Average Medicaid Office Visit Payments in Coldwater, MI: $43.07
Avg. Paid
$43.07
Range
$1.70 – $698.81
Total Claims
156,414
Providers
28
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 Coldwater, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daoud Surgery & Family Medicine Pc
356 E Chicago St |
$60.53 | 13 | 13 |
|
Kenneth Martin Rubin
410 N Willowbrook Rd |
$39.62 | 24 | 20 |
|
Daniel E Knobloch
605 W Chicago Rd Ste 2 |
$698.81 | 37 | 35 |
|
Tammi Lynn Mccoy
410 N Willowbrook Rd |
$39.64 | 39 | 31 |
|
Mark A Kallus Md Pc
360 E Chicago St |
$37.80 | 42 | 38 |
|
Bennett Optometry Llc
350 Marshall St |
$57.64 | 54 | 54 |
|
Sabeena Pradhan
360 E Chicago St |
$5.52 | 56 | 53 |
|
Community Health Center Of Branch County
370 E Chicago St |
$29.75 | 92 | 83 |
|
Coldwater Surgery Pc
360 E Chicago St |
$52.78 | 192 | 156 |
|
Community Health Center Of Branch County
360 E Chicago St Ste 106F |
$50.37 | 242 | 240 |
|
Michael L Sussex Od Pc
350 Marshall St |
$47.86 | 261 | 258 |
|
Community Health Center Of Branch County
274 E Chicago St |
$45.45 | 532 | 433 |
|
Community Health Center Of Branch County
275 N Fremont St |
$54.69 | 640 | 599 |
|
The Neurology Center Plc
23 N Hanchett St |
$61.63 | 754 | 742 |
|
David Green
274 E Chicago St |
$80.28 | 1,078 | 1,040 |
|
Holicki Eye Centers, P.C.
142 E Chicago Rd |
$50.46 | 1,421 | 1,252 |
|
Great Lakes Chiropractic Orthopedics, Pc
601 E Chicago Rd |
$5.09 | 1,430 | 1,426 |
|
Community Health Center Of Branch County
235 E Chicago St |
$36.41 | 1,867 | 1,712 |
|
Kamal Pradhan
358 E Chicago St |
$7.55 | 2,130 | 1,987 |
|
Select Health, P.C.
436 Marshall St |
$68.95 | 3,524 | 3,159 |
|
Vinod K Bhandari
200 Orleans Blvd |
$58.97 | 4,119 | 3,550 |
|
Family Practice & Orthopedic Care Center P.C.
410 N Willowbrook Rd |
$53.91 | 5,565 | 5,070 |
|
Sheena Dover
375 N Willowbrook Rd |
$50.56 | 5,850 | 4,955 |
|
Branch County Community Mental Health Authority
200 Vista Dr |
$85.52 | 13,957 | 13,475 |
|
Community Health Center Of Branch County
274 E Chicago St |
$55.12 | 17,386 | 16,258 |
|
Community Health Center Of Branch County
292 E Chicago St |
$2.79 | 21,910 | 19,997 |
|
Community Health Center Of Branch County
358 E Chicago St |
$1.70 | 28,479 | 24,952 |
|
Branch Pediatric&Adolescent Medicinepc
390 E Chicago St |
$66.34 | 44,720 | 39,974 |
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 Coldwater, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Coldwater, MI is $43.07 per claim, based on 156,414 claims from 28 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 Coldwater, MI?
There are 28 Medicaid providers offering Office Visit related services in Coldwater, MI according to public payment data.
What is the price range for Office Visit in Coldwater, MI?
Medicaid reimbursement for Office Visit in Coldwater, MI ranges from $1.70 to $698.81 per claim, with an average of $43.07. 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 Coldwater, MI
Emergency Room Visit
Avg $93.47
129,493 claims
Blood Work & Lab Tests
Avg $3.23
127,424 claims
Vaccines & Immunizations
Avg $6.38
63,538 claims
Chiropractic Care
Avg $20.38
43,740 claims
Physical Therapy
Avg $23.22
42,256 claims
Psychiatric Evaluation
Avg $103.88
41,219 claims
X-Ray
Avg $17.34
30,817 claims
Urinalysis & Urine Tests
Avg $0.97
28,054 claims