Based on public Medicaid payment data.

Average Medicaid Office Visit Payments in Detroit, MI: $56.69

Avg. Paid

$56.69

Range

$0.00 – $428.16

Total Claims

4,680,416

Providers

517

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 Detroit, MI

Provider	Avg. Paid	Claims	Patients
University Physician Group 4201 St. Antoine St.	$58.52	472,876	446,905
University Pediatricians 3901 Beaubien	$59.82	319,198	296,661
Team Mental Health Services Inc. 2925 Russell St	$94.36	220,856	199,289
Ascension St John Hospital 22101 Moross Rd	$48.95	192,003	181,359
Henry Ford Health System 2799 W Grand Blvd	$56.08	180,085	171,863
Henr Y Ford Health System 2799 W Grand Blvd	$50.63	177,164	169,623
Park Family Health Care, P.C. 12871 E Jefferson Ave	$58.45	157,410	139,513
The Wellness Plan Medical Centers 2888 W Grand Blvd	$2.88	140,746	127,544
Henry Ford Health System 2799 W Grand Blvd	$48.49	134,734	128,279
Vernor Urgent Care Pllc 3456 W Vernor Hwy	$67.18	90,204	84,374
Halo Medical Group Pllc 4160 John R St Ste 510	$50.66	87,343	80,738
Henry Ford Health System 2799 W Grand Blvd	$54.81	75,153	72,950
Detroit Community Health Connection, Inc. 13901 E Jefferson Ave	$1.98	63,564	58,989
Henry Ford Health System 2799 W Grand Blvd	$46.11	61,974	61,438
Henry Ford Health System 2799 W Grand Blvd	$42.67	56,603	54,269
Southwest Counseling Solutions 1700 Waterman	$110.68	55,958	52,461
Development Centers, Inc. 24424 W Mcnichols Rd	$95.90	53,107	51,574
Detroit Central City Community Mental Health Inc. 10 Peterboro St	$60.61	50,334	47,426
Arab American And Chaldean Council 62 W. 7 Mile Rd	$77.94	49,909	45,856
Bazzi Podiatry 7633 E Jefferson Ave	$51.19	49,903	49,092
Henry Ford Health System 2799 W Grand Blvd	$51.08	42,010	41,033
Covenant Community Care, Inc. 5716 Michigan Ave	$2.66	41,606	37,857
Henry Ford Health System 2799 W Grand Blvd	$57.17	41,603	40,415
Detroit Health Care For The Homeless 15400 W Mcnichols Rd	$2.46	39,720	36,702
Henry Ford Urgent Care 1 Ford Pl	$62.68	39,207	38,078
Henr Y Ford Health System 2799 W Grand Blvd	$47.99	38,936	38,110
The Children'S Center Of Wayne Co., Inc. 79 W Alexandrine St	$150.03	38,881	37,209
Junction Clinic 4771 Michigan Ave	$64.72	36,253	30,118
Henry Ford Health System 2799 W Grand Blvd	$62.29	34,903	34,358
Woodland Urgent Care Llc 22341 W 8 Mile Rd	$69.00	33,755	32,589
Health Centers Detroit Foundation, Inc. 7633 E Jefferson Ave	$1.36	32,200	29,299
Henry Ford Health System 2799 W Grand Blvd	$73.83	31,670	31,366
Community Health And Social Services Center, Inc 5635 W Fort St	$2.90	31,585	30,015
Am Urgent Care Plc 13031 Conant St	$66.46	26,077	23,920
Health Centers Detroit Foundation, Inc. 4201 Saint Antoine St	$0.81	26,016	24,462
City Urgent Care Pc 13403 W 7 Mile Rd	$66.44	25,988	25,326
Crescent Family Practice Pc 18250 W Warren Ave	$68.35	25,349	19,748
University Pain Clinic Associates, Pllc 4160 John R St	$61.47	24,736	23,887
Northeast Guidance Center 12800 E Warren Ave	$98.41	23,871	22,891
St Mary Mercy Physician Practices 5555 Conner St Ste 2691	$69.57	23,357	22,459
Metro Womens Health Pllc 4727 Saint Antoine St	$54.76	23,185	22,069
Henry Ford Health System 2799 W Grand Blvd	$46.74	23,181	22,814
Healthy Kids Plc 18060 Conant St	$77.63	22,836	20,226
Henry Ford Health System 2799 W Grand Blvd	$56.31	22,565	22,176
Detroit Medical Group, Pllc 14071 E Seven Mile Rd	$71.65	22,383	20,107
Universal Pediatrics Pc 4727 Saint Antoine St	$66.40	22,222	21,780
Covenant Community Care, Inc. 20901 Moross Rd	$5.86	21,751	20,058
Anjali Kumar 4160 John R Suite 521	$80.03	21,711	19,498
Do Gardi Md Pc 4160 John R St	$55.95	20,596	19,947
Henry Ford Health System 2799 W Grand Blvd	$58.64	20,230	19,984

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 Detroit, MI?

Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Detroit, MI is $56.69 per claim, based on 4,680,416 claims from 517 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 Detroit, MI?

There are 517 Medicaid providers offering Office Visit related services in Detroit, MI according to public payment data.

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

Medicaid reimbursement for Office Visit in Detroit, MI ranges from $0.00 to $428.16 per claim, with an average of $56.69. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Office Visit Payments in Detroit, MI: $56.69

Providers Offering Office Visit in Detroit, MI

What to Expect: Office Visit

Cost Components

Frequently Asked Questions

Office Visit in Other Cities

Brooklyn, NY

New York, NY

Los Angeles, CA

Chicago, IL

Bronx, NY

Phoenix, AZ

Houston, TX

Las Vegas, NV

Other Procedures in Detroit, MI

Emergency Room Visit

Blood Work & Lab Tests

Substance Abuse Treatment

Home Health Visit

X-Ray

Psychiatric Evaluation

Behavioral & Mental Health Therapy

Vaccines & Immunizations