Average Medicaid Office Visit Payments in Clinton Twp, MI: $141.00
Avg. Paid
$141.00
Range
$4.38 – $291.10
Total Claims
324,696
Providers
27
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 Clinton Twp, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Macomb County Community Mental Health
43740 N Groesbeck Hwy |
$291.10 | 110,203 | 103,112 |
|
Henry Ford Macomb Hospital Corporation
15717 15 Mile Rd |
$73.05 | 88,341 | 83,507 |
|
Pioneer Medical Associates P.C.
15945 19 Mile Rd Ste 204 |
$55.32 | 20,847 | 19,795 |
|
S L Husain Hamzavi Md Pc
43151 Dalcoma Dr |
$42.60 | 17,909 | 17,377 |
|
Henry Ford Macomb Hospital Corporation
16151 19 Mile Rd |
$49.31 | 17,690 | 16,956 |
|
Total Health Systems Inc
43740 Garfield Rd |
$72.25 | 13,723 | 12,841 |
|
Bhavana Vyas Md Pllc
43475 Dalcoma Dr Ste 208 |
$73.82 | 12,564 | 9,930 |
|
Reza Kahnamouei Md Pllc
43301 Commons Dr |
$70.91 | 8,651 | 7,974 |
|
Henry Ford Macomb Hospital Corporation
15855 19 Mile Rd |
$64.06 | 7,276 | 6,912 |
|
Get Well Urgent Care Macomb Plc
15945 19 Mile Rd Ste 102 |
$65.92 | 6,304 | 5,977 |
|
Comprehensive Woman'S Care, Pc
39200 Garfield Rd |
$47.41 | 5,271 | 4,865 |
|
Garfield Pediatrics Associates, P.C.
39400 Garfield Rd |
$59.52 | 3,982 | 2,932 |
|
Jeffrey M. Bruner, D.O., P.C.
42607 Garfield Rd |
$58.64 | 2,860 | 2,759 |
|
Brian G. Loder Dpm Plc
43391 Commons Dr |
$37.32 | 1,790 | 1,260 |
|
Macomb Internal Medicine Pc
15520 19 Mile Rd |
$68.56 | 1,784 | 1,716 |
|
Total Health Systems Inc
43740 Garfield Rd |
$4.38 | 1,752 | 1,731 |
|
Partridge Family Physicians Pc
43201 Commons Drive |
$55.82 | 1,377 | 1,171 |
|
County Of Macomb
43740 N Groesbeck Hwy |
$33.44 | 734 | 707 |
|
George Nassif, M.D Pllc
39621 Garfield Rd |
$71.24 | 624 | 606 |
|
Drs Iacobelli & Digregorio, P.C.
16510 19 Mile Rd |
$38.52 | 447 | 427 |
|
Kianoush Khaghany
16151 19 Mile Rd |
$60.81 | 377 | 353 |
|
Macomb Surgical Associates,P.C.
21510 Harrington St Ste 102 |
$44.55 | 74 | 73 |
|
Lake Lazer Eye Center Pc
35776 Harper Ave |
$61.60 | 50 | 41 |
|
Thomas Fohnatee King
15855 19 Mile Rd |
$17.54 | 28 | 26 |
|
Shivanhalli Prakash
43311 Commons Dr |
$78.43 | 13 | 13 |
|
Chakradhar C Reddy Md Pc
36232 Garfield Rd |
$71.97 | 13 | 12 |
|
Optometry, P.C.
42550 Garfield Rd |
$27.21 | 12 | 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 Clinton Twp, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Clinton Twp, MI is $141.00 per claim, based on 324,696 claims from 27 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 Clinton Twp, MI?
There are 27 Medicaid providers offering Office Visit related services in Clinton Twp, MI according to public payment data.
What is the price range for Office Visit in Clinton Twp, MI?
Medicaid reimbursement for Office Visit in Clinton Twp, MI ranges from $4.38 to $291.10 per claim, with an average of $141.00. 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 Clinton Twp, MI
Behavioral & Mental Health Therapy
Avg $73.40
648,265 claims
Physical Therapy
Avg $20.95
384,397 claims
Case Management Services
Avg $288.51
296,386 claims
Blood Work & Lab Tests
Avg $2.79
266,913 claims
Psychiatric Evaluation
Avg $243.47
151,522 claims
Emergency Room Visit
Avg $221.74
82,322 claims
Chiropractic Care
Avg $28.49
69,124 claims
Urinalysis & Urine Tests
Avg $1.09
66,540 claims