Average Medicaid Office Visit Payments in Elkhart, IN: $49.36
Avg. Paid
$49.36
Range
$8.49 – $256.77
Total Claims
323,807
Providers
178
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 Elkhart, IN
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Timothy C Mcfadden
2600 Oakland Ave |
$28.86 | 16,657 | 13,097 |
|
Susan Taccheri
2600 Oakland Ave |
$62.31 | 12,509 | 11,545 |
|
Jasveer Grewal
700 E Beardsley Ave Ste 4B |
$27.64 | 9,584 | 7,491 |
|
Israr Azim Siddiqi
525 W Bristol St |
$61.98 | 7,683 | 6,676 |
|
Su Choo Chang
1627 E Bristol St |
$53.47 | 7,594 | 6,714 |
|
Mary Patricia Mcmanmon
148 W Hively Ave Ste 1 |
$40.82 | 6,931 | 5,636 |
|
Kenneth Scott Bethel
236 Simpson Ave |
$32.96 | 6,754 | 5,216 |
|
Blake Alan Luebbehusen
500 Arcade Ave Ste 210 |
$79.04 | 6,732 | 3,981 |
|
David A Beatty
2310 California Road |
$39.17 | 6,425 | 5,674 |
|
Essam A. Montasir
236 Simpson Ave |
$34.71 | 6,278 | 5,105 |
|
Jason J Hix
2310 California Road |
$59.82 | 5,802 | 4,977 |
|
Harmanpreet Bobby Rakhra
303 S Nappanee St |
$40.60 | 5,620 | 4,849 |
|
Angelina Theresa Panford
236 Simpson Ave |
$32.71 | 5,453 | 4,265 |
|
Ryan P. Foreman
2310 California Rd |
$71.23 | 5,427 | 4,597 |
|
Steven Hanberg
3301 County Road 6 E |
$45.62 | 5,154 | 4,462 |
|
Samuel Dominic Kobba
236 Simpson Ave |
$37.27 | 5,106 | 4,123 |
|
Christine Mamphey Dankwa
236 Simpson Ave |
$42.47 | 5,100 | 4,660 |
|
Ahsanul Haque
303 S Nappanee St |
$33.37 | 5,091 | 4,092 |
|
Sean Matthew Henning
2310 California Rd |
$35.20 | 5,042 | 4,023 |
|
Jeffrey S Howe
3301 County Road 6 E |
$54.92 | 4,853 | 4,277 |
|
Kamran Fasih Siddiqui
303 S Nappanee St |
$22.63 | 4,807 | 4,001 |
|
Wai H. Lee
303 S Nappanee St |
$32.56 | 4,709 | 4,084 |
|
Jared Ray Dhaemers
1627 E Bristol St |
$66.06 | 4,659 | 4,290 |
|
Douglas L. Jarvis
56218 Parkway Ave |
$62.43 | 4,635 | 4,115 |
|
Emily Marie Kisor
1627 E Bristol St |
$73.22 | 4,616 | 4,060 |
|
Dwayne Edward Johnson
236 Simpson Ave |
$50.41 | 4,554 | 4,026 |
|
Erin Marie Kevern
1753 Fulton St |
$68.50 | 3,982 | 3,480 |
|
Erin Ann Farrell
236 Simpson Ave |
$43.09 | 3,945 | 3,627 |
|
Jonathan D Schrock
2310 California Road |
$44.72 | 3,878 | 3,425 |
|
Julia K. Pagano
2310 California Rd |
$38.97 | 3,820 | 3,152 |
|
Celeste M Warlick
5218 Beck Dr Ste 12 |
$48.67 | 3,769 | 3,180 |
|
Randall J Cammenga
600 East Blvd |
$60.47 | 3,558 | 1,728 |
|
Christopher M. Annis
2310 California Rd |
$43.08 | 3,469 | 3,073 |
|
Edith M Cullen
2310 California Rd |
$67.44 | 3,363 | 2,905 |
|
Mary Alice M Reid
1627 E Bristol St |
$65.23 | 3,346 | 3,047 |
|
Thomas R. Vidic
303 S Nappanee St |
$46.47 | 3,344 | 3,011 |
|
Song I Baek
1004 Parkway Ave Ste E |
$73.43 | 3,338 | 2,165 |
|
Jeffrey T. Szuba
3301 County Road 6 E |
$61.97 | 3,263 | 2,779 |
|
Catherine E Dos Santos
3421 S Main St |
$61.75 | 3,208 | 2,800 |
|
Malee Blue
1004 Parkway Ave |
$47.46 | 3,174 | 2,523 |
|
Saadia Qasim
3301 County Road 6 E |
$44.69 | 3,037 | 2,659 |
|
Andrea Leslie Gentile
1753 Fulton St |
$73.65 | 3,008 | 2,721 |
|
Apeksha R Shah
3421 Cassopolis St Ste 200 |
$63.01 | 2,890 | 2,410 |
|
Pavan Ahuja
303 S Nappanee St |
$33.25 | 2,819 | 2,259 |
|
Tamera J. Andrews
148 W Hively Ave Ste 1 |
$41.19 | 2,736 | 2,111 |
|
Dylan Garvey
3301 County Road 6 E |
$79.00 | 2,667 | 2,520 |
|
Bethany L. Mcdaniel-Vanderzwaag
3421 Cassopolis Street Ste 200 |
$65.67 | 2,477 | 2,034 |
|
Lisa Kirkton
2600 Oakland Ave |
$60.87 | 2,449 | 2,321 |
|
Gene W Grove
2310 California Road |
$39.27 | 2,447 | 2,132 |
|
John Benjamin Baccus
500 Arcade Ave Ste 200 |
$53.17 | 2,436 | 2,150 |
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 Elkhart, IN?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Elkhart, IN is $49.36 per claim, based on 323,807 claims from 178 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 Elkhart, IN?
There are 178 Medicaid providers offering Office Visit related services in Elkhart, IN according to public payment data.
What is the price range for Office Visit in Elkhart, IN?
Medicaid reimbursement for Office Visit in Elkhart, IN ranges from $8.49 to $256.77 per claim, with an average of $49.36. 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 Elkhart, IN
Emergency Room Visit
Avg $101.82
355,194 claims
Blood Work & Lab Tests
Avg $4.55
309,110 claims
Psychiatric Evaluation
Avg $46.11
120,775 claims
EKG / ECG (Electrocardiogram)
Avg $19.76
97,844 claims
Vaccines & Immunizations
Avg $8.44
94,806 claims
Urinalysis & Urine Tests
Avg $1.93
70,876 claims
Speech Therapy
Avg $41.25
61,659 claims
Case Management Services
Avg $48.27
42,105 claims