice Pc

1096 S Belsay Rd

 $57.14 1,793 1,709
Cecilia G. Lopez, Md,Pc

3020 S Genesee Rd

 $47.27 1,419 1,365
Healthways Michigan Group, Plc

6175 Lapeer Rd

 $66.08 1,413 1,289
Abdul Tabbaa Md Pc

1501 S Center Rd

 $37.43 852 751
Samir Basata Md

1501 S Center Rd

 $38.03 486 462
Furqan Rajput

1460 N Center Rd

 $68.81 468 443
Renaissance Chiropractic Pc

1501 S Center Rd

 $0.07 325 320
Samir Basata

1501 S Center Road

 $33.75 321 269
Burton Primary Care Pllc

1501 S Center Rd Bldg A

 $94.79 298 271
Muhammad Haitham Al-Midani

4050 Walli Strasse Dr

 $53.04 112 112
Timothy G Mcnally Do Pc

3364 S Center Rd

 $74.85 32 27
Akachi Azubuike

1096 S Belsay Rd

 $0.00 30 28
General Optical Company

1235 S Center Rd

 $93.96 25 25

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 Burton, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Burton, MI is $37.97 per claim, based on 310,719 claims from 27 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 Burton, MI?

There are 27 Medicaid providers offering Office Visit related services in Burton, MI according to public payment data.

What is the price range for Office Visit in Burton, MI?

Medicaid reimbursement for Office Visit in Burton, MI ranges from $0.00 to $94.79 per claim, with an average of $37.97. 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 Burton, MI

Physical Therapy

Avg $26.54

93,962 claims

Home Health Visit

Avg $161.10

53,923 claims

Vaccines & Immunizations

Avg $9.34

34,814 claims

Urinalysis & Urine Tests

Avg $2.57

29,618 claims

Dental Cleaning & Exam

Avg $63.24

26,891 claims

Psychiatric Evaluation

Avg $59.54

20,049 claims

Chiropractic Care

Avg $21.29

15,192 claims

X-Ray

Avg $17.61

10,373 claims