Average Medicaid Office Visit Payments in East Lansing, MI: $55.78
Avg. Paid
$55.78
Range
$0.73 – $671.71
Total Claims
416,926
Providers
92
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 Lansing, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Edward W. Sparrow Hospital Association
2682 E Grand River Ave |
$46.92 | 112,147 | 107,284 |
|
Compass Healthcare, Pllc
1575 Ramblewood Dr |
$54.77 | 28,768 | 27,074 |
|
Lansing Ophthalmology, P.C.
2001 Coolidge Rd |
$49.11 | 24,316 | 22,960 |
|
Troy Gastroenterology, Pc
1650 Ramblewood Dr Ste 100 |
$56.42 | 21,488 | 20,901 |
|
Msu Health Care Inc.
804 Service Rd Ste A217 |
$68.48 | 17,810 | 17,568 |
|
Msu Health Care Inc
804 Service Rd Ste A225 |
$67.85 | 15,103 | 14,271 |
|
Edward W. Sparrow Hospital Association
2900 Hannah Blvd Ste 212 |
$48.48 | 14,236 | 14,002 |
|
Msu Health Care Inc
4660 S Hagadorn Rd Ste 500 |
$49.95 | 14,064 | 13,249 |
|
Michigan State University
804 Service Rd |
$58.32 | 12,023 | 11,421 |
|
Msu Health Care Inc.
4660 S Hagadorn Rd Ste 520 |
$60.23 | 10,054 | 9,801 |
|
Pine Hollow Partner Llc
6200 Pine Hollow Dr |
$59.94 | 8,958 | 8,804 |
|
Michigan State University
463 E Circle Dr |
$53.09 | 8,918 | 8,335 |
|
Mid Michigan Ear Nose And Throat Pc
1500 Abbot Rd |
$64.86 | 8,506 | 8,172 |
|
Michigan State University
804 Service Rd # A225 |
$54.50 | 7,707 | 7,070 |
|
Comprehensive Sleep Diagnostics
3515 Coolidge Rd Ste A |
$62.89 | 7,259 | 7,131 |
|
Michigan Psychiatric & Primary Care Clinic, Pc
702 W Lake Lansing Rd |
$73.81 | 7,027 | 4,834 |
|
Michigan State University
4660 S Hagadorn Rd Ste 600 |
$47.43 | 6,369 | 5,874 |
|
Edward W Sparrow Hospital Association
2900 Hannah Blvd Ste 104 |
$54.24 | 6,167 | 5,682 |
|
Katranji Reconstructive Surgery Institute, Pllc
2111 Merritt Rd |
$73.23 | 5,905 | 5,600 |
|
Michigan State University
804 Service Rd Ste A142 |
$41.52 | 5,654 | 5,340 |
|
Allergy And Asthma Clinic Of East Lansing, Pllc.
2045 Asher Ct Ste 200 |
$64.04 | 5,615 | 5,586 |
|
Msu Health Care Inc
4650 S Hagadorn Rd Ste 100 |
$62.74 | 5,474 | 5,188 |
|
Msu Health Care Inc.
4660 S Hagadorn Rd Ste 420 |
$64.59 | 5,424 | 5,228 |
|
Lansing Podiatry, Pllc
1500 Watertower Pl |
$42.80 | 5,383 | 4,740 |
|
Diana Bonaccorsi
804 Service Rd Ste A225 |
$48.46 | 4,750 | 3,867 |
|
Msu Health Care Inc
4660 S Hagadorn Rd Ste 210 |
$59.14 | 4,557 | 4,488 |
|
Msu Health Care Inc
4650 S Hagadorn Rd Ste 100 |
$58.40 | 4,022 | 3,953 |
|
Edward W. Sparrow Hospital Association
2900 Hannah Blvd |
$58.06 | 3,558 | 3,512 |
|
Msu Health Care Inc
4660 S Hagadorn Rd Ste 600 |
$52.41 | 3,218 | 3,142 |
|
Meridian Professional Psychological Consultants
5031 Park Lake Road |
$72.00 | 2,842 | 2,657 |
|
Edward W. Sparrow Hospital Association
2682 E Grand River Ave |
$55.62 | 2,754 | 2,658 |
|
Tariq Ahmad Gheith
804 Service Rd # A217 |
$48.80 | 2,374 | 2,129 |
|
Michigan State University
4660 S Hagadorn Rd Ste 420 |
$43.85 | 2,353 | 2,244 |
|
Uwh Of Michigan Plc
1560 Turf Ln |
$55.78 | 2,301 | 2,183 |
|
Msu Health Care Inc
4660 S Hagadorn Rd Ste 600 |
$47.65 | 2,151 | 1,977 |
|
Full Spectrum Family Medicine Pc
2025 Abbot Rd |
$25.16 | 1,994 | 1,831 |
|
Board Of Trustees Of Michigan State University
4660 S Hagadorn Rd |
$38.65 | 1,619 | 1,439 |
|
Marie Carol Cole
804 Service Rd Ste A110 |
$671.71 | 1,299 | 1,192 |
|
Capitol Infectious Disease Associates
6401 Pine Hollow Dr |
$55.71 | 1,288 | 1,063 |
|
Msu Health Care Inc.
909 Wilson Rd Ste B119 |
$65.27 | 1,157 | 958 |
|
Msu Health Care, Inc
4660 S Hagadorn Rd Ste 210 |
$62.22 | 977 | 976 |
|
Msu Health Care Inc.
4660 S Hagadorn Rd Ste 500 |
$48.27 | 938 | 911 |
|
Amit Kumar Mehta
804 Service Road, Room A225 |
$2.94 | 771 | 472 |
|
Mid Michigan Orthopaedic Institute Pllc
830 W Lake Lansing Rd |
$39.78 | 706 | 638 |
|
Michigan State University
909 Wilson Rd Rm B119 |
$39.71 | 613 | 550 |
|
Family Care Practice Plc
1675 Watertower Pl |
$42.98 | 550 | 424 |
|
Lansing Ophthalmology, P.C.
2001 Coolidge Rd |
$52.87 | 535 | 513 |
|
Amy Lynn Hatinger
4650 S Hagadorn Rd Ste 100 |
$14.10 | 501 | 283 |
|
Wan Chong Tsai
4660 S Hagadorn Rd |
$80.74 | 461 | 368 |
|
Red Cedar Valley Medicine, Pllc
6110 Abbot Rd |
$54.75 | 446 | 422 |
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 Lansing, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in East Lansing, MI is $55.78 per claim, based on 416,926 claims from 92 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 Lansing, MI?
There are 92 Medicaid providers offering Office Visit related services in East Lansing, MI according to public payment data.
What is the price range for Office Visit in East Lansing, MI?
Medicaid reimbursement for Office Visit in East Lansing, MI ranges from $0.73 to $671.71 per claim, with an average of $55.78. 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 Lansing, MI
Psychiatric Evaluation
Avg $77.16
127,877 claims
Eye Exam
Avg $30.50
68,706 claims
Dental Cleaning & Exam
Avg $32.21
67,021 claims
Physical Therapy
Avg $22.83
47,556 claims
X-Ray
Avg $11.69
43,588 claims
Podiatry (Foot Care)
Avg $13.65
29,510 claims
Nursing Facility Care
Avg $30.47
26,766 claims
Chiropractic Care
Avg $22.90
24,176 claims