Average Medicaid Office Visit Payments in Chelsea, MI: $58.26
Avg. Paid
$58.26
Range
$8.76 – $79.44
Total Claims
39,365
Providers
22
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 Chelsea, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Iha Health Services Corporation
1513 S Main St |
$58.04 | 9,991 | 8,961 |
|
Iha Health Services Corporation
14650 E Old Us Highway 12 |
$69.28 | 5,408 | 5,369 |
|
Pediatric Care Of Chelsea, Pc
13699 Old Us 12 |
$66.24 | 5,365 | 4,670 |
|
Iha Health Services Corporation
14288 E Old Us Highway 12 Ste 200 |
$63.61 | 5,126 | 4,904 |
|
Chelsea Community Hospital
775 S Main St |
$59.75 | 2,871 | 2,830 |
|
Lance D. Mueggenborg
1145 S Main St |
$22.94 | 2,018 | 1,872 |
|
Chelsea Community Hospital
775 S Main St |
$60.34 | 1,757 | 1,706 |
|
Chelsea Professional Services
14650 Old Us 12 |
$58.57 | 1,749 | 1,732 |
|
Chelsea Urgent Care Walk-In Clinic Pc
1301 S Main St |
$68.44 | 1,369 | 1,329 |
|
Hospitalist Physicians Medical Group Of Michigan, Pc
775 S Main St |
$37.75 | 1,330 | 1,207 |
|
Iha Health Services Corporation
14650 E Old Us Highway 12 Ste 105 |
$34.91 | 1,090 | 1,067 |
|
Kaitlin Wilkinson
13699 E Old Us Highway 12 |
$41.13 | 454 | 436 |
|
Danielle Brooke Berthold
14650 E Old Us Highway 12 |
$8.76 | 323 | 313 |
|
Lauren Oshman
14700 E Old Us Highway 12 |
$50.92 | 236 | 220 |
|
Olivia Menden Ritchie
14700 E Old Us Highway 12 |
$75.82 | 120 | 114 |
|
Chelsea Professional Services
775 S Main St |
$31.03 | 56 | 53 |
|
Iha Health Services Corporation
14288 E Old Us Highway 12 Ste 300 |
$50.36 | 27 | 24 |
|
Christopher Jonathon Frank
14700 East Old Us 12 |
$47.53 | 19 | 18 |
|
Alicia Elizabeth Snider
Iha General Surgery |
$17.29 | 14 | 12 |
|
Wilson Sui
14650 E Old Us Highway 12 |
$79.44 | 14 | 14 |
|
Step Ahead Podiatry Pllc
350 N Main St Ste 240 |
$49.94 | 14 | 12 |
|
Gina South
14288 E Old Us Hwy 12 Ste 100 |
$26.10 | 14 | 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 Chelsea, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Chelsea, MI is $58.26 per claim, based on 39,365 claims from 22 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 Chelsea, MI?
There are 22 Medicaid providers offering Office Visit related services in Chelsea, MI according to public payment data.
What is the price range for Office Visit in Chelsea, MI?
Medicaid reimbursement for Office Visit in Chelsea, MI ranges from $8.76 to $79.44 per claim, with an average of $58.26. 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 Chelsea, MI
Blood Work & Lab Tests
Avg $3.13
50,643 claims
Emergency Room Visit
Avg $217.06
19,138 claims
Vaccines & Immunizations
Avg $7.33
17,040 claims
Home Health Visit
Avg $165.56
10,322 claims
Psychiatric Evaluation
Avg $55.17
8,692 claims
Urinalysis & Urine Tests
Avg $0.38
7,673 claims
Prescription Medications
Avg $0.00
6,625 claims
X-Ray
Avg $33.20
4,967 claims