Average Medicaid Office Visit Payments in Clare, MI: $30.40
Avg. Paid
$30.40
Range
$0.00 – $81.65
Total Claims
114,370
Providers
13
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 Clare, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Clare Alpha Chiropractic, Pllc
1426 N Mcewan St |
$0.00 | 12 | 12 |
|
John A Finn Od Pc
110 W Wheaton Ave |
$50.41 | 149 | 142 |
|
Edith Clark Dpm Pllc
125 Dwyer St |
$32.66 | 167 | 149 |
|
Maria-Eloisa Surtida Bernas
602 Beech St |
$44.09 | 220 | 214 |
|
Mission Chiropractic Family Center, P.C.
11245 N Mission Rd |
$2.35 | 472 | 466 |
|
Megan Boyk
602 Beech St Ste 3100 |
$74.07 | 745 | 696 |
|
Mclaren Central Michigan
1509 N Mcewan St |
$52.45 | 1,201 | 1,167 |
|
Mymichigan Medical Center Clare
703 N Mcewan St |
$50.62 | 1,252 | 1,217 |
|
Cedric B Masa
700 W 5Th St |
$81.65 | 2,672 | 2,483 |
|
Robert Vanderbrook, Md, Pllc
301 E 4Th St |
$69.76 | 6,642 | 6,323 |
|
Mymichigan Medical Center Clare
212 W 6Th St |
$27.18 | 7,441 | 7,095 |
|
Mymichigan Medical Center Clare
602 Beech St Ste 1100 |
$22.77 | 34,248 | 32,529 |
|
Mymichigan Medical Center Clare
602 Beech St |
$27.19 | 59,149 | 51,605 |
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 Clare, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clare, MI is $30.40 per claim, based on 114,370 claims from 13 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 Clare, MI?
There are 13 Medicaid providers offering Office Visit related services in Clare, MI according to public payment data.
What is the price range for Office Visit in Clare, MI?
Medicaid reimbursement for Office Visit in Clare, MI ranges from $0.00 to $81.65 per claim, with an average of $30.40. 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 Clare, MI
Blood Work & Lab Tests
Avg $3.81
281,169 claims
Emergency Room Visit
Avg $110.33
104,503 claims
Physical Therapy
Avg $22.12
71,362 claims
Urinalysis & Urine Tests
Avg $1.12
41,478 claims
Chiropractic Care
Avg $22.83
31,205 claims
X-Ray
Avg $22.41
25,869 claims
Culture & Microbiology Tests
Avg $2.22
19,259 claims
EKG / ECG (Electrocardiogram)
Avg $3.54
16,776 claims