Average Medicaid Office Visit Payments in East Chicago, IN: $56.15
Avg. Paid
$56.15
Range
$0.00 – $85.08
Total Claims
188,524
Providers
59
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 East Chicago, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Southlake Community Mental Health Center Inc.
3903 Indianapolis Blvd |
$0.00 | 17 | 12 |
|
Lady Anne Margotte Plasabas
100 W Chicago Ave Ste F |
$46.64 | 18 | 12 |
|
Samuel C. Lau
4321 Fir St |
$64.45 | 24 | 16 |
|
Jessica Rayner
4320 Fir St |
$39.00 | 37 | 29 |
|
Andrew Michael Brown
4321 Fir St |
$22.50 | 38 | 28 |
|
Wenfei Yang
100 W Chicago Ave |
$84.01 | 51 | 38 |
|
Leslie Owen
4321 Fir St |
$38.42 | 53 | 26 |
|
Mary K Evangelista
4321 Fir St |
$44.38 | 53 | 50 |
|
Zalak Patel
4320 Fir St Unit 320 |
$58.43 | 74 | 66 |
|
Virginia Elizabeth Hyland
4320 Fir Street |
$29.25 | 130 | 86 |
|
John P Rachoy
4321 Fir St |
$12.79 | 203 | 87 |
|
Marisa Perez
4321 Fir St |
$51.80 | 263 | 231 |
|
Cherokee N Robinson Smith
4321 Fir St |
$44.18 | 323 | 177 |
|
Melinda Michelle Abbring
4320 Fir St Unit 417 |
$44.50 | 324 | 268 |
|
Kevin Parikh
4320 Fir St Unit 220 |
$53.04 | 334 | 286 |
|
Edward Capoccia
4320 Fir St Unit 220 |
$50.53 | 337 | 288 |
|
Khushbu Mehta
2323 Broadway Street |
$55.91 | 418 | 328 |
|
Kantilal S. Patel
525 W Chicago Ave |
$27.04 | 506 | 304 |
|
Brittany C Hausmann
4321 Fir St |
$30.79 | 561 | 201 |
|
Rachel Santay
3903 Indianapolis Blvd |
$65.71 | 817 | 668 |
|
Robert Scott Martin
4705 Indianapolis Blvd |
$45.71 | 916 | 750 |
|
Joseph Phillip Spott
4320 Fir St |
$79.89 | 985 | 830 |
|
Diana Garcia Burns
1313 W Chicago Ave |
$49.93 | 1,220 | 1,002 |
|
Robbin Desiree Lewis
4321 Fir St |
$34.98 | 1,220 | 509 |
|
Priyanka Kumar
4320 Fir Street |
$59.25 | 1,306 | 1,196 |
|
Dean Michael Ferrera
4320 Fir St Unit 320 |
$55.68 | 1,372 | 1,100 |
|
Amit Kakkar
4320 Fir St |
$74.15 | 1,410 | 1,185 |
|
Tiara Z. Williams
1313 W Chicago Ave |
$58.39 | 1,432 | 1,158 |
|
Leilani Reyes
4320 Fir St Unit 408 |
$60.89 | 1,434 | 1,257 |
|
Humberto Calero
100 W Chicago Ave Ste F |
$73.70 | 1,528 | 1,269 |
|
Ambrosio Aranas Dosado
3847 Euclid Ave |
$66.65 | 1,552 | 1,218 |
|
Janos Antal Uzonyi
100 W Chicago Ave Ste F |
$83.19 | 1,564 | 976 |
|
Patricia Ogden
1313 W Chicago Ave |
$53.44 | 1,931 | 1,625 |
|
Samer Abbas
4320 Fir St |
$31.00 | 2,161 | 1,477 |
|
Carol Marie Budgin
4320 Fir St |
$32.18 | 2,238 | 1,634 |
|
Jeremy Michaelis
2323 Broadway St |
$57.58 | 2,293 | 1,847 |
|
Kelly Ann Salazar
4321 Fir St |
$56.05 | 2,649 | 2,396 |
|
Kathleen Weir
3903 Indianapolis Blvd |
$71.87 | 2,666 | 2,315 |
|
Lolita O Ang
3903 Indianapolis Blvd |
$55.53 | 2,879 | 2,578 |
|
Carl Benjamin Toren
1313 W Chicago Ave |
$48.83 | 2,951 | 2,541 |
|
Samina Niaz Khattak
3903 Indianapolis Blvd |
$85.08 | 2,989 | 2,707 |
|
Praveen Nallapareddy
4320 Fir St Unit 210 |
$67.26 | 3,047 | 2,462 |
|
Arif Khalil
4320 Fir St Unit 320 |
$46.34 | 3,224 | 2,520 |
|
Jun Dong Kim
100 W Chicago Ave Ste F |
$57.02 | 3,736 | 3,228 |
|
Kanayo K Odeluga
915 W Chicago Ave |
$60.75 | 4,105 | 3,398 |
|
Ralph William Richter
4320 Fir Street |
$55.77 | 4,203 | 3,452 |
|
Jaime E Ruiz Montero
4320 Fir Street |
$24.63 | 4,305 | 2,870 |
|
Lilia Ivette Bonilla
1313 W Chicago Ave |
$48.75 | 4,409 | 3,598 |
|
Farzana A Khan
2010 E Columbus Dr |
$51.19 | 4,460 | 3,629 |
|
Ahmed Sabry
1313 W Chicago Ave |
$54.99 | 4,704 | 3,606 |
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 East Chicago, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Chicago, IN is $56.15 per claim, based on 188,524 claims from 59 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 East Chicago, IN?
There are 59 Medicaid providers offering Office Visit related services in East Chicago, IN according to public payment data.
What is the price range for Office Visit in East Chicago, IN?
Medicaid reimbursement for Office Visit in East Chicago, IN ranges from $0.00 to $85.08 per claim, with an average of $56.15. 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 East Chicago, IN
Psychiatric Evaluation
Avg $68.85
117,717 claims
Blood Work & Lab Tests
Avg $4.40
91,659 claims
Emergency Room Visit
Avg $97.96
51,913 claims
Behavioral & Mental Health Therapy
Avg $118.52
50,137 claims
Vaccines & Immunizations
Avg $7.09
46,688 claims
EKG / ECG (Electrocardiogram)
Avg $12.16
32,585 claims
Case Management Services
Avg $40.73
26,006 claims
Urinalysis & Urine Tests
Avg $3.16
20,345 claims