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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
Michigan Infection Specialists Pllc

7815 E Jefferson Ave

$50.96 12 12
Michigan Rehabilitation Physicians

17187 Schaefer Hwy

$18.17 12 12
Ahmad Dib Dudar

2799 W Grand Blvd

$88.83 12 12
Henry Ford Health System

2799 W Grand Blvd

$35.10 12 12
Eric Goldstein

2799 W Grand Blvd

$119.39 12 12
Sufiya Shaik Hussain

3031 W Grand Blvd

$56.66 12 12
Brian P. O'Neill

2799 W Grand Blvd

$71.25 12 12
Thomas Knuth Md Pa

22101 Moross Rd

$78.91 12 12
University Physician Group

4201 Saint Antoine St

$8.05 12 12
Mary L Jackson-Hammond

3800 Woodward Ave

$57.06 12 12
Detroit Wayne Mental Health Authority

707 W Milwaukee St

$65.88 12 12
Laura Eldridge

400 Renaissance Ctr Ste 2600

$62.91 12 12
Christopher Giles

2799 W Grand Blvd

$80.38 12 12
Justin D Klein

3901 Beaubien St

$53.43 12 12
Sherwood Medical Center, Inc

7441 W 7 Mile Rd

$41.20 12 12
Henry Ford Health System

2799 W Grand Blvd

$48.49 12 12
Kara Bethany Pappas

University Pediatricians

$78.30 13 13
Adeola Catherine Akeredolu

11148 Harper Avenue

$12.49 13 13
Kevin Glamm

4201 Saint Antoine St

$27.66 13 13
Hassan Abou-Rass

22201 Moross Rd

$59.61 13 13
Jessica Mikita

4160 John R St Ste 615

$60.47 13 13
L Brintley Md Pllc

2617 W Grand Blvd

$140.35 13 13
Anita Cain

13901 E. Jefferon Ave.

$0.00 13 13
Anthonia Chinedu Umelogu

17321 Telegraph Rd

$40.81 13 13
Leslie Danley

13901 E Jefferson Ave

$0.00 13 13
Manasi Manoj Godbole

2800 W Grand Blvd Dept

$58.85 14 14
Samar Chamas

2799 W Grand Blvd

$82.96 14 13
Diixa Patel

3990 John R St

$0.00 14 14
Shereaf Walid Walid

1247 Woodward Ave

$37.00 14 13
Family Medical Center Of Michigan, Inc

2425 Tuxedo St Rm 115

$0.00 14 13
Gouri Ramesh

7900 Kercheval St

$0.00 14 13
Tehmina Shakir

2751 E Jefferson Ave

$60.21 15 15
Wendy W. Webster Dpm,Pc

19933 Livernois Ave

$44.04 15 15
Jared Michael Mahylis

2799 W Grand Blvd

$3.78 15 13
Ribhi Hazin

3611 Carpenter St Ste 5

$54.99 15 12
Henry Ford Health St. John Hospital

1 Ford Pl Ste 3A

$50.44 15 13
Marjan Moghaddam

3370 E Jefferson Ave

$76.68 15 13
Domingo J. Franco-Palacios

2799 W Grand Blvd

$62.83 16 14
Deon David Middlebrook

20176 Livernois Ave

$92.12 16 16
Ashley Marie Thibodeau

3950 Beaubien St

$97.99 16 16
Alan F Green

2950 E Jefferson Ave

$0.00 17 17
Wan Yee Kong

Sinai-Grace Hospital/Detroit Medical Center

$36.05 18 18
Henri Godbold

20901 W 7 Mile Rd

$81.95 18 17
Pranav Sharma

2799 W Grand Blvd

$37.14 24 24
Sergio Bartakian

Children'S Hospital Of Mi - 4Th

$36.25 24 24
Heart And Vascular Care, P.C.

4771 Michigan Ave

$72.12 25 24
James John Brown

3901 Beaubien

$77.77 25 24
Tammam Dayyoub

2799 W Grand Blvd

$69.95 25 25
Syeda Zofeshan Haque

7436 Woodward Ave

$87.10 26 26
Henry Ford Health St. John Hospital

22101 Moross Rd

$24.95 27 27

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.

Office Visit in Other Cities

Other Procedures in Detroit, MI