Average Medicaid Office Visit Payments in Carmel, IN: $63.62
Avg. Paid
$63.62
Range
$0.05 – $138.12
Total Claims
374,748
Providers
393
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 Carmel, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Julie Teague
11900 N Penn St Ste 202 |
$68.69 | 15,269 | 10,399 |
|
Aileen D Bays
13250 Hazel Dell Pkwy |
$67.45 | 9,602 | 6,767 |
|
Jie Xu
12188A N Meridian St Ste 375 |
$37.64 | 9,407 | 7,462 |
|
Derek T Sprunger
201 Pennsylvania Pkwy Ste 100 |
$115.71 | 8,316 | 7,372 |
|
Denis Jusufbegovic
11220 Illinois St Ste 110 |
$95.02 | 7,761 | 6,301 |
|
Margaret Elaine Southwood
11725 Illinois St Ste 490 |
$73.92 | 6,901 | 5,047 |
|
Jason Moor
1950 E Greyhound Pass |
$81.32 | 6,521 | 5,624 |
|
Sanju J Daftari
11911 N Meridian St |
$71.98 | 6,310 | 5,908 |
|
Karl D Shively
11725 Illinois St Ste 520 |
$92.62 | 5,855 | 4,831 |
|
Lindsey Marie Webster
11911 N Meridian St Ste 150 |
$57.64 | 5,391 | 4,946 |
|
Julia A Fonte
529 E 116Th St |
$98.47 | 5,029 | 4,018 |
|
Jacqueline Suzanne Butler
13250 Hazel Dell Pkwy Ste 104 |
$49.65 | 4,795 | 4,133 |
|
Andrew R. Greenspan
11725 N Illinois St |
$56.94 | 4,585 | 3,279 |
|
Steven J Delee
14535A Hazel Dell Pkwy |
$73.67 | 4,379 | 3,530 |
|
Sarah E Miller
11900 N Penn St Ste 104 |
$47.77 | 4,146 | 3,125 |
|
Rashida Akilah Dodson
1217 S Rangeline Rd |
$54.45 | 4,019 | 3,187 |
|
Fadi Wehbi
14828 Greyhound Ct Ste 100 |
$75.55 | 3,825 | 3,128 |
|
James R Smith
11725 N Illinois St |
$138.12 | 3,757 | 2,607 |
|
Michael Marcotte
13420 N Meridian St Ste 200 |
$90.62 | 3,719 | 2,341 |
|
Trang Ca Laube
14751 Carey Rd |
$70.94 | 3,675 | 2,641 |
|
Valerie Kaye Jackson
13250 Hazel Dell Pkwy Ste 104 |
$37.59 | 3,589 | 2,665 |
|
Kayla Ann Nobbe
13655 Smokey Ridge Pl |
$61.53 | 3,563 | 3,268 |
|
Alicia Leedy
11911 N Meridian St |
$64.33 | 3,364 | 2,804 |
|
Joshua R Wellington
11595 N Meridian St Ste 402 |
$66.13 | 3,341 | 2,834 |
|
Kashana Ruth
484 E Carmel Dr Ste 309 |
$30.08 | 3,335 | 2,827 |
|
Kelly Braun
11911 N. Meridian Street |
$56.86 | 3,321 | 3,050 |
|
Diana L Guynn
13090 Petigru St |
$11.76 | 3,269 | 2,760 |
|
Yonghua Zhang
1217 S Rangeline Rd |
$43.45 | 3,185 | 2,506 |
|
Matthew Benjamin Main
310 Medical Drive |
$56.37 | 3,182 | 2,461 |
|
Kelly B O'Shaughnessey
13250 Hazel Dell Pkwy Ste 104 |
$111.40 | 2,957 | 2,347 |
|
Lauren Courtney Addleman
310 Medical Dr Ste 102 |
$67.75 | 2,806 | 2,440 |
|
Robert Gerald Klitzman
11725 Illinois St Ste 515 |
$91.32 | 2,781 | 2,453 |
|
Niraj Gupta
12188B N Meridian St Ste 260 |
$41.33 | 2,724 | 1,950 |
|
Robert Gunnar Tysklind
151 Pennsylvania Pkwy |
$94.26 | 2,711 | 2,447 |
|
Stacey Lynn Roberts
13345 Illinois St |
$15.15 | 2,700 | 1,802 |
|
Stephen B Freeman
12188 A North Meridian St |
$59.59 | 2,667 | 2,244 |
|
Mahesh C Goel
13502 Flintridge Pass |
$25.99 | 2,656 | 1,612 |
|
Rachael Kristine Ramos
13430 N Meridian St Ste 275 |
$64.48 | 2,592 | 2,340 |
|
Milan Shah
11220 Illinois St Ste 120 |
$68.65 | 2,548 | 2,184 |
|
Andrew T Bridge
13000 N Meridian St Ste 101 |
$75.22 | 2,544 | 2,201 |
|
Sarah B Palmer
11911 N Meridian St Ste 180 |
$59.74 | 2,428 | 2,153 |
|
Kylie Henderson
12900 N Meridian St Ste 140 |
$78.54 | 2,334 | 1,846 |
|
Sherry Dawn Hash
13345 Illinois St |
$50.12 | 2,314 | 1,589 |
|
Patricia A. Grayson
11590 N Meridian St |
$63.78 | 2,276 | 2,146 |
|
Sneha Pai
201 Pennsylvania Pkwy Ste 315 |
$92.33 | 2,201 | 1,956 |
|
Chad Sperry
1130 Mohawk Hills Dr Apt C |
$51.35 | 2,199 | 1,458 |
|
Joanne Bacon Smith
310 Medical Dr Ste 102 |
$70.53 | 2,165 | 1,868 |
|
Mary C Scamardo-Mitchell
133 Carlin Dr |
$33.43 | 2,161 | 1,601 |
|
Erika Green
3677 Gould Dr |
$54.52 | 2,155 | 1,879 |
|
Palmer J Mackie
11725 Illinois St Ste 250 |
$24.03 | 2,117 | 1,780 |
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 Carmel, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Carmel, IN is $63.62 per claim, based on 374,748 claims from 393 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 Carmel, IN?
There are 393 Medicaid providers offering Office Visit related services in Carmel, IN according to public payment data.
What is the price range for Office Visit in Carmel, IN?
Medicaid reimbursement for Office Visit in Carmel, IN ranges from $0.05 to $138.12 per claim, with an average of $63.62. 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 Carmel, IN
Blood Work & Lab Tests
Avg $10.77
336,257 claims
Substance Abuse Treatment
Avg $89.04
289,866 claims
Behavioral & Mental Health Therapy
Avg $120.09
256,526 claims
Physical Therapy
Avg $31.20
136,368 claims
Eye Exam
Avg $36.01
119,079 claims
Case Management Services
Avg $33.88
109,381 claims
Psychiatric Evaluation
Avg $46.75
105,700 claims
Emergency Room Visit
Avg $100.94
82,666 claims