Average Medicaid Office Visit Payments in Caro, MI: $74.13
Avg. Paid
$74.13
Range
$8.83 – $160.45
Total Claims
80,936
Providers
23
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 Caro, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Ryan Willis
1800 W Caro Rd |
$21.73 | 12 | 12 |
|
Lighthouse, Inc.
1655 E Caro Rd |
$115.62 | 24 | 24 |
|
Pinnacle Health Care Plc
1070 E Caro Rd |
$44.74 | 26 | 24 |
|
Sity M Girgis, M.D.Pc
1184 Cleaver Rd |
$41.66 | 171 | 165 |
|
Mclaren Caro Region
1800 W Caro Rd Ste Iv |
$19.27 | 939 | 885 |
|
Mclaren Caro Region
465 N Hooper St |
$28.81 | 964 | 894 |
|
Hills & Dales General Hospital, Inc.
130 Millwood Street |
$13.48 | 1,113 | 1,053 |
|
Youssef Aoun Dpm Pllc
150 Millwood St |
$43.20 | 1,133 | 1,088 |
|
Elite Psychiatric Services Plc
1184 Cleaver Rd |
$60.59 | 1,288 | 1,229 |
|
Blake Putman
1800 W Caro Rd Ste Vi |
$65.65 | 1,362 | 1,278 |
|
County Of Tuscola Health Dept.
1309 Cleaver Rd |
$12.76 | 1,370 | 1,355 |
|
Harun Al Rashid
2000 Chambers Road |
$60.25 | 1,418 | 1,358 |
|
Mclaren Caro Region
1800 W Caro Rd |
$35.22 | 1,504 | 1,405 |
|
Mutee Husein Abdeljaber
634 N State St |
$46.50 | 1,959 | 1,873 |
|
Arshad Aqil Md Pllc
1070 E Caro Rd |
$74.33 | 3,608 | 2,822 |
|
Hills & Dales General Hospital, Inc.
1048 E Caro Rd |
$11.47 | 4,050 | 3,783 |
|
Mid Michigan Medicine Pc
1070 E Caro Rd |
$67.85 | 4,460 | 3,715 |
|
List Psychological Services, Plc
467 N State St |
$86.40 | 5,159 | 3,809 |
|
Caro Health Plaza Plc
1525 W Caro Rd |
$8.83 | 6,461 | 5,849 |
|
Caro Health Plaza Plc
1525 W Caro Rd |
$52.89 | 8,306 | 7,594 |
|
Mclaren Caro Region
401 N Hooper St |
$48.86 | 8,336 | 7,744 |
|
Vitality Med Pllc
1800 W Caro Rd Ste Vi |
$75.21 | 10,305 | 9,620 |
|
Tuscola County Community Mental Health Services Board
323 N State St |
$160.45 | 16,968 | 16,236 |
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 Caro, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Caro, MI is $74.13 per claim, based on 80,936 claims from 23 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 Caro, MI?
There are 23 Medicaid providers offering Office Visit related services in Caro, MI according to public payment data.
What is the price range for Office Visit in Caro, MI?
Medicaid reimbursement for Office Visit in Caro, MI ranges from $8.83 to $160.45 per claim, with an average of $74.13. 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 Caro, MI
Psychiatric Evaluation
Avg $101.73
73,266 claims
Blood Work & Lab Tests
Avg $2.13
50,230 claims
Behavioral & Mental Health Therapy
Avg $227.10
45,309 claims
Case Management Services
Avg $160.21
45,033 claims
Emergency Room Visit
Avg $159.61
30,123 claims
Vaccines & Immunizations
Avg $8.95
23,231 claims
Nursing Facility Care
Avg $20.04
17,703 claims
Chiropractic Care
Avg $23.07
11,504 claims