Average Medicaid Office Visit Payments in Demotte, IN: $36.90
Avg. Paid
$36.90
Range
$0.00 – $97.61
Total Claims
11,012
Providers
11
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 Demotte, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Arsenio Santiago Favor
10107 N 575 E |
$28.85 | 6,468 | 4,141 |
|
Amanda Marie Scheidt
310 N Halleck St |
$52.08 | 1,756 | 1,367 |
|
Keri J. Smith
520 8Th Ave Ne |
$56.56 | 1,349 | 1,123 |
|
Helen Anderson
520 8Th Ave Ne |
$45.58 | 499 | 444 |
|
Surya K Nallari
417 N Halleck St |
$26.48 | 460 | 375 |
|
Frances Clark
11920 W State Rd 10 |
$41.74 | 255 | 197 |
|
Micah James Leestma
519 N Halleck St |
$0.00 | 90 | 65 |
|
Miranda Louise Faris
11188 N 550 E |
$33.95 | 69 | 65 |
|
Mark John Dobson
5529 W State Road 10 |
$97.61 | 28 | 26 |
|
Leestma Medical Clinic, Inc
519 N Halleck St |
$22.03 | 25 | 24 |
|
Stephany Sipe
Leestma Medical Clinic Inc |
$57.64 | 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 Demotte, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Demotte, IN is $36.90 per claim, based on 11,012 claims from 11 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 Demotte, IN?
There are 11 Medicaid providers offering Office Visit related services in Demotte, IN according to public payment data.
What is the price range for Office Visit in Demotte, IN?
Medicaid reimbursement for Office Visit in Demotte, IN ranges from $0.00 to $97.61 per claim, with an average of $36.90. 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
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Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
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Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Demotte, IN
Nursing Facility Care
Avg $1.87
14,065 claims
Dental Cleaning & Exam
Avg $41.85
4,800 claims
Chiropractic Care
Avg $23.95
4,099 claims
Dental Filling
Avg $101.20
2,446 claims
Ambulance Transport
Avg $136.20
1,440 claims
Physical Therapy
Avg $0.00
1,163 claims
Tooth Extraction
Avg $162.15
770 claims
Eye Exam
Avg $25.77
106 claims