Average Medicaid Office Visit Payments in Cadillac, MI: $23.27
Avg. Paid
$23.27
Range
$1.01 – $109.61
Total Claims
220,484
Providers
24
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 Cadillac, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Baldwin Family Health Care
520 Cobb St |
$4.73 | 56,843 | 52,133 |
|
Mackinaw Trail Health Associates, P.C.
7917 Mackinaw Trl |
$1.01 | 39,867 | 35,957 |
|
Munson Healthcare Cadillac
7985 Mackinaw Trl |
$9.17 | 36,119 | 33,762 |
|
Munson Healthcare Cadillac
302 Hobart St |
$38.49 | 32,029 | 30,559 |
|
Cadillac Family Physicians, P.C.
8950 Professional Dr |
$70.51 | 18,476 | 16,746 |
|
Arthur R Jeynes Dpm Pc
8805 Pine Ridge Drive |
$45.10 | 8,268 | 8,003 |
|
Cadillac After Hours Clinic Pllc
440 Cobb St |
$54.73 | 7,896 | 7,652 |
|
Munson Healthcare Cadillac
927 S Carmel St |
$50.00 | 4,408 | 4,335 |
|
Munson Healthcare Cadillac
8872 Professional Dr Ste B |
$49.00 | 3,429 | 3,322 |
|
Chowdhury Md Pllc
8795 Pine Ridge Dr |
$56.75 | 2,271 | 2,232 |
|
Holly Kay Paris
440 Cobb St |
$109.61 | 1,905 | 1,732 |
|
Munson Healthcare Cadillac
1011 Sunnyside Dr |
$59.66 | 1,723 | 1,676 |
|
Munson Healthcare Cadillac
400 Hobart St |
$40.44 | 1,571 | 1,500 |
|
Lisa Jacobson D.O., P.C.
8872 Professional Dr |
$46.70 | 1,547 | 1,471 |
|
Family Practice Of Cadillac Pc
827 E Division St |
$45.75 | 1,408 | 1,298 |
|
Jacob Ian Maclean
7985 S Mackinaw Trl |
$30.69 | 893 | 732 |
|
Robert Kendell D.O.,P.C.
8872 Professional Dr |
$50.87 | 774 | 753 |
|
Munson Healthcare Cadillac
400 Hobart St |
$55.31 | 415 | 414 |
|
Brian R Drabik D.O. P.C.
1011 Sunnyside Dr |
$46.26 | 409 | 394 |
|
Kelli Iceman
8805 Pine Ridge Dr |
$50.28 | 98 | 80 |
|
Cadillac Orthopaedics, Pc
8872 Professional Drive |
$47.58 | 56 | 54 |
|
Jonathan Levi
520 Cobb St |
$56.14 | 38 | 27 |
|
Martin Dubravec
200 East Mason Street |
$37.67 | 26 | 26 |
|
Thomas G Smith
8950 Professional Dr |
$68.43 | 15 | 13 |
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 Cadillac, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cadillac, MI is $23.27 per claim, based on 220,484 claims from 24 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 Cadillac, MI?
There are 24 Medicaid providers offering Office Visit related services in Cadillac, MI according to public payment data.
What is the price range for Office Visit in Cadillac, MI?
Medicaid reimbursement for Office Visit in Cadillac, MI ranges from $1.01 to $109.61 per claim, with an average of $23.27. 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 Cadillac, MI
Blood Work & Lab Tests
Avg $2.84
225,801 claims
Physical Therapy
Avg $24.05
119,306 claims
Vaccines & Immunizations
Avg $2.13
72,263 claims
Emergency Room Visit
Avg $137.05
70,447 claims
Urinalysis & Urine Tests
Avg $1.09
61,520 claims
Psychiatric Evaluation
Avg $65.68
56,830 claims
Chiropractic Care
Avg $21.61
41,468 claims
X-Ray
Avg $22.72
33,876 claims