Average Medicaid Office Visit Payments in Eastpointe, MI: $66.62
Avg. Paid
$66.62
Range
$3.90 – $83.52
Total Claims
96,432
Providers
17
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 Eastpointe, MI
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Eastpointe Urgent Care Walk In Clinic P.C.
22471 Gratiot Ave |
$66.89 | 43,699 | 42,163 |
|
Prime Medical Health Care Pc
16184 E 10 Mile Rd Ste 101 |
$66.32 | 17,616 | 15,872 |
|
Great Lakes Urgent Care Pc Of Eastside
19070 E 10 Mile Rd |
$64.62 | 10,929 | 10,619 |
|
Vk Siddiqui Md Pc
18161 E 8 Mile Rd |
$61.85 | 7,620 | 7,216 |
|
Health One Medical Center, Eastpointe Llc
21501 Kelly Rd |
$70.02 | 6,213 | 5,878 |
|
Great Lakes Medical Group Pc
19070 E 10 Mile Rd |
$83.52 | 2,358 | 2,034 |
|
Sarih Dalati Md, Pc
22850 Kelly Rd Ste C |
$72.91 | 2,310 | 2,281 |
|
Mansour Mercy Medical Center Pllc
21321 Kelly Rd Ste 100 |
$71.11 | 1,856 | 1,768 |
|
Ankle & Foot Clinic Pc
23700 Gratiot Ave |
$49.63 | 1,440 | 1,383 |
|
Saadia Siddiqui Md Pc
18161 E 8 Mile Rd |
$81.75 | 809 | 759 |
|
Serenity Wellness Center Llc
17200 E 10 Mile Rd Ste 135 |
$46.18 | 510 | 481 |
|
Kelly Family Medical Center P.C.
21331 Kelly Rd Ste 120 |
$77.67 | 388 | 366 |
|
Ptpeastpointe,P.C.
15200 Eeast Ten Mile Road |
$49.33 | 277 | 235 |
|
Anthony Montella
15324 E 10 Mile Rd |
$44.00 | 273 | 262 |
|
Isis A Hanna
22745 Kelly Rd |
$64.69 | 70 | 66 |
|
Yong Soo So, M.D., P.C.
22001 Kelly Rd |
$40.96 | 45 | 43 |
|
Ahmad Elghoroury
21811 Kelly Rd |
$3.90 | 19 | 14 |
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 Eastpointe, MI?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Eastpointe, MI is $66.62 per claim, based on 96,432 claims from 17 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 Eastpointe, MI?
There are 17 Medicaid providers offering Office Visit related services in Eastpointe, MI according to public payment data.
What is the price range for Office Visit in Eastpointe, MI?
Medicaid reimbursement for Office Visit in Eastpointe, MI ranges from $3.90 to $83.52 per claim, with an average of $66.62. 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 Eastpointe, MI
Dental Cleaning & Exam
Avg $36.09
110,611 claims
Dental Filling
Avg $107.05
49,836 claims
Tooth Extraction
Avg $79.46
13,855 claims
Urinalysis & Urine Tests
Avg $3.31
10,819 claims
Nursing Facility Care
Avg $47.36
6,386 claims
Vaccines & Immunizations
Avg $16.23
3,807 claims
Chiropractic Care
Avg $22.44
3,739 claims
Hearing Test (Audiometry)
Avg $7.36
3,044 claims