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Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Clarkston, MI: $57.88

Avg. Paid

$57.88

Range

$13.47 – $879.83

Total Claims

198,910

Providers

29

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 Clarkston, MI

Provider Avg. Paid Claims Patients
Ismail B. Sendi, Md, Pc

6549 Town Center Dr

 $54.89 101,504 96,910
Springfield Urgent Care, P.L.L.C.

9749 Dixie Hwy Ste B

 $68.12 44,743 43,134
Pine Knob Urgent Care Pllc

6310 Sashabaw Rd

 $51.98 20,280 19,142
North Oakland Ear Nose &Throat Centers Pc

5701 Bow Pointe Dr

 $62.63 7,700 7,511
Iha Ooma Primary Llc

6770 Dixie Hwy Ste 303

 $64.62 5,909 5,626
Pulmonary & Critical Care Medicine Consultants Pc

5701 Bow Pointe Dr Ste 365

 $54.18 4,103 4,009
Tanir Medical Center Pc

6080 Dixie Hwy Ste B

 $67.69 3,903 3,707
Pain Management Centers Pc

5625 Water Tower Pl

 $13.47 3,143 2,921
Waldon Internal Medicine

5900 Waldon Rd

 $58.77 1,669 1,505
Downriver Mental Health Clinic Pc

7300 Dixie Hwy

 $36.81 1,378 1,300
Independence Urgent Care

7192 N Main St

 $47.82 1,118 1,059
Jeetender Matharu Md Plc

7250 Dixie Hwy

 $65.97 527 491
Mithun Kotresh Neral

6815 Dixie Hwy Ste 1

 $49.92 440 413
Cody Senkyr

6507 Town Center Dr

 $40.01 430 365
Numan Fateh

5680 Bow Pointe Dr Ste 202

 $45.53 320 313
Michael E. Stachecki, M.D., P.L.L.C.

5885 S Main St

 $55.99 300 262
Sardelli Orthopaedics Pllc

5680 Bow Pointe Dr Ste 102

 $57.02 257 246
Endoscopic Solutions Pc

5701 Bow Pointe Dr.

 $59.92 239 229
Clifford Laliberte

5653 Sashabaw Rd

 $40.59 235 227
Comprehensive Family Healthcare, Pllc

6770 Dixie Hwy

 $52.80 227 219
Alan Millman

6770 Dixie Highway

 $129.72 142 138
Kyle Antosiek Do Pc

5680 Bow Pointe Dr Ste 102

 $83.02 95 95
Oakland Eye Care, P.C.

5825 S Main St

 $69.77 67 67
Wanda M Lewis

10112 Windy Knoll Ct

 $879.83 58 48
Ricardo Cabrera Md Plc

7250 Dixie Hwy

 $48.94 40 37
Spadafora Eye Care Pllc

6445 Citation Dr Ste B

 $73.28 28 27
Oakland Eye Care, P.C.

5701 Bow Pointe Dr

 $67.79 25 25
Michigan Center For Orthopedic Surgery Plc

5701 Bow Pointe Dr

 $28.64 17 17
Somers Foot & Ankle

6483 Citation Dr

 $46.10 13 12

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 Clarkston, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clarkston, MI is $57.88 per claim, based on 198,910 claims from 29 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 Clarkston, MI?

There are 29 Medicaid providers offering Office Visit related services in Clarkston, MI according to public payment data.

What is the price range for Office Visit in Clarkston, MI?

Medicaid reimbursement for Office Visit in Clarkston, MI ranges from $13.47 to $879.83 per claim, with an average of $57.88. 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 Clarkston, MI

Psychiatric Evaluation

Avg $60.37

485,187 claims

Dental Cleaning & Exam

Avg $36.58

27,453 claims

Blood Work & Lab Tests

Avg $31.35

17,405 claims

Behavioral & Mental Health Therapy

Avg $226.12

9,664 claims

Chiropractic Care

Avg $20.72

9,597 claims

Physical Therapy

Avg $23.54

8,908 claims

Dental Filling

Avg $115.71

6,964 claims

Urinalysis & Urine Tests

Avg $2.32

5,976 claims