Average Medicaid Office Visit Payments in Charlotte, MI: $56.45
Avg. Paid
$56.45
Range
$7.10 – $76.43
Total Claims
66,040
Providers
15
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 Charlotte, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Sparrow Eaton Hospital
111 Lansing St Ste 230 |
$62.01 | 34,495 | 32,555 |
|
Sparrow Eaton Hospital
616 Meijer Dr |
$56.50 | 7,835 | 7,454 |
|
Sparrow Eaton Hospital
616 Meijer Dr |
$56.15 | 6,545 | 6,152 |
|
Samaritas Lutheran Social Services Of Michigan
128 S Cochran Ave |
$76.43 | 5,461 | 3,415 |
|
Cherry Street Services Inc
1033 Healthcare Dr |
$19.32 | 5,394 | 4,923 |
|
Arjuna James Cuddeback
616 Meijer Dr Ste 101 |
$59.72 | 1,631 | 1,367 |
|
Sparrow Eaton Hospital
321 E Harris St |
$7.10 | 1,537 | 1,022 |
|
Sparrow Eaton Hospital
123 Lansing St Ste 2 |
$55.32 | 1,373 | 1,359 |
|
Sparrow Eaton Hospital
321 E Harris St |
$30.77 | 765 | 713 |
|
Eye Care Associates Of Charlotte Pllc
123 Lansing St |
$47.25 | 527 | 494 |
|
Altman Family Practice
134 S Cochran Ave |
$56.54 | 172 | 97 |
|
Sparrow Eaton Hospital
111 Lansing St |
$61.87 | 106 | 106 |
|
Adult Internal Medicine And Family Care, Plc
134 S Cochran Ave |
$48.50 | 91 | 81 |
|
Emerald Medical Center Plc
114 W Harris St |
$30.62 | 83 | 65 |
|
Charlotte Family And Urgent Care Center, Pc
616 Meijer Dr |
$55.90 | 25 | 24 |
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 Charlotte, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Charlotte, MI is $56.45 per claim, based on 66,040 claims from 15 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 Charlotte, MI?
There are 15 Medicaid providers offering Office Visit related services in Charlotte, MI according to public payment data.
What is the price range for Office Visit in Charlotte, MI?
Medicaid reimbursement for Office Visit in Charlotte, MI ranges from $7.10 to $76.43 per claim, with an average of $56.45. 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 Charlotte, MI
Blood Work & Lab Tests
Avg $2.47
76,792 claims
Vaccines & Immunizations
Avg $8.08
46,174 claims
Psychiatric Evaluation
Avg $86.67
34,384 claims
Emergency Room Visit
Avg $236.95
30,462 claims
Physical Therapy
Avg $28.79
28,745 claims
Chiropractic Care
Avg $23.88
17,338 claims
Urinalysis & Urine Tests
Avg $0.49
13,637 claims
X-Ray
Avg $37.11
13,442 claims