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
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 Detroit, MI
Emergency Room Visit
Avg $110.55
4,694,783 claims
Blood Work & Lab Tests
Avg $3.68
4,416,700 claims
Substance Abuse Treatment
Avg $28.79
3,445,158 claims
Home Health Visit
Avg $57.99
2,886,533 claims
X-Ray
Avg $10.17
1,790,332 claims
Psychiatric Evaluation
Avg $99.11
1,494,151 claims
Behavioral & Mental Health Therapy
Avg $129.03
1,324,733 claims
Vaccines & Immunizations
Avg $9.63
1,323,166 claims