Average Medicaid Office Visit Payments in Cambridge City, IN: $62.98
Avg. Paid
$62.98
Range
$41.31 – $75.59
Total Claims
36,875
Providers
6
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 Cambridge City, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
James R Bertsch
1154 S State Road 1 Ste 1 |
$65.00 | 23,241 | 17,959 |
|
Nicole M Patterson
1154 S State Road 1 Ste 1 |
$65.26 | 4,772 | 4,062 |
|
Autumn Galindo
1154 S State Road 1 Ste 1 |
$75.59 | 2,547 | 2,024 |
|
Billie Jo Geise
415 E Main St |
$50.01 | 2,416 | 1,833 |
|
Rebecca Lee Diaz
1005 E. Main St. |
$41.31 | 2,270 | 1,596 |
|
Cory David Thomas
415 E Main St |
$57.29 | 1,629 | 1,274 |
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 Cambridge City, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Cambridge City, IN is $62.98 per claim, based on 36,875 claims from 6 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 Cambridge City, IN?
There are 6 Medicaid providers offering Office Visit related services in Cambridge City, IN according to public payment data.
What is the price range for Office Visit in Cambridge City, IN?
Medicaid reimbursement for Office Visit in Cambridge City, IN ranges from $41.31 to $75.59 per claim, with an average of $62.98. 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
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Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
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Phoenix, AZ
Avg $47.53
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Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
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Other Procedures in Cambridge City, IN
Substance Abuse Treatment
Avg $440.29
56,441 claims
Ambulance Transport
Avg $35.03
12,914 claims
Blood Work & Lab Tests
Avg $7.76
10,022 claims
Chiropractic Care
Avg $17.37
2,734 claims
Prescription Medications
Avg $7.33
2,624 claims
Physical Therapy
Avg $14.29
1,947 claims
Vaccines & Immunizations
Avg $7.11
1,251 claims
Urinalysis & Urine Tests
Avg $1.75
589 claims